Struggling to Find Your First NP Job? Read This Before You Give Up
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

Struggling to Find Your First NP Job? Read This Before You Give Up

If you’re a new grad nurse practitioner applying to jobs and hearing nothing back (or interviewing and getting passed over for candidates with experience) you are not alone.

Many new grad NPs are reading Reddit threads and Facebook posts saying:

  • “The NP job market is saturated.”

  • “No one is hiring new grads.”

  • “I can’t even get an interview.”

After weeks or months of this, it’s easy to feel discouraged, anxious, or to wonder whether becoming an NP was a mistake.

Before you give up, let’s get something straight.

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Returning to the Bedside After NP Burnout
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

Returning to the Bedside After NP Burnout

If you are an NP who has returned to the bedside (even part-time) after quitting an initial NP job, you are likely carrying a heavy burden of shame and defeat. You might feel like you let down your family, your former RN colleagues, and yourself. You worked so hard for that title, and walking away feels like an admission of failure.

Let me be absolutely clear: Quitting an unsupported job and returning to the bedside is a brave, strategic move. It is a reflection of your self-awareness and commitment to professional safety, not incompetence.

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Imposter Syndrome and the NP Transition
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

Imposter Syndrome and the NP Transition

If you are a new Nurse Practitioner who has secretly thought about quitting and going back to your old RN job, listen up: What you are feeling is completely normal.

The shift from being a confident, expert Registered Nurse to a novice NP is often glossed over, leading to overwhelming feelings of anxiety, self-doubt, and what is commonly called imposter syndrome. You are not just starting a new job; you are navigating a massive, stressful identity shift.

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The Compensation Myth: Look Beyond the Starting Salary of Your First NP Job
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

The Compensation Myth: Look Beyond the Starting Salary of Your First NP Job

One of the most disheartening things a new NP job seeker can encounter is the realization that their starting salary might not be significantly higher (or sometimes even lower) than what they were earning as an experienced RN. This can lead to serious doubts about whether the investment in NP education was "worth it." However, it's crucial to understand the nuances of NP and RN compensation and to take a long-term view of your earning potential.

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The NP Negotiation Playbook: What to Ask For (Besides Salary)
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

The NP Negotiation Playbook: What to Ask For (Besides Salary)

You've landed the interview. You're feeling confident. But as a new Nurse Practitioner, what do you do when the topic of compensation comes up? Many new grads fixate solely on salary, but that's a mistake. A truly great first NP job is defined by more than just your paycheck.

The most successful and sustainable careers are built on a foundation of support, reasonable workload, and professional growth. In your first job negotiation, you're not just asking for money; you're setting the stage for a career that won't leave you burnt out and disillusioned.

Here’s why you need to go into your negotiation with a plan, and what to ask for beyond your base salary…

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Your First NP Job: More Than a stepping stone
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

Your First NP Job: More Than a stepping stone

You poured your heart and soul into becoming a Nurse Practitioner. You navigated rigorous coursework, challenging clinical rotations, and sleepless nights. Now, you're ready for your first NP job. If you're approaching this search the same way you did for your first RN position, you might be setting yourself up for disappointment—and potentially serious setbacks.

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The Layoffs That Proved Our Workload Was Unsustainable
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

The Layoffs That Proved Our Workload Was Unsustainable

When I landed my job at a large primary care practice, I was excited. The interview process was thorough, with multiple rounds with key decision-makers. I did everything I was supposed to do: I asked about workload, administrative time, and support staff. I even asked about the company’s financial health, and they pointed to their opening of a new site as a clear sign of growth and financial soundness.

What they said was true, but it was far from the whole truth.

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5 Must-Ask Questions Every NP Should Ask Before Accepting a Job Offer
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

5 Must-Ask Questions Every NP Should Ask Before Accepting a Job Offer

Let’s be honest, most job interviews are a two-way street in theory, but in practice, they can feel like a one-sided interrogation. As nurse practitioners, we’re trained to care for others, not negotiate our work conditions. But if you want to avoid burnout, set healthy boundaries, and find a job where you can actually thrive, you have to ask the right questions upfront. 

Whether you're a new grad or a seasoned NP making a move, here are five high-impact questions to help you evaluate a prospective employer and protect your peace.

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When Safe Practice Makes You the "Difficult" Provider

When Safe Practice Makes You the "Difficult" Provider

When you draw a line in the sand and refuse to continue unsafe prescribing (like long-term benzodiazepines or chronic, off-label opioids) you are doing the right thing. But immediately, you become the least popular person in the clinic

Patients who were trained by the old system to expect "easy refills" will be angry and scared. Your bosses, who quietly tolerated the risk, might suddenly be upset with the chaos your safety measures create. And colleagues might resent the pressure you put on their own practices. 

This isn't a clinical problem; it’s a systemic and cultural clash. Here is your playbook for managing the inevitable pushback. 

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Stop Working a 60-Hour Job on a 40-Hour Salary
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

Stop Working a 60-Hour Job on a 40-Hour Salary

The Cost of Your Altruism

You didn't invest in years of school just to give away 20 hours of free labor every week.

As a hard-working NP, you’re committed to patient care. Unfortunately, that commitment is often weaponized, forcing you into a cycle of unpaid after-hours work that drastically dilutes your effective hourly wage. The idea that you have to work a 60-hour job on a 40-hour salary is not an expectation of a sustainable career; it’s a form of financial self-sabotage.

It’s time to stop the bleed and reclaim the true value of your salary.

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Job Hunting for PCPs: 8 Warning Signs You Can’t Ignore
Career Strategy & Negotiation Candice Elam Career Strategy & Negotiation Candice Elam

Job Hunting for PCPs: 8 Warning Signs You Can’t Ignore

Finding the right job as a primary care provider (PCP) is about more than just salary and benefits—it’s about setting yourself up for long-term success in a workplace that supports both your professional growth and work-life balance. While every job has its challenges, some warning signs can indicate a poor fit or a workplace that could lead to burnout.

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Streamlining Your Charting Process for Prior Authorization Requests

Streamlining Your Charting Process for Prior Authorization Requests

As primary care providers, we've all experienced the frustration of prior authorizations (PAs) disrupting our workflow. Whether it's for medications, tests, or treatments, PAs often feel like a barrier between your clinical judgment and the care your patient needs. .

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