Travel PT duo helping PTs, OTs and SLPs to become successful travel therapists!
Author: Travel Therapy Mentor
Travel Therapy Mentor is brought to you by two traveling physical therapists, Jared Casazza and Whitney Eakin who have been working as travel healthcare professionals since 2015. We are here to help mentor others who are considering starting a travel career, as well as provide information to current travelers to grow and expand their knowledge.
Have you ever wondered about travel therapy recruiter pay? Recently we’ve gotten more questions about how recruiter pay works and what is an average pay range. Usually these questions come in two different contexts.
The first context is a travel therapist who is concerned that recruiters are incentivized to keep as much money as possible in negotiations for a new travel therapy contract. They believe that their recruiter is purposely trying to pay them less for each job in order to keep a higher margin on a given bill rate. There is a common conception in the travel therapy world that recruiters and companies are always out to get the traveler and low ball them. While this is true sometimes, it is certainly not the case for most of the best recruiters out there as you’ll see below, and we avoid these recruiters and companies at all costs.
The second context is a travel therapist who is sick of working clinically and is considering trying to get a job as a recruiter. They assume that recruiters make as much or more than they do and have an easier job. As you’ll see below, this is rarely the case, but some therapists certainly can earn more when making the transition to this non-clinical role.
Recruitment is a competitive industry. We’ve seen many dozen recruiters come and go over the last few years. Travel therapy staffing companies are always on the lookout for talented new recruiters and now that many jobs are remote, they’re getting more applicants than ever. Some of the best and most tenured recruiters have very secure jobs; whereas, for new recruiters, it’s a tough sink or swim environment that doesn’t fit most people.
At its core, travel therapy recruitment is a combination of a sales and customer service/relationship business. Being able to sell a therapist on a particular job is important, but establishing long term relationships and trust is even more important for overall recruiter success. The relationship aspect of the job is where we’ve seen most of the unsuccessful recruiters eventually fail. Some travel therapists want a more transactional experience when working with a recruiter, but that isn’t the majority. Most travel therapists value having a strong and consistent relationship with recruiters whom they can trust.
How Much Do Travel Therapy Recruiters Make?
As you can imagine, this varies by a very large amount depending on the skill of the recruiter as well as on how their company structures pay. On the low end, recruiters are earning in the $40,000-$50,000/year range. On the very high end, recruiters can earn multiple 6-figures per year, and in very rare cases even reach close to half a million per year. Those top end numbers are generally only in really good years for the job market though, which ebbs and flows over time.
Sites like Indeed, Glassdoor, and Payscale list the average pay for healthcare recruiters in the $50,000-$70,000/year range. In our experience, this is a little low with the average travel therapy recruiter pay that we’ve seen actually pretty comparable to pay that a therapist would make at a permanent job, in the $70,000-$80,000/year range.
While this is really good pay for a job that doesn’t require a graduate school degree, the job demands are much different than that of a therapist, so making the decision to go from clinical work to a recruiter role should be made with care. It certainly isn’t normal for a recruiter to earn as much as the average travel therapist, especially in their first few years in the industry when they’re learning the ropes and building relationships.
How is Travel Therapy Recruiter Pay Structured?
Every company is different, and there is a lot of variability here. In general though, most companies pay their recruiters a base pay amount, and then pay them a tiered commission based on a combination of number of Travelers on Assignment (TOA) and the average margin they keep for the company on assignments. For example, a recruiter may earn a base pay of $40,000/year and then earn commissions something like this. 1-5 TOA: 10% of margin, 6-20 TOA: 15% of margin, 21+ TOA: 20% of margin.
Depending on the company, base pay may either be higher or lower, but the commission structure is inversely related to the base pay. That is, a company with a lower base pay usually has higher commission earning potential, and a company with a high base pay usually has a lower commission earning potential.
There are pros and cons of each depending on the individual recruiter. For a top producer, a low base pay and high commission potential is preferred, whereas for a less productive recruiter, they come out ahead with a higher base pay. For a new recruiter, the safety of a higher base pay is often preferable since their commission success is unknown at that time.
