Leveraging Travel Therapy for Long Term International Travel

Whitney and I have recently started to take full advantage of our travel physical therapy careers to be able to explore the world. Last year we traveled around the world for five months, and this year we’re currently on week two of a 15 week trip all over Europe. We aren’t sure about our plans for the rest of the year once this trip is over, but it’s entirely possible that we will spend another couple of months out of the country (or road tripping around the US), and we will certainly be planning another long international trip next year! It’s a big world out there, and there’s a lot we want to see in the next few years before potentially settling down somewhere.

We feel very fortunate to be able to take these long trips each year, and they are made 100% possible by our choice to start working as Travel PTs immediately after graduation in 2015. How, you ask? The flexibility offered by travel therapy is certainly a big part of the equation. Being able to take unlimited time off of work between contracts, along with making nearly a full time permanent PT salary working just 6 months per year is a winning combination for taking months off to travel the world!

Why Long International Trips?

People with all manner of jobs choose to travel internationally, so that’s nothing unique to travel healthcare. The problem with most permanent jobs, however, is that most won’t allow more than a maximum of two weeks of vacation time to be used at once. This is especially true in the permanent therapy world, where finding short term coverage for 3-4 weeks of continuous PTO would be difficult not only for the clinic but also for the patients on caseload. You can certainly see the world in shorter 1-2 week trips each year going to new places, but there are many disadvantages to doing it that way. During our travels, we’ve met many people in both Europe and Asia traveling from the United States that are taking short trips overseas, and without exception they’re either only seeing a couple of cities or are extremely rushed trying to pack in more cities in a short time. Rushing from place to place while on an international vacation is a sure way to come back home even more tired than when you left, especially when factoring in jet lag!

More Than Just Tourist Attractions

Another big downside to short trips is less time to really interact and learn about the country from the locals in the area. With only a few days in a city, those days are almost always filled with primarily the tourist attractions, which means plenty of interaction with other tourists and store owners, but very little real interaction with locals! We’ve really enjoyed having extra days (to weeks!) on top of the few required to see the tourist sights to just walk and wander around the area, and this has led to some of our best experiences while overseas. The tourist attractions are great, but there is a lot to be missed with a rushed trip from one attraction to the next with no spontaneity involved!

Lower Cost of International Trips

The last and biggest disadvantage of short international trips in my book is the higher cost on a per day basis. The biggest costs on almost any international trip are the plane tickets to and from the country. Flights are almost never cheap, and leaving the country is generally more pricey, especially to places like Asia and Australia. Even with using credit card points, the value of the points used has to be taken into account since there’s an opportunity cost associated with using those points going to one location instead of somewhere else on a future trip. In addition to the plane tickets, booking longer stays in a location can significantly reduce accommodation costs.

These cost factors, combined with hopping from one overpriced tourist attraction to the next without the lower cost days mixed in just wandering around the city and taking in the sights, will almost always make short term international trips much more expensive on a per day basis than long term international trips. Last year on our 5 month trip, I was able to keep my total expenses to less than $37/day! There is no way that would have been possible on a 1-2 week trip to similar locations. 

The Importance of Patience

While it’s certainly possible for therapists to graduate and immediately start taking travel contracts half the year, and travel internationally the other half of the year, I wouldn’t recommend it. Even with the lower costs of longer term international travel, expenses can add up quickly, especially with no income at all coming in for half of the year. For the financial peace of mind, I always encourage other therapists with similar international travel aspirations as us to work 3-4 travel contracts per year for at least a year or two and save heavily to make some headway toward financial independence, before jumping into long stints adventuring around the world like we are currently doing! This is the path we took. We worked continuously for the first three years, working back to back travel PT contracts, then started taking off half the year (or more) after year three.

Conclusion

Travel therapy (really travel healthcare of any sort) offers the unique advantages of higher pay and unlimited time off, which form the perfect recipe for long stints of international travel. There are clear advantages to long term international travel over short term travel, which is generally impossible with full time permanent employment as a therapist. It’s always a good idea to save up a cushion of cash and investments for financial peace of mind before moving into a “semi-retirement” type lifestyle with long trips each year. We are extremely fortunate to be able to leverage our travel therapy careers to be able to spend long periods of time out of the country, experiencing the totality of what the world has to offer!

Have you taken long international trips in the past or do you plan to in the future? Let us know in the comments!

Written by: Jared Casazza, PT, DPT

jared doctor of physical therapy

Why and How to Work with Multiple Travel Therapy Companies and Recruiters

Written by Whitney Eakin, PT, DPT, ATC

Understanding The Process

When therapists are looking at getting into traveling therapy, it can be challenging to learn the ins and outs and understand how it all works. If you’re new to travel therapy, you’ve hopefully already learned that you need to find a great recruiter and company to help you navigate the process of finding contracts and landing your dream jobs. However, did you know that you should be working with multiple companies and recruiters? We, as well as most other travel therapists you’ll talk to, recommend this. But why? And how does that even work? How can you work with more than one company? If you want to learn more, keep reading!

