There are many reasons for working as a locum tenens CRNA, the most common of which are:
• Independence. The freedom to choose where and when you work, as well as for whom.
• Flexible Schedule. Many locum tenens CRNAs enjoy the flexibility of working as little or as much as they choose. It is now your choice.
• Locum to Perm. Locum tenens is an excellent method of searching for a new position. Both parties have the opportunity to evaluate the other.
The first step in making the transition to locum tenens is to register with National Anesthesia Services. You will need to complete and return our brief application which includes clinical skills checklist. You will then need to return these items together with clear copies of the following:
• Curriculum Vitae/Resume
• Passport Photo
• Copies of all current state licensures
• Copies of all Diplomas
• Copies or current/past Liability Insurance Certificates
• 3 Letters of Reference
• Copies of the front/back of your ACLS, BLS, PALS, and NRP (as applicable)
• Copy of your Board Certification
• TB Test
• NPI Letter
Identify availability and geographic area you'd like to be in.
Many hospitals also require proof of current immunization records against hepatitis, measles, mumps and rubella, as well as a recent TB/PPD skin test. We recommend obtaining a PPD test showing results within the last 9 months.
Once you are registered with National Anesthesia Services, you will be eligible to accept positions with us. Your information will reside in our secure database and you will recieve notifications on new jobs before they are posted on job board. When a request for coverage is received from a client we search our database for providers who hold a license where the client is located. Many of our clients exclusively utilize our agency for staffing; however, some may use two or three anesthesia staffing agencies, so it is important that we present candidates quickly. In order to do this, we call those providers we already know to be available. We then contact providers that best suit the available locum tenens job.
When you respond by telephone, our Account Manager will discuss the opportunity in complete detail. If there is something we don't know, we'll get the answer for you! At the end of the conversation, if you are interested in the position, we will ask for your permission to present your curriculum vitae/resume to our client! * If you agree you have made a commitment to us, then you will be expected to hold your time for this assignment with the client. Acceptance can take from 1 - 72 hours to obtain depending on the client. Most times we can give you an idea of how long it will take to get an answer back before we present you.
Upon acceptance, we will obtain a written confirmation and send you an agreement to sign. During the period between acceptance and the first day of your new assignment, we assist with obtaining clinical privileges and make your transportation and lodging arrangements if necessary. We will also provide you with a supply of timesheets and written Final Assignment Details.
During your assignment, you will interact on a frequent basis with your Account Manager who acts as your advocate on this assignment. Your Account Manager will be responsible for finding your next locum tenens job well in advance of the end of your current assignment.
* Traditionally, upon receiving the same curriculum vitae/resume from different anesthesia staffing agencies, clients will accept a candidate from the agency who presented that candidate first. Some agencies will present candidates to clients without the candidate’s permission and without ever speaking to the individual about the assignment. The result being, if you want to work at that particular assignment you will have no other choice but to work through the other agency. You would be surprised how often this happens. If you register with multiple agencies, please "get it in writing" that they cannot present your credentials to their client without first obtaining your permission.
Assignments can vary from one day to several months or even several years. We also offer many one and two week assignments to CRNA's that currently have full-time jobs and are looking to supplement their income.
If you are in a long-term assignment and plan to take vacation or CME time off during the assignment, please give your Account Manager a minimum of "30 days" notice so that we will have ample time to find replacement coverage for you during your absence.
Two words set us apart: RELATIONSHIPS and INTEGRITY. National Anesthesia truly believes in building relationships. We don't look at our Anesthesiologist as a commodity but rather as family --- we live the life with you if you allow us to.
Integrity is the fabric of our existence: at National Anesthesia, if we say we have an opportunity for you, we do! The money we say we will pay you will be paid in a timely fashion. If we say we are going to do something for you, we do it! We do not break our word and we expect the people we work with to do the same.
Most CRNA's who work locum tenens jobs on a full-time basis carry multiple state licenses, this will increase the opportunities for locum tenens placements. Generally we recommend getting licensed in those states where there is a high demand for services. Feel free to contact one of our Account Manager at any time for licensure recommendations.
Although we cannot obtain a license on your behalf, we can help expedite the process and help you with some of the paperwork. Please update us whenever you acquire a new license.
A Nurse Licensure Compact has been implemented in several states, allowing a CRNA to have one license (in state of residency) and to practice in other compact states under a system of mutual recognition. At present, the compact only applies to RN licensure, so a CRNA would still be required to obtain an Advanced Practice License in each compact state where they intend to work.
For more information about the Nurse Licensure Compact, contact the National Council on State Boards of Nursing (NCSBN).
All rates and daily/weekly guarantees are contract specific. CRNA's who work locum tenens jobs at least 46 weeks per year could earn an average annual gross income of $193,000. Overtime and call would increase this figure.
As a locum tenens provider, you will be working as an independent contractor. Independent contractors are responsible for paying their own taxes (Federal, State and Local), Worker's Compensation, health, disability, life, and dental insurance, as well as any AANA (American Association of Nurse Anesthetists) or other professional dues, CME expenses and state licensing fees. You may choose to obtain your own malpractice policy but National Anesthesia has the ability to cover you under its policy while on assignment. Please call for further details.
Many CRNAs work either as Sole Proprietors or in some corporate form such as an LLC, S Corp or C Corp. Although more expensive, there are benefits to working as a corporation. Please check with your tax and legal advisors before making any decision regarding which form to work under.
Yes. It is important that you pay the correct amount of tax in a timely fashion. Please check with your tax advisor.
Some clients provide transportation, lodging and a meal per diem for any day worked.
Expenses may include:
• Airfare - one roundtrip to and from assignment.
• Rental Car - Economy or Intermediate.
• Mileage Reimbursement at the current IRS Rate - if you are close enough to drive.
• Lodging - hotel or corporate apartment.
• Meal Per Diem - per days worked.
*All cost must be approved prior to booking.
Being a healthcare provider, you understand the importance of health insurance.
There is a lot of talk these days about the skyrocketing cost of health insurance, but there are many good plans available at a reasonable cost. Contact an insurance broker in your area for a quote. Disability insurance, while not health insurance, is a form of protection you may wish to consider as an independent contactor.
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As an independent contractor, you may choose to purchase your own liability insurance. We recommend obtaining a policy with limits of at least $1 million per occurrence/$3 million aggregate. Some states require higher or lower minimum limits.
Insurance is available through AANA (American Association of Nurse Anesthetists) Insurance Services at (800) 343-1368.
National Anesthesia also has the ability to insure you for most locum tenen opportunities. For more information, contact National Anesthesia Services.