There are also companies that pay a base rate and then give the recruiter a flat fee for each new contract they book. In that case, the pay the recruiter receives has nothing to do with TOA or with average margin, although there are certainly standards that must be met to remain employed.
Being a Successful Recruiter
There are some traits that we’ve seen consistently from the top recruiters in the industry. They focus on building relationships over one off transactions (more on this below); they’re great with communication and respond to concerns ASAP; they’re empathetic and can relate to issues that travel therapists face on contracts; and they’re very hard workers. Responding quickly is important to let the traveler know that you’re working on an issue even if you don’t have an answer right away. A little empathy can go a long way toward making the therapist understand that you care how they’re doing. And the top recruiters in the industry work very hard and long hours. All of our top 5 recruiters last year were working 50-60 hours per week or more to stay on top of everything.
Relationships Over Transactions
Like I mentioned above, being a travel therapy recruiter isn’t for everyone, which means that there is a lot of turnover in the industry. Many recruiters are pulled in by the allure of potentially earning a very high income but then find the job is more demanding than they thought. As a travel therapist, this can make finding the right recruiters for you difficult. Many new travelers and recruiters underestimate the impact of building relationships and look at finding contracts through a transactional lens. This is a mistake and why many recruiters don’t make it past the first year in the industry.
For a recruiter, it can be tempting to try to keep higher margins on contracts to make higher commissions while churning and burning therapists, but this doesn’t work long term. Recruiters and companies that use that strategy have trouble retaining travelers over the long term, especially now with so much pay comparison between travelers on social media. Developing a reputation of paying low in an industry so small makes it hard to be successful. Paying as high as possible and keeping travelers happy is a much better way to keep a travel therapist working with you for years instead of just a contract or two. This continued relationship ultimately means more money for the recruiter and the company in the long run, especially in a world of tiered commission structures based on TOA.
Travel Therapist Relationship Benefits
For travelers, your relationship with your recruiter is very important because if your recruiters like you, they can go above and beyond to help you and that can be vital in an industry filled with uncertainty. This can be in the form of cold calling facility in competitive locations to drum up contracts for you; reducing margin below normal levels to retain you for your next contract; submitting you to a job over other travelers; or dropping everything to get issues cleared up right away. These are things that just won’t happen if you’re jumping from recruiter to recruiter and company to company each contract, burning bridges along the way. We’ve had candid conversations with enough recruiters now to understand that they’ll always give priority to their loyal travelers and do everything they can to keep them happy.
A good relationship between a traveler and recruiter is mutually beneficial. The recruiter has the comfort of knowing that the traveler won’t just jump ship for an extra $20/week in a competitive job environment and that retaining travelers for many contracts will ultimately make them more money in the long term. The traveler has the comfort of knowing that the recruiter will always quote them the highest possible pay package and have their back when any issues arise with a facility. This is definitely what we’ve grown to value more and more in our relationships with recruiters the longer we’ve traveled.
Travel therapy recruiters can earn a lot of money, but only a small percentage of recruiters will make more than an average travel therapist. Recruiting is a demanding job and the highest earning recruiters often work very long hours. Some therapists successfully make the transition to recruiter, but just as many try and fail because it’s not an easy job and is a completely different skillset.
The best and highest earning recruiters in the industry focus on paying fairly to keep high numbers of travelers on assignment, rather than gouging travelers by keeping the highest possible margin on contracts. The travel therapy world is small, so word gets around, which means the recruiters and companies taking advantage of travelers usually don’t last long.
If you’re a great recruiter reading this and want to work with us, we’d love to have a conversation. We’re constantly adding and subtracting recruiters based on feedback and performance.
If you’re a traveler that wants help finding recruiters you can build a relationship with and count on, fill out our recruiter recommendation form and we’ll set you up with some that will best fit your needs.
What are your thoughts on this topic? Let us know in the comments!
Written by Jared Casazza, PT, DPT – Jared has been a traveling physical therapist since 2015. He has become an expert in the field of travel healthcare through his experience, research, and networking over nearly a decade.