Why Do I Need Multiple Companies/Recruiters?

The answer: options! Not every travel company has access to the same jobs, so if you are working with only one company, you’re limiting your job options. This is especially true if you have a specific location or setting in mind, or if the market is particularly slow for your discipline, such as for PTAs and COTAs (and somewhat for OT’s) currently.

Why do different travel companies have different jobs? Facilities can choose who they advertise job openings to. Some staffing agencies (travel companies) have exclusive or direct contracts with certain facilities, that other agencies don’t have. Whereas, the majority of jobs are listed on a type of database called a Vendor Management System (VMS). All companies will have access to jobs listed on VMS’s. This is where you will see a lot of overlap in the job availability among different companies, but the outliers will be the exclusive or direct contracts each one has.

Besides job availability, another reason to work with multiple companies is that each company may be able to offer you different pay and benefits. Every company operates differently; depending on the size of the company and how they manage their budgets, some may be able to offer higher pay for the same job. Also their benefits can differ, including health insurance options (and start dates), retirement accounts (and when you can contribute), and additional benefits such as reimbursements for CEUs, licensing, and relocation. If you don’t work with multiple companies, you won’t ever know the differences and what benefits could be available to you with different companies. This is important to learn in the beginning when you’re first researching and talking to companies, but it’s also important during each and every new job search. Even if you tend to like the pay and benefits better with Company A, sometimes Company B might have a job that Company A doesn’t have. So it’s important to maintain communication with them both.

In addition to the differences in companies, there are differences in recruiters. It’s important, especially in the beginning, to work with multiple recruiters so you can find out which ones you like the best, as well as learn from them. Different recruiters may divulge more or less information about the process of finding travel jobs, the contracts, the pay, the benefits, etc. This is helpful for you from a business perspective. The more you can learn about the industry, the better off you’re going to be in your own career as a travel therapist. By working with only one recruiter, you’ll only ever know what that person tells you. You have no basis for comparison for whether this information is accurate or whether this is the best recruiter. You can also learn from the way that one recruiter/company does things and presents things to you, and compare that with the way another one works so you can ask better questions and grow professionally. All of these things can help you to find the best jobs, get the highest pay, and have overall the best experience as a travel therapist.

But, How Does it Work?

Okay so now you understand WHY you need to work with multiple recruiters/companies. But how?

So when we say “work with,” this just means maintain communication with them. You’re not technically working for them or an employee of theirs until you take a contract. So, the whole period where you’re searching for jobs, you are a “free agent.” You can be in communication with several different recruiters and have all of them searching for jobs for you.

We recommend initially you talk to 3-5 different recruiters and “interview them” to find out who you like. Here are some questions you may consider asking them to figure out who’s the best. Then narrow it down to about 2-3 that you like and would be happy working with/taking jobs with if the right opportunity arises. Then, you’ll need to fill out the necessary paperwork for each company, so that they are able to submit you for potential job offers. They’ll need some basic demographic information, your resume, usually a couple references, and sometimes even your CPR card and SSN in order to set up a profile for you that they can submit to potential employers. It’s important to understand that giving this information to 2-3 companies does NOT mean you are employed by them! They just need to have this information on file so that they can submit you to POTENTIAL job offers for interviews. So once you decide on your top 2-3 recruiters, don’t be hesitant to give them this information and fill out the necessary paperwork. Otherwise, they can’t submit you for potential interviews, which is the next step to getting you to your dream travel jobs!

Now, once you’ve got your 2-3 recruiters on the prowl for jobs for you, they’ll start letting you know when they see a good job that fits your search criteria. It’s important that you let them know you’re working with a few different companies, so they should not “blind submit” you to jobs. This means they should be asking you first (“There is a job in Tampa, Florida, start date 7/1, Skilled Nursing. Can I submit you to this job?”). When you’re working with multiple companies, it’s important that you don’t let them submit you to the same job, resulting in a “double submission.” (Although this is not the end of the world if it happens, it’s not ideal). If more than one of the recruiters has the same job offer, you need to pick which one you want to go with. Sometimes this comes down to which company can offer better pay or better benefits for the same job.

As far as communicating to the recruiters that you’re working with multiple, we always recommend being up front about this in the beginning. If you’re working with a good recruiter, they will understand this. If a recruiter gives you a hard time about working with others, this is not a recruiter you want to work with.

