Advanced Practice

How to choose locum tenens agencies to work with as an NP

August 09, 2024
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Sophia Khawly, ARNP, MSN, explains what she does when choosing which locum tenens agency to work with.

Locum tenens has become so popular that it has led to a growth in the number of locum tenens agencies. Most physicians and nurse practitioners have received some sort of email or phone call by a locums recruiter, even when not actively looking for another job. With so many options, how does one choose which locum tenens agencies to work with?

Personally, there are five things I look for when choosing a locum tenens agency to work with.

Graphic list of five things the author checks when looking for a locum tenens agency

1. Work with a locum tenens recruiter you click with

The recruiter/provider relationship is the most important aspect of choosing the right agency. I need a recruiter that I will click with. My recruiter should be reliable, professional, and communicate well. My pet peeve is having a recruiter that I feel hounds me. For example, my favorite recruiter knows I prefer to communicate via email, and I am quick to respond. Thus, they will not call me five times in one day while I am working.

2. Research benefits and pay

I make sure the agency I am interested in can meet the pay requirements I am looking for. Some agencies are larger and may have more overhead, so they are likely to pay less per assignment than some smaller agencies.

Additionally, most agencies pay their locums providers as 1099 contractors. However, there are a few that pay NPs as W-2 employees, such as CompHealth. I prefer being a W-2 employee because it gives me benefits such as health insurance, 401(k) contributions, and CEU reimbursement. Also, my income taxes are taken out, so I don't have to worry about making quarterly tax payments.

Find out what’s covered: CompHealth benefits for advanced practice locums

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3. Find a locum agency with plenty of job options

I like working with agencies that have plenty of job options. When holding multiple state licenses, I should have many assignments to choose from. If the agency fails to offer me consistent work opportunities, then I will unlikely work with them on an ongoing basis. When an agency offers many job options, it proves how reputable the agency is because sites want to continue working with them.

Do the research: How do the top locum tenens agencies compare?

4. Ask if the agency offers licensing assistance

I love when agencies offer proactive licensing. This means they assist and pay for state licenses before I even accept a job with them in that state. This will increase the possibilities of finding my next assignment because most sites want you to already be licensed there before they sign you on. It's also a plus that if I've applied for a state license on my own, then the agency will reimburse me for my license costs once I start working in that state.

5. Select an agency that prioritizes the locum

My favorite agencies are the ones that prioritize the locum tenens provider. For instance, if there is a conflict between the site and the clinician, the winning agency is the one that sticks up for the clinician. Examples of this include when the site is making the provider see more patients than agreed on or if the provider is not comfortable practicing safely at the site and wants to end their contract early. In my experience, some agencies will side with the site because that is who is filling their pockets, but the agencies I am forever loyal to are the ones that always side with me.

Want to learn more about locum tenens? Call 800.453.3030 or view today's locum tenens job opportunities for nurse practitioners.


About the Author

Sophia Khawley

Sophia Khawly has been a locum tenens nurse practitioner for more than six years. She has worked in nine different states and about 20 different practices. This Miami native likes to travel in her spare time as well, and has visited over 40 countries. Being a locum tenens nurse practitioner allows her to combine her love of learning, travel, and serving others. Learn more about Sophia at www.trave

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