One of the biggest concerns for travel therapists is whether a travel therapy contract will get cancelled. While travel therapy contract cancellations are somewhat rare, unfortunately they do happen sometimes. When a travel therapist’s contract gets cancelled, it can leave the therapist in a bad situation. Maybe you already moved all the way across the country and have committed to a housing lease; you may have licensing expenses and other upfront costs that you will have the take a loss on; and you may or may not be able to immediately find a new travel therapy contract in that area. It can certainly be disruptive and a huge hassle when a travel therapy contract gets cancelled. But, there are strategies that travel therapists can use to try to avoid getting a contract cancelled, and further strategies to employ if a contract does ultimately end up getting cancelled.
Below, seasoned traveling physical therapist Laura Pilger shares her experiences with us about having contracts cancelled (both for herself and her husband and fellow Travel PT). She also shares advice from their experiences to help other travelers to both avoid contract cancellations when possible, and advice on how to deal with cancellations if they do happen.
Hi there! My name is Laura and my husband is Justin. We are a travel physical therapist team who started as new grads and have been traveling for over six years. There are so many amazing reasons to be a travel therapist, however short term contracts do come with risk. Even when we sign our contracts, typically anticipated for 13 weeks, that is not a guarantee. Enter the dreaded cancellation clause. Typically the cancellation clause will be 30 days or two weeks, and it’s included in a travel contract to allow either the facility or the therapist to back out of the contract after giving the specified time notice. Most travelers would agree that one of the biggest concerns is having the facility cancel the contract and being out of a job. We spend so much time and energy searching for that next great contract, finding housing, traveling across the country, starting from scratch at a new facility, setting down some roots and making some friends, and then…
That phone call from your recruiter: “Your facility gave their notice today.”
While contract cancellations are not common, I just so happen to be one of the ‘lucky’ few who have heard that dreaded phrase FIVE times throughout my traveling career. Each time provided a new learning experience and required different types of problem solving. I hope sharing my experiences can benefit you by providing strategies to try to avoid a cancellation, tips on how to handle it, and provide hope that what seems like the worst of situations can turn out to be one of the best things that could have happened to you.
My first experience with a contract cancellation occurred just two weeks into my very first travel contract. I was working in a skilled nursing facility (SNF) who contracted out rehabilitation services to a company I will call “Company A.” Sometime between Company A hiring me as a contractor and my start date, the SNF changed rehab providers from Company A to a new company, “Company B.” Company A waited until two weeks before their contract expired to give me my notice (this contract had a two week cancellation notice). There was an option for me to potentially stay and sign a new contract with Company B, however that would require completing another interview with the new company and was dependent on whether they would agree to hire a traveler. That would require a “wait and see” approach, which I was not comfortable with. As a new grad traveler who had no experience with how to handle this situation, I panicked.
This is where having a good recruiter is key. My recruiter understood that having moved to the area two weeks ago with my husband working at a separate facility, I was not in a position to look for other contracts far away. Fortunately, we were renting a house from a family member and had a lenient housing cancellation policy, so housing was not an issue. Fortunately, within a day, my recruiter was able to find three new contract options all within an hour of where we were living. While the commutes were long, at least I had options – plural! I interviewed with my two top choices and ended up working at another SNF located 30 minutes away. This job was actually drastically better and more enjoyable than the first job. At the time, it was an extremely stressful and uncertain situation; however, in hindsight I am very thankful that everything worked out the way it did.
My next experience with a contract cancellation occurred during my third contract. I was working in a small outpatient office, which was actually operated by the same “Company A” that I started working for during my first contract. While Company A is typically known for services it provides in SNFs, it also happened to operate an outpatient clinic in California. The job was fantastic: one on one patient treatments with an hour per patient. I had a much better experience with Company A this time around — until I got that dreaded phone call from my recruiter one day while biking to work. The company was able to hire a permanent employee to fill my position. Once again, I only had a two week cancellation notice. Fortunately, at the time of my notice, I only had four weeks left in my contract, so I was going to end just two weeks short. We had a month to month lease, so housing was not an issue. My husband was also working a separate contract that also ended in four weeks, so it was not logistically an option for me to start looking for another contract without him. It seemed like my only option was to spend two weeks not working while my husband finished his contract. Fortunately, we were living in the Bay Area of California, where there are physical therapy needs everywhere. I was able to find a PRN position at a nearby SNF for full time hours to make up for my lack of work for the last two weeks.