So, once you’ve been submitted to a couple jobs, maybe by a couple different recruiters, and you’ve had the interviews, then you may get an offer or more than one offer. You will decide then which job you want to take, based on how the job sounds, the pay package, the benefits etc. Once you’ve decided on a job, and you sign a contract, then you are now employed by that travel company that got you the job, just for the duration of that contract. This is when you let your other recruiters know that you’ve secured a position and are no longer searching, and no longer interested in the other potential job options they had for you. You let them know your end date for that contract, and when/where you’ll be looking for your next job.

While you’re on this contract and employed by this company, this recruiter will be your main point of contact. The company will manage your pay and benefits for the duration of that contract. But, you can still keep in touch with your other recruiters to let them know what you’re thinking for your next contract (“When I finish this job on October 1st, I’d like to take my next job in California.”) So as your contract nears its end date, you’re back on the market for a new job, and have no obligation to take the next job with the same travel company. You can switch between companies whenever you want.

How Do Benefits Work When Switching Between Companies?

Okay so this is always the next question. If you switch companies, what happens with your benefits? This can be the downside of switching between companies. This situation will vary company to company. It’s important to ask each recruiter how their insurance coverage works. Many will start on the first day of your contract. So if you finish up a contract with Company A and your insurance terminates on the last day of your contract, let’s say Friday- but then you start a new job with Company B on Monday, hopefully you’ll only go 2 days without insurance between jobs. However, if Company B’s insurance doesn’t start until day 30 or the first of the month, you’ll have a lapse in your insurance. Or, if you decide to take a longer period off between jobs, you’ll also have a longer lapse.

However, if you take your next contract with Company A (take two back to back contracts with the same company) and take a few days to a few weeks off between jobs, usually your insurance will carry over during the gap. This is a big benefit to sticking with the same company. It does vary by company the length of time they’ll cover you between contracts, but usually it’s about 3 weeks or up to 30 days.

There are some exceptions to this. There are a few smaller companies who have more flexibility in their agreements with insurance companies that will allow coverage to start before your job begins, or can extend coverage beyond your contract end date, even if you aren’t working for them during the next contract. But this is more rare, so you’ll need to ask around to find out if your travel company can do this.

To learn more about your options on insurance coverage, including using COBRA to manage lapses in coverage, check out this article on insurance as a traveler.

Besides insurance, another company benefit to consider is your retirement savings account, or 401k plan. This can be another downside of switching between companies, as many require you to work for them for a certain period before you are able to contribute to their 401k. This is the fine print you’ll need to look into if a company sponsored retirement account is important to you. Being eligible to contribute continuously to a 401k with your travel company may be a consideration that sways you to stay with the same company continuously.

There are some companies that allow contributions to 401k immediately, so it’s possible you could contribute to one during one contract, then another during another contract. In this case, you could be maintaining more than one 401k account. Then later, it’s pretty easy to roll them all over to an individual retirement account (IRA) that you manage rather than keeping different accounts with different companies.

Summary

So in summary, there are lots of benefits to working with multiple travel therapy companies/recruiters, but there are downsides as well. Most travel therapists, us included, will recommend you maintain communication with multiple to give yourself the most job options, help ensure the best pay, and learn the most about the industry to help set yourself up for success. However, this process can be challenging at times and does come with certain limitations when switching between companies during different contracts.

If you want to learn more or have questions, please feel free to contact us. If you’d like recommendations on travel therapy companies and recruiters we know and trust, we can help you with that here!

Working in Schools as a Travel Therapist

Written by Whitney Eakin, PT, DPT, ATC

For PT’s, OT’s, SLP’s and assistants interested in taking travel contracts working with pediatrics, sometimes these jobs can be harder to come by than other settings. The most common settings available for travel positions include home health, SNF, acute, and outpatient orthopedics. But for those looking to work in peds, school contracts may be a great option!

You might be wondering how school contracts are set up for a traveler. Do you have to work the full school year? What is the pay like? Do you get paid during school breaks? Since this setting is a bit different than others, we wanted to provide some key information to working in school contracts as a traveler.

The Basics of Working School Contracts

Most school contracts will typically be for the full school year, but some schools are open to just doing half the school year with the possibility of extending, or a little less than that even. Every situation is different, so if you’re unsure if you want to commit to a full year, work with your recruiter and the facility to find out what’s possible.

When school jobs are listed with an “ASAP” start date and it’s the middle of the school year, that contract would be from now or as soon as you could start, until the end of this school year. If you see a job listed with a July or August start, that would be for the upcoming school year.

Schools will typically have a very low facility cancellation rate, making it a pretty stable commitment on your end. This is helpful to know because as a traveler, you need to consider planning your housing for the duration of the contract.

