Missouri Nurse Practitioner Contract Attorney
Missouri NP Healthcare Employment Contract
An Introduction to Life in Missouri
Missouri, known as the Show-Me State, provides an ideal balance of urban and rural settings, cultural attractions, and natural beauty. From St. Louis’s Gateway Arch to the vibrant city life of Kansas City, you’ll never be short of places to explore. Check out Visit Missouri to learn more about what this state offers.
Launching Your Nurse Practitioner Career in Missouri
Understanding Missouri’s Job Market
Missouri’s healthcare sector is growing, with a myriad of opportunities for nurse practitioners. The Missouri Nurses Association Career Center is an excellent resource for exploring current job openings.
Obtaining Your License
Nurse practitioners must obtain their license from the Missouri State Board of Nursing. It is essential to familiarize yourself with their specific licensing requirements to ensure a smooth transition into practice in Missouri.
Networking and Continued Education
The Advanced Practice Registered Nurse (APRN) Committee of Missouri provides an ideal platform for networking with other professionals and staying updated on legislative changes and educational opportunities.
Embracing the Missouri Lifestyle
Finding Your New Home
Whether you prefer the bustling environment of a city like St. Louis or a more relaxed rural lifestyle, Missouri Realtors can help you find your ideal home.
Outdoor and Recreational Opportunities
Missouri’s diverse landscapes offer a plethora of outdoor activities, such as hiking in the Ozarks or exploring the Katy Trail. Visit the Missouri Department of Conservation for a list of parks, trails, and activities.
Engaging in Missouri’s Cultural Life
Missouri boasts a rich cultural scene, with everything from music festivals to renowned museums. Check out the Missouri Arts Council to stay updated on the latest cultural events and venues.
Your Missouri Journey Awaits
Transitioning to a new job and relocating to a new state can be a significant change. However, Missouri’s welcoming communities, professional opportunities, and diverse recreational activities make it a rewarding choice. As a nurse practitioner in Missouri, you’re embarking on a fulfilling professional journey in a state that offers a vibrant lifestyle. Welcome to your new home!
Important Terms in a Medical Contract
NPs with non-competes in their nurse practitioner employment agreements were initially considered restraints of trade. Thus, they were invalid in public policy at common law. However, many restraints on trade incident to healthcare contracts were upheld based on the rule of reason. Thus, restrictive covenants between nurse practitioners not to compete after the termination of employment are generally enforceable as long as it is reasonable.
However, there are a few states which prohibit non-compete clauses. Please review your state laws for non-compete rules and regulations to see the specific rules for your state.
The general test for reasonableness of these clauses holds that on termination of employment, a covenant that restrains an employee from competing with his former employer is termed reasonable if:
- The restraint is not more than required to protect the employer,
- It does not inflict any untold hardships on the employer, and
- The restraint is not detrimental to the public.
In one such case, a provider restricted from practicing his specialty after leaving the hospital where he worked had their non-competition clause considered unreasonable. The judge ruled that this would be harsh if enforced because there are only a few other hospitals in the area with subspecialties like this one. They needed to protect themselves by preventing transfers of knowledge between providers.
Courts generally find that these clauses were only enforceable if there was some legitimate interest from the employer and would damage their ability to find qualified staff later or hurt public health care. Those needing legal advice should consult an attorney before signing any contract. Hence, they know what rights may come into play when things go wrong with their current job, regardless of whether non-compete reviews seem necessary at first glance!
NP Employment Agreement Checklist
Employment contracts are all unique. However, nearly all medical and nursing professional contracts for providers should contain several essential terms. If these contracts do not spell out the critical terms, disputes can arise when there is a disagreement between parties regarding the details of the specific term. For instance, if the doctor is expecting to work Monday through Thursday and the employer thinks it’s Monday through Friday. Still, the particular workdays are absent from the contract—who prevails?
Spelling out the details of a nurse practitioner’s job is crucial to avoid healthcare contract conflicts during the employment contract term. Below is a checklist of important terms that contracts should contain (and a brief explanation of each term generally discussed in negotiations):
- Practice Services Offered: What are the clinical patient care duties? Is there time for an employment contract review of administrative tasks? How many patients is the certified registered nurse practitioner expected to see?
- Patient Care Schedule: What days and hours are employees expected to provide patient care per week? What is the surgery schedule? Are employees involved in the planning of their schedules?
- Locations: Which facilities will the employer schedule the employees to provide care at (outpatient clinic, surgical sites, in-patient services, etc.)?
- Outside Activities: Are employees permitted to pursue moonlighting or locum tenens opportunities? Does a nurse practitioner need permission from the employer before accepting medicine-related positions?
- Disability Insurance: Is disability insurance provided (short-term and long-term)?
- Professional License: Will the practice offer reimbursement for licensing? Will an advisor be provided?
- Practice Call Schedule: How often is the employed nurse practitioner on call (after-hours office call, ASC, hospital call (if applicable))?
- Electronic Medical Records (EMR): Will the employer provide training resources or time to review the system before delivering care?
- Base Compensation: What is the annual base salary? What is the pay period frequency? Does the base compensation increase over the term of the agreement? Is there a yearly review or quarterly review of compensation? Is there a group management relationship?
- Productivity Compensation: If there is productivity compensation, how is it calculated (wRVU, net collections, patient encounters, etc.)? Is there an annual review?
- Practice Benefits Summary: Are standard benefits offered: health, vision, life, retirement, etc.? Who is the advisor of human resource benefits?
- Paid Time Off: How much time off does the job offer? What is the split between vacation, sick days, CE attendance, and holidays? Is there an HR guide?
- Continuing Education: What is the annual allowance for CE expenses, and how much time off do they offer?
- Dues and Fees: Which business financial expenses are covered (board licensing, DEA registration, privileging, AANP membership, Board review)?
- Relocation Assistance: Is relocation assistance offered? What are the repayment obligations if the contract is terminated before the expiration of the initial term?
- Signing Bonus: Is an employee signing bonus offered? When is it paid? Does the employee have to pay it back if they leave before they complete the initial term? Are student loans paid back? Is there a forgiveness period for student loans?
- Professional Liability Insurance: What type of liability insurance (malpractice) the employer offers: claims made, occurrence, self-insurance? License and litigation defense? Can you negotiate tail?
- Tail Insurance: If tail insurance is necessary, who pays for it when the agreement terminates?
- Term: What is the length of the initial term? Does the agreement automatically renew after the initial term?
- For Cause Termination: What are the grounds for immediate termination for cause? Is a review provided to dispute the termination?
- Without Cause Termination: How much notice is required for either party to terminate the agreement without cause?
- Practice Post-Termination Payment Obligations: Will the nurse practitioner receive production bonuses after the agreement terminates?
- Non-Compete: How long does the non-compete last, and what is the prohibited geographic scope?
- Financial Retirement: Is a financial retirement plan offered?
- Non-Solicitation: How long does it last, and does it cover employees, clients, patients, and business associates?
- Notice: How is the notice given? Via hand delivery, email, US mail, etc.? Does it have to be provided to the employer’s attorney?
- Practice Assignment: Can the employer assign the agreement? Will the healthcare agreement require ongoing compliance with a new employer?
- Alternative Dispute Resolution: If there is a conflict regarding the contract, will mediation or arbitration be utilized? What is the standard attorney review process for disputes? Who decides which attorney oversees the process?
Attorney Services for a Missouri Nurse Practitioner Contract
Coming into a new organization with a favorable contract can put the NP in a positive financial situation for years to come. We also offer occasional nursing product reviews. Before you sign the most important contract of your life, turn to an experienced Missouri Nurse Practitioner Contract Attorney for assistance.