My next experience with a cancellation occurred while searching for our fifth contract. This time around, it also included my husband Justin. We had both signed on to work at the same SNF in northern California starting early in January. Life threw us a major curve ball when we got a phone call from our recruiter on Christmas Eve that the facility canceled both of us, prior to our start date, due to hiring a permanent employee. So this put us back to square one on our job search. Fortunately, we had not found housing yet, so that was not an issue. Needless to say, we definitely had an interesting Christmas scrambling to find a new contract.
Following the “Christmas cancellation,” we were feeling pretty stressed and desperate to start work immediately to help pay off our student loans. This made us rush into accepting the first jobs we could find: a pair of jobs at another SNF in California. The pay was good, the start date was perfect, and there was even a completion bonus — so we accepted the contracts. In hindsight, however, this was a mistake. As I mentioned before, we were feeling stressed and desperate following our last cancellation, so we knowingly overlooked some potential red flags. We figured it would most likely be okay, and especially since everything else about the jobs met our criteria, we felt we could make it work for 13 weeks. Turns out we were wrong.
The facility was not an ideal work environment. We were now well into our fifth contracts, having worked almost two years as travelers, and this is the first time we were strongly considering giving our notice. Around this time, our caseloads were getting very low so we were also not meeting our guaranteed hours. It was the morning of Valentine’s Day when we decided we were going to give our notice to our recruiter by the end of the week. Moments later, our recruiter called notifying us that the facility was cancelling both of our contracts due to low caseload. Needless to say, we have never been more thrilled for our contracts to be canceled, especially because that meant we would get to keep our completion bonus since we didn’t put in the notice ourselves.
Our contract once again had a two week cancellation clause, and we were renting a house through AirBnB. Long term AirBnB rentals have a cancellation policy of 30 days, so we immediately modified our rental dates. Our recruiter began searching for new contracts for us. Because we were working in the Bay Area of California where there are numerous job opportunities, he was able to secure us two new positions right on the coast. We were both able to gain experience in new settings with higher paying jobs, in addition to finding new housing right on the ocean. We ended up paying for two extra weeks of housing than we needed. However, the fact that we were able to keep our completion bonus from the previous contract and ended up with two higher paying jobs, we count the “Valentines cancellation” as a win.
The year of 2020 brought a wave of uncertainty to the travel therapy market caused by the COVID-19 pandemic. Justin and I were roughly one month into our contracts working in an inpatient rehab unit in a hospital in Southern California. As hospitals and clinics were canceling elective surgeries and people were avoiding going to emergency rooms and hospitals, our caseloads were drastically diminishing. Furthermore, because hospitals were looking to save costs anywhere they could, contract workers were one of the first to go. It was not long after the pandemic started that our supervisor apologetically informed us they were going to have to cut our contracts.
This was an unprecedented situation for us. We knew that losing these contracts would be more disastrous than previous contracts, primarily because of how poor the job market was looking due to the pandemic. We knew it would not be easy for us to find two new contracts to replace these. Furthermore, it was not certain how infectious or deadly the virus was yet. We were expecting that we would likely go months before finding something new. So this was our time to get creative.
We decided to take our chances with an unusual counter offer. We figured we would likely be without work for potentially a few months, so we decided to lay low in Southern California at our AirBnB which was on a horse ranch. We thought, if we could at least just make enough money to cover the cost of our living expenses, we would not have to touch our savings. The next day, we negotiated to work Saturday every week for the remainder of our 13 week contract. Under normal circumstances, this may not be the best solution for a contract cancellation. However, during those first few months of a developing world pandemic where toilet paper was flying off the shelves, we were able to negotiate with our company for a win-win scenario.