The typical hours you will see for a school contract are between 35-37.5 hours per week. There are some contracts with 40 hour weeks, but it’s not usually the norm. Although most are not 40 hour guarantees, the rates are usually a bit higher in this setting which can help to offset the lower hours. This may bring your weekly take home to be similar or even better than a normal 40 hour work week in another setting.

A cool perk to working in schools is you have all of the school holidays off, so you know your days off in advance, and they are setup around desirable holidays/days people want to take off anyways. The uncool part of this, is you may not get paid during school holidays. So you will have to plan accordingly around this.

If you are off for the entire week for a school holiday (such as Spring Break or Winter Break), you will not be paid at all for that week. However, if you are off for only part of the week for the holiday, you may still receive your full week’s per diems, or part of the week’s per diems, in addition to the hourly pay for the days you did work. It’s important you clarify this with your travel company to understand how your pay will work around school holidays.

What Disciplines Are Most Needed?

The majority of school positions tend to be open for SLP, but there are options for PT’s, OT’s, PTA’s, and COTA’s as well. The market can vary across different states and school districts with different needs.

School positions often accept and support CF SLPs as well. However, this may or may not be a desirable setting for a lot of SLPs coming out of school that may be more interested in medical job settings.

What Questions Should I Ask During an Interview?

Not all travel therapy school positions are created equally. There are some important questions you should consider asking during your interview to decide if a contract is right for you, which might include:

  • How many children will be on caseload?
  • Who are the other staff members? (PT, OT, SLP, aids, etc.)
  • Have you had a travel therapist there before?
  • What is the facility like? (equipment, etc.)
  • What will my hours be?
  • Will I be covering more than one school?
  • What age groups will I be covering?

What Are Some Pros & Cons to Working School Contracts?

There are some benefits to working in schools pertaining to taking a longer (full school year) contract, which include more job stability; moving less often between contracts (as opposed to the typical 13 week travel contract); exploring an area for a longer period of time; and potentially saving on housing costs with a longer lease.

Another benefit is that you have planned time off to be able to take trips, and this time off is usually around holidays when you may want to spend time with family and friends.

Another potential benefit would be building your skill set in a different setting. This could be especially important with pending changes in Medicare, which could affect the market for settings such as Skilled Nursing Facilities.

However, for some people, there could be cons to taking a school contract. Some may consider committing to a full school year as limiting their ability to travel and see the country. They may also have fear of getting locked into a long contract without knowing if it’ll be the right fit for them. Fortunately for this concern, we as travelers have the option of a 14 or 30 day cancellation notice if placed in a bad situation.

Another con can be the paperwork and IEP meetings involved in working in schools. As with every setting, you have to take into consideration the documentation and meetings involved, which is the not-so-fun part of our jobs as healthcare providers.

And the last consideration would be not getting paid during school holidays. This may require some additional budgeting on the traveler’s part, or working with the recruiter to rearrange the pay package as needed. But for many travelers who tend to take a week or so off between their normal 13 week travel contracts to travel for leisure, relax and recharge, or go home to visit family and friends, these school breaks can provide the same thing, just structured a bit differently.

Is a School Contract Right for You as a Traveler?

Some clinicians absolutely love working with pediatrics and in the school setting. For others, this may be a totally new experience. As with any travel therapy job, you will have to take into consideration many factors when choosing if a particular school contract is right for you.

If you have questions or would like help getting started with your travel therapy journey, please contact us!

6 Ways to Ensure Success as a New Grad Travel Therapist

Written by Whitney Eakin, PT, DPT, ATC

1. Do your research and maintain realistic expectations.

Travel therapy is amazing… most of the time. As with anything, it can have its pros and cons. While most parts of being a travel therapist are an incredible adventure, there are still parts that aren’t always fun. It’s important that you do your research to understand all the nuances that go into being a travel therapist before jumping in. This goes for anyone looking into travel therapy, but especially new grads. If you plan to take a travel job as your first position after graduation, you need to know what to expect.

We recommend going into travel therapy with an open and adventurous mind. Not every assignment will be perfect; not every city will be your favorite; you won’t always have the easiest time with housing; there’s always a chance your contract could get cancelled; and sometimes you may question your decision to take on the life of a travel therapist. But if you go into this journey of travel therapy knowing this up front and are willing to roll with the punches for the sake of traveling the country, earning more money, and having unforgettable adventures, you will be successful and join the thousands of other healthcare travelers out there living and loving this lifestyle!

2. Connect with great travel therapy companies and recruiters.

If you talk to any travel therapist, they’ll tell you that your recruiter and company can make or break your experience with traveling! This is of utmost importance for new grads, because you will want support and mentorship as you begin to look for your first few travel jobs. You need a recruiter who gets you, your wants, and your needs as a new grad therapist. You want a recruiter who will be in your corner, going to bat for you with your best interest in mind, not just the best interest of the travel company or the client (facility). Many travel therapy companies offer some form of new graduate mentorship program, whether in the form of a mentor by phone or by placing you at “new grad friendly” facilities. These are things you will want to consider when choosing a company.

