Negotiating Pay on a Travel Therapy Contract

Pay negotiation is one of the most often asked about and least understood aspects of travel therapy. Since one of the biggest fears for new and aspiring travel therapists is being taken advantage of by travel companies and recruiters with regards to pay, it’s understandable why so many people are in search of information on negotiation.

Unfortunately, travel therapy is a niche industry and most of the advice out there about negotiation is written for those applying for permanent positions as the target audience, and that advice may or may not apply to us as travelers. To make matters worse, travel healthcare Facebook groups are often filled with unhelpful or even counterproductive advice when it comes to negotiating pay on a new travel contract. This is largely due to the fact that negotiating pay in a travel contract is complex, varies significantly from contract to contract, and impossible to explain with proper nuance in a short Facebook post. Sometimes though, the information given is purposely deceptive or vague in an attempt to convince you that the person knows some “secret” about negotiation that you can learn too, if only you work with their recruiters or buy their product. Rest assured that no such secrets exist.

Over the last six years as travel therapists ourselves as well as serving as mentors for thousands of other travelers, we’ve learned a lot about negotiating travel contracts and what