Understanding Contract Cancellations
Why Contracts Get Cancelled
As you may have noticed from my experiences, contracts can get cancelled for various reasons. While it is not that common, it can happen. Possible reasons for a facility cancelling contracts include:
The facility hired a permanent employee
Patient caseload is consistently too low
Change in management/hiring company is no longer providing services at the facility
Issues with traveler performance at work (I have not experienced this one!)
How to Protect Yourself
While there is never a 100% guarantee your contract will not get cancelled, there are certain things you can consider about a potential contract that may help you determine the relative risk of it happening to you.
Consider what company you are working for
Most of my cancellations were by larger therapy companies contracted into facilities, specifically SNFs. Hospital based positions or facilities that provide their own therapy in-house seem to have lower risk of cancellations. It is important to note that just because you are working in a SNF does not automatically mean your risk of cancellation is higher. Likewise, working a hospital based contract does not guarantee immunity from cancellation either.
Ask key questions during the interview
Helpful questions could include:
Why is the facility hiring a traveler? If the facility is hiring to cover for family medical leave or maternity leave for an employee for a specified amount of time, the likelihood of your contract getting cancelled is low. If the company is hiring a traveler to fill a need for a permanent employee vacancy, there is more opportunity for a contract cancellation if they find a permanent employee. But even if a permanent employee is hired while you are on contract, a company may not opt to cancel right away. They may keep you on for a more seamless onboarding process and to provide overlap with the new employee.
Has the facility hired travelers before? If so, for what reasons? Have they ever had to cancel a contract? Specific yes or no answers to any of these questions is not cause for concern. However, the answers to these questions may help give you a level of confidence or trust, in addition to insight into how they value you as a traveler.
Check your contract
Any well built contract includes a cancellation clause, which is typically either two weeks or 30 days in length. A 30 day cancellation notice offers more protection because short term rentals are typically month to month or include a 30 day notice option. Whether a contract includes a two week or 30 day cancellation clause is typically up to company policy, and from my experience is something that may be negotiable but not always. It’s always worth asking though if it’s possible to get the 30 day cancellation clause. But, sometimes great contracts come with only a two week cancellation notice. This is something you need to determine whether you feel comfortable with. Understand if your contract does get canceled, you will have that much less time to problem solve with only a two week notice. That being said, all of my cancellations have occurred with a two week cancellation notice, and I was able to recover with minimal loss of expenses.
Consider housing implications
We have one cardinal rule when finding housing in the travel market: always sign a lease with the expectation that you might have to move out early. You can save yourself from losing money by trying to stick to this rule. Justin and I have used three different strategies for negotiating a lease:
Sign a month to month lease. This is a best case scenario because it offers the most flexibility for ending a lease term.
Sign a short term lease with a 30 day cancellation notice. In this case, you would actually be committing to paying rent for a specified number of months. Justin and I have found that some landlords strongly prefer this type of lease because it gives them more assurance that their unit will be rented for a certain time frame. We have had success asking landlords to add a clause where we would be allowed to break our lease without penalty with a 30 day notice under the circumstance that we were to lose our jobs. Booking through AirBnB could be included in this method because all long term rentals on that platform include a 30 day cancellation policy.
Sign a long term lease that has a low lease termination fee. Sometimes there are not a lot of housing options, especially if you travel with a pet. Some apartments and landlords will only consider lease terms for 6 months or 1 year. Some of these leases might include an option for early termination for a fee equal to one month’s rent. Depending on the cost of rent, this may be a feasible option. While this is our last resort, Justin and I have opted for this with an apartment that cost $475 per month. Considering our other short term options in the area were significantly more expensive, this option actually cost us a lot less even with the early termination fee.
Under no circumstances do we sign a long term lease where we would be committed to payments for the entire lease terms, or where we are dependent on the landlord finding another tenant for the remainder of our term. That is too risky with the potential to lose out on a lot of money.