For more information on how to best choose a travel therapy company and recruiter, check out this article, or send us a message and we can give you personalized company and recruiter recommendations for you based on your situation!

3. Find a great first travel therapy job.

Your first few travel therapy jobs (or in the case of a new grad, first jobs period) will be crucial in your success as both a clinician and as a travel therapist. Sadly, we have heard horror stories of people having one terrible experience with travel therapy that turned them away from traveling again, and pushed them to take a permanent position, even though they had planned to continue traveling. This is unfortunate, and usually the result of them not knowing exactly what they were getting into on their first assignment and/or having a bad recruiter.

For your first job (or first few jobs), we recommend you work closely with your recruiter(s) to find a facility that is going to provide a supportive environment for you as a new grad. This may include having another therapist of your same discipline on staff (another PT, OT, SLP, PTA, or COTA); having more of a ramp up period in your caseload with training provided; and making sure the productivity expectations are reasonable. These are all important things to find out during your phone interview. For specific questions to ask during an interview, check out this article.

As mentioned before, a great recruiter should be able to assist you in this process of identifying supportive facilities. They may even have prior experience with facilities where they have placed new grads before that have been successful. Most importantly, a good recruiter will support your decision to decline an offer if it doesn’t sound like a good fit for you, and they will not push you into taking a job that’s not right for you just to secure a placement for themselves.

4. Don’t be afraid to ask for help, and never stop learning.

As a new grad travel therapist, it is important that you are ready to be an independent clinician and not have your “hand held,” but at the same time you shouldn’t be afraid to ask for help and mentorship when you need it. This could be from your co-workers at your facility; through the clinical liaison provided by the travel company by phone; and even by reaching out to former professors, clinical instructors, and classmates for consultation when you encounter tough clinical situations.

Also don’t forget to utilize a variety of resources (textbooks, CEU courses, websites, blogs, podcasts, Facebook networking groups, etc.) to continue learning once you start practicing on your own. Being a student working under a clinical instructor is very different than being out on your own! There is a huge learning curve when you first get started. You don’t have to know it all when you first start practicing, regardless if you choose to take a travel or a perm job right out of school!

5. Stand up for yourself and your professional license.

New grad or not, you worked very hard to get to the point of being a licensed clinician! Regardless of whether you’re in a travel job or perm job, you need to maintain integrity, be ethical, and follow the law. If you are being asked to practice in an unethical or illegal manner, you must stand up for yourself and practice the way that you feel is best. You are ultimately responsible for your actions and your license. Do not be dragged down by poor management or not-so-great co-workers.

There are many examples of how you could be placed in a bad situation where your ethics and legality are tested. For example, starting at a new clinic where they want you to sign off on documentation for patients that you haven’t seen before, or for visits that occurred before your start date. This can be a common event when you’re filling in as a traveler. It’s important you do not sign off on anything for which you were not present, including co-signing assistant notes. Another example would be feeling pressured to work off the clock to get your documentation done, or add additional time to your evaluation codes to account for documentation time, which is sadly a very common practice in many Skilled Nursing Facilities. These things are illegal, and regardless of what the other staff “has always done,” if it doesn’t feel right to you, it’s probably not! We would encourage you to reach out to an unbiased third party to discuss any potential ethical or legal questions you may have. Again that could mean reaching out to the clinical liaison by phone or to a former professor or clinical instructor.

If you’re facing ethical dilemmas or problems in your facility, don’t be afraid to talk to you director of rehabilitation or your recruiter if appropriate. You can’t always predict how a clinic will be before you start working there, but you can always get out of a bad situation if you are being asked to practice in an illegal or unethical way.

6. Work smarter, not harder.

There are some great ways you can optimize and be an efficient therapist, without always going over and beyond. This can be especially important when you’re starting out as a new grad travel therapist. Often when you start as a new grad, you want to do everything perfectly, including doing all the fancy treatment techniques and being extremely thorough in your documentation. But sometimes for the sake of time management and being successful at a new clinic, you need to go back to the basics.

Don’t overachieve on documentation so you can maintain good time management. Just make sure you document the appropriate amount, but don’t go over and beyond or be too wordy. Time management is going to be a huge key to success as a new grad travel therapist, and you definitely don’t want to be working off the clock to get notes done.

Focus on functional and effective treatments, while emphasizing building a strong patient rapport. Don’t worry too much at first about using every new fad treatment out there. Often times it’s your relationships and demeanor that matter the most to be successful and well-received, by both your patients and your co-workers, not how good you are at the latest manual therapy techniques and the coolest exercises.

Take advantage of co-treatments when applicable in an inpatient setting, to learn from your colleagues from other disciplines and get ideas. This can be extremely helpful as a new grad, especially in a travel therapy position where you’re not only learning how to be an independent practitioner, but you’re also having to learn a new location, staff, caseload, etc!

Last, do no harm! Focus on being the best therapist you can be, while ensuring you put patients’ health and safety first and foremost. It’s better to do a basic treatment, or do nothing at all, than to do something you’re uncertain about and cause harm to a patient.

Conclusion

Traveling as a new grad can be a wonderful experience and a great way to get ahead start on your finances, but it’s vital to go in well-informed and with realistic expectations about what the process will entail. Finding a great company and recruiter is paramount to your success and sanity as a travel therapist. Be picky about your first job to make sure that it’s a good fit for you and will provide you with the best opportunity to succeed. Don’t be afraid to reach out to other therapists both in person and online for help or ideas with regards to patient care, and spend some time continuing your education to be the best possible clinician. Always stand up for your ethics and protect your license. And finally, don’t burn yourself out by working long hours being a perfectionist with documentation and treatment. Of course, include the key components in your notes and provide sound treatment methods, but it’s important to be efficient with your time to have a good experience as a travel therapist.

If you have questions about anything regarding getting started with your travel therapy journey, feel free to contact us. If you need help finding a great recruiter and company to help make your travel therapy career a success, we can help you with that as well.

What to Look for in a Home Health Travel Therapy Contract

Written by Travis Kemper, PT, DPT

Home health can be a great option for travel therapists due to the abundant need for therapists to serve patients in this setting. If you are willing to take home health contracts, options for locations will open up dramatically at any given time, and usually you can command even higher pay than normal. To see if home health may work for you, check out my pros and cons article here.

Since home health is a bit different than other settings, you may be wondering what things you should look for in a home health contract and what questions you should ask in an interview for this setting. Here is a more in depth look at some important aspects of a home health contract that you should consider:

  • Training:
    • Find out how much training will be provided by the company. This is especially important if you don’t have prior experience in this setting.
    • Tips during training: Take the computer from your trainer and document as much as possible. You know how to be a therapist, but as I mentioned in the pros and cons article, there is a lot of documentation in home health, so you really want to start getting familiar with the system as soon as possible.
    • Of course, you should also pay attention to the differences in care that you’ll be providing in home health because there are some important safety issues to take note of during evaluations, but otherwise the therapy you’ll be providing is similar to other settings.
    • In our experience, my wife Julia and I have received about two weeks of training at the home health contracts we have taken.
  • Points system:
    • You want to find out how their productivity works, and if it’s on a points system vs. hourly vs. purely based on number of visits regardless of type. This is an important measure of productivity that is different from every other setting. Your company may assign a certain number of points to each type of visit based on the length of time they predict this visit taking (I am sure that it is also based on the reimbursement from insurance).
    • For example, the last home health contract we did had the following points system:
      • 2.5 points for start of care/OASIS
      • 1.5 points for evaluation
      • 1.25 for discharge
      • 1 point per regular visit
    • In a 40 hour week we were expected to complete 30 points at that company.  The numbers generally are similar to these from what I have heard from others. This is also how many full time and PRN employees are paid in home health instead of hourly/salary.
  • Travel Radius:
    • You want to find out how far you will be expected to drive and what areas you will be covering for your home health visits.
    • This is going to be the number one factor outside of your personal efficiencies with documentation and planning that is going to affect your productivity capabilities.
    • At our first contract, our travel radius was very similar and only about 15 miles from the office for either one of us. At our second contract, my radius stayed about the same, but the majority of my patients were located in a 10 mile radius of the city in my territory; while Julia’s was a larger territory, probably 20 miles, and her patients were more spread out as there was no main city in her territory.
    • This is something that is hard to figure out before you take a contract. We didn’t even know exactly where our territories were going to be when we took our second contract due to the huge territory the company covered. There were many days where I would only drive 15-25 miles in total, and Julia would drive 50-60 miles.
    • Obviously the more you drive, the tougher it is to hit your productivity standards. Your best bet is to ask how many miles you can expect to drive in a day/week in the interview. You can also ask around to find out about the area and the traffic before committing.
  • Mileage Reimbursement:
    • Find out if they reimburse for mileage and how much.
    • We do not recommend you take a home health position unless they are going to reimburse you for mileage.
    • You want to be making at least 50 cents per mile no matter what, and personally if I ever do home health again I will demand the government rate of 58 cents per mile. The mileage is not only for your gas consumption, but also for the wear and tear on your vehicle. If you are planning to do home health for an extended period of time, getting a fuel efficient vehicle is highly recommended as well.