Consider your location
You can do some research or talk to your recruiter about where they are seeing the highest concentration of travel contracts for your discipline. Usually more populated areas and bigger cities tend to have a greater number of contracts available compared to rural areas. If you are working in a populated area like San Francisco and your contract gets canceled, the likelihood that you will be able to find another contract in the same area is pretty high. This means you will have less time off between jobs and may even get away with keeping your same housing. However, if you are working in a remote town, a contract cancellation will likely result in moving and taking more time off between your next contract. Of course, there are definitely many reasons to opt for a rural versus urban contract. But it is important to understand how the location of your contract will affect your planning and decision making in the event of a contract cancellation. If you choose a contract in a more rural area, try to be extra vigilant on the other factors listed here that can affect you in case of a cancellation.
Work with a trustworthy recruiter
The last thing you want to feel when your contract gets canceled is alone. Working with a reputable, experienced, and trustworthy recruiter is an essential factor to a successful and stress free travel career. First, a good and experienced recruiter is more likely to offer you opportunities with reputable companies/facilities that they have a good history with. This can improve your confidence that you are signing a solid contract. Second, you want a recruiter that will be there for you if disaster strikes. You should have confidence that he or she will be available and provide timely communication to both you and the facility. Furthermore, he or she will understand that you should now be his/her highest priority client for finding a new contract. Not all recruiters are created equal, and that is a lesson every traveler learns through experience; however, networking with other travelers is a great way to gain connections with top recruiters.
As a traveler, it is essential to maintain a solid savings account (emergency fund) that can cover you in the event of emergencies or if your contract gets canceled and you lose your job. Setting aside enough money that you could pay all of your living expenses for at least three months is a good starting point.
What To Do When Your Contract Gets Cancelled
The most important lesson I have learned from contract cancellations is this: do not make quick decisions based on emotions or desperation. It can feel scary and lonely to suddenly be back at square one, searching for a new job while in a new place, especially if you are a new traveler. Rest assured: everything will be okay. Here is a quick checklist for how to turn some bad news into an opportunity for a new adventure:
Determine your priorities. Do you want to stay in your current location or are you open to moving? If you want to stay, are you open to potentially finding PRN work to bridge the gap until your next contract or until the end of your housing lease? Do you have enough in your savings to take an impromptu staycation? Depending on your situation, you may be able to renegotiate hours just to make enough to cover living expenses until you can figure out your next contract. Be creative and do not be afraid to ask– you never know what a company will say yes to.
Talk to your recruiter and develop a plan. Let your recruiter know what your priorities are for your next contract. He or she should start working on this immediately. It’s also a great idea to have a relationship with a few different recruiters so that if you are scrambling to find a new contract, you can ask all of them in order to open up more options.
Contact your landlord. Let your landlord know what has happened and your expected move out date. There are a lot of kind people in this world, and sometimes if someone hears that you have lost your job, they may be open to modifying your move out date or potential associated fees.
How to set yourself up for success:
Have enough money in your savings that you could live within your means for up to three months without work if needed.
Find month to month housing, or housing with a 30 day cancellation notice, so you are not trapped in a lease without a job.
Make sure your contract has a cancellation clause to give you time to game plan if needed, preferably 30 days but at least two weeks.
Work with a recruiter whom you trust and is readily available, and have a relationship with a few backup recruiters as well.
Travel therapy contract cancellations are not common. If you are starting out, do not expect your experience to be like mine. There are many travelers out there who have never had a contract cancelled. However, be aware that there is always a risk when working in the travel healthcare industry. These experiences have taught me that flexibility is key. And even more importantly, I have found that opportunities just as good (or even better) are always just around the corner. Cancellations are just life’s way of saying: “There is something better for you out there.” Remember, life is a journey! Enjoy the ride!
Guest Post Written by Laura Pilger, PT, DPT.
Laura and her husband Justin are a travel physical therapist couple from Wisconsin. They met in cadaver lab as first year physical therapy students at Concordia University Wisconsin. They earned their Doctor of Physical Therapy degrees in 2017 and started traveling right away as new grad physical therapists. They began traveling thinking they would try it out for a year or two, but have now been traveling for six years with no plans to stop. Laura and Justin love the outdoors, hiking, camping, and international travel. You can connect with them on Facebook or Instagram at @exlore_laur_dpt and @justinpilger, or follow along on their adventures and check out their self proclaimed ‘poorly updated’ blog here.