These are a few of the key factors you want to consider when looking into taking a home health contract as a travel therapist. Home health can be a rewarding setting to work in, especially because it can be flexible for your lifestyle. But you want to make sure to ask the right questions so that you won’t be stretched too thin when it comes to number of visits, driving radius, gas, and wear and tear on your car. If you have more questions about working in home health, or have a specific job offer you’d like to discuss with us, please reach out to us for mentorship!

Therapy Compact Licensure

Written by Travis Kemper, PT, DPT

 

*EDITOR’S NOTE: Please be aware that this information was up to date as of March 2019. Since then, more states have been added to the PT Compact! For the most up to date list, please visit: PTCompact.org

Therapy Licensure Compacts

To the physical therapy crew, licensing is already getting easier and will continue to get easier in the future thanks to the “PT Compact,” a licensure compact that is adding more states every few months.

For the SLPs reading this, ASHA is working on a compact for you as well. I am sure that OT will be soon to follow, but I couldn’t find anything definitely in the works other than a request for volunteers to get involved. The future is bright in the world of therapy licensing!

What is a Licensure Compact?

Basically, a licensure compact is an agreement between the states that once someone meets certain requirements, that person will be eligible in every state that has signed the agreement.

An example of a type of “licensure compact” you will probably be most familiar with is your driver’s license. All 50 states have agreed that my Arizona license will be legal in all 50 states for driving. Just think how insane traveling would be if you had to get a new driver’s license every time you changed states!

Similarly, for healthcare workers, a licensure compact allows those who meet certain requirements to practice in every state that’s in the agreement, without having to get a new license in that state. Nursing already has this type of agreement, and the different therapy disciplines are just now getting on board.

What Are the Benefits of a Compact License and How Does it Work?

The current method for working in each state as a PT, OT, SLP is to get licensed in each state individually. You can learn more about the typical licensure process here.

However, a Compact License will make life much easier. Once you have a Compact License, you should be able to more easily practice in each state that’s participating, without going through the hassle of getting licensed in each individual state.

The way it works is that once you have the Compact License, and are already licensed in your home state, for each additional state you would then just pay a fee depending on the state, take the jurisprudence exam (if required), and then start practicing in another compact state. It should eliminate a lot of wasted time and money getting license verifications, waiting on the mail, and then waiting on the state to process everything.

Hopefully soon I will be able to tell you how simple and effective it is from personal experience, but at this time I am waiting on Arizona to start issuing Compact License “privileges.”. (And Whitney and Jared are waiting on Virginia too!)

Who is Eligible for the PT Compact License?

To be eligible, your home state must be a participating member of the compact. You must have a valid PT or PTA license in your home state, with no active “encumbrances or disciplinary action in the last 2 years.” And last, your state has to be actively issuing Compact License “privileges.” The other state you want to work in obviously must also be a member state and must be issuing compact privileges.

So for me, my home is in Arizona, I have a license in Arizona with no complaints or disciplinary actions, and Arizona is a member state of the compact. Unfortunately for me, I cannot yet become a compact member because AZ is not “issuing compact privileges” yet. Once they begin issuing privileges, I should be able to get a Compact License and easily travel to any of the other states that are actively issuing licenses.

Which States Are Participating?

As of now (February 2019), there are currently 9 states that have enacted the Compact License and are actively issuing privileges. They include:

  • Oregon
  • Utah
  • North Dakota
  • Texas
  • Iowa
  • Missouri
  • Mississippi
  • Tennessee
  • New Hampshire

The below states have enacted legislation in order to start participating, but are not yet issuing Compact License privileges:

  • Washington
  • Montana
  • Arizona
  • Colorado
  • Nebraska
  • Oklahoma
  • Louisiana
  • Kentucky
  • West Virginia
  • North Carolina
  • South Carolina
  • New Jersey

The following states have introduced legislation, but the legislation has not yet been enacted and Compact Privileges are not being issued yet.

  • Nevada
  • Arkansas
  • Georgia
  • Virginia
  • Maryland
  • Michigan

Summary

The PT Compact License will change the game for therapists seeking to work in other states, primarily traveling physical therapists. If you plan to travel for a long period of time and don’t currently live in a compact state, you may want to explore moving your tax home to a compact state. You can find more information about tax homes here.

We are very excited about the PT Compact as it should make our lives as travelers much more simple! New states have been popping up frequently throughout the last 2 years, and I check this page weekly to keep up with it and cross my fingers each week hoping AZ turns dark blue!

Hopefully SLP and OT will get on board soon with a Compact License as well!

Are you a Compact Licensed therapist already? If so, let us know your experiences! Do you have more questions about the Compact License? Feel free to reach out to us or check out PTCompact.org to learn more!

Intangible Benefits to Consider When Choosing a Travel Company

Written by: Jared Casazza, PT, DPT

The biggest concerns for most therapists when considering starting out as travelers include pay and benefits. Whitney and I were no exception here. I wanted to make as much as I possibly could while also getting decent health, dental, and vision insurance.

However, over the past several years as travel therapists, we’ve learned that there are other important factors to consider when deciding between travel companies which we call the “intangible benefits” of the companies. The reason these things are intangible is because they don’t show up directly on your weekly paycheck or in your health insurance package, but they can make a big difference in some cases.

Day One Insurance

Depending on your situation, not having to wait 14-30 days before your health insurance benefits take effect can be really important. For Whitney and I, this isn’t necessarily a deal breaker when working with a particular company since we rarely use our health insurance anyway, but it is important to consider. We prefer to work with companies that offer health insurance benefits starting on the very first day of the contract and encourage you to ask this question when interviewing potential recruiters as well.

401k Contributions and 401k Matching

I’m a big proponent of contributing to tax deferred retirement accounts. Not only does contributing to these accounts lower your income taxes, but also your income based student loan payment as well, so working with a company that doesn’t offer a 401k is not something that I’d do very often except in some sort of extenuating circumstance. A 401k match is also a perk that isn’t always offered and may have limited usefulness to travelers in some cases, but should be considered when deciding which travel company to work with.

CEU Reimbursements

Not all companies will offer CEU reimbursement, instead putting that extra money directly into your weekly pay. Depending on your weekly pay and your other reimbursements for a contract, this may or may not be a big deal to you. For us, if we are offered jobs by two different companies with similar pay but one offers a certain amount of CEU reimbursement per contract, that can sway us toward that company. Others may offer access to MedBridge or other online CEUs while on contract with them, at no additional cost to you, which can be a nice perk.

Free Gifts and Trips

Some travel companies will reward their therapists with free gifts such as: shirts, cups, mugs, bags, food, or even all-inclusive trips! These things are always exciting and can be a huge benefit in some cases. Usually we’d prefer to just make more money each week instead of that money going toward gifts and trips, but if two companies offer similar pay, but one offers a free trip each year in addition to the pay, then that company would be hard to pass up! Depending on the traveler’s personality, even small surprise gifts can turn a bad week into a good one, which can make a big impact over the long run.

40 Hour Guarantee

40 hour guarantees (sometimes also called guaranteed work weeks “GWW”) have been huge for me and Whitney! In fact, in almost 4 years of traveling, we’ve never accepted a contract that didn’t have a 40 hour guarantee included. If we take contracts, we want to be sure that we will always be getting full pay even if the facility suddenly starts having fewer patients for some reason and tries to decrease our hours. The security of knowing we’ll be getting paid our full amount no matter what is vital for us.

Most companies offer 40 hour guarantees on some or most contracts, but this varies from company to company. Also, as we’ve found out over the years, all 40 hour guarantees are not created equal. Some companies will only pay you for the full 40 hours if the census is low at the facility, but not if there’s a holiday or inclement weather that causes the facility to be closed. In most situations, we go with companies that pay the full 40 hours no matter what, with all other things being equal. Getting paid even on days when the facility is closed has meant I’ve made thousands of extra dollars over the course of my traveling career. This is one of the biggest intangible benefits for me.

Number of Available Jobs

I’ve talked in the past about smaller companies being able to pay higher weekly amounts with a given bill rate due to lower overhead, but this doesn’t always mean that smaller companies are the optimal choice. Bigger companies often have more available jobs, including exclusive contracts, which means more options for the traveler and potentially less down time between contracts. An extra $100/week can easily be offset by a few weeks of unintended time off due to not finding a contract that fits the traveler well, which could sometimes happen with smaller companies with less job options.

Job availability is even more important when traveling as a pair like Whitney and I, or Travis and his wife, Julia. Having one person in the pair accept a job while hoping to find something for the other person before the job starts can lead to a lot of unpaid time off. Whitney and I have had very good luck with finding two jobs that started exactly when we needed them to over the years (except a couple cases), and we attribute most of that to working with several different companies (most of them bigger) that have the most job options.

Conclusion

Having a high weekly pay rate is certainly important as a travel therapist and the most important thing to me, but it’s important not to forget about the intangible benefits that can directly or indirectly lead to more or less money in your pocket over the course of your traveling career. Make sure that you’re informed and consider all of the variables when deciding which travel companies to work with and which travel assignments to take to ensure that your travel career is a success!

If you would like some suggestions for companies/recruiters that we’ve found to have the best offerings in terms of pay and intangible benefits over the years, then reach out to us here! If you have any questions about travel therapy or these intangible benefits then feel free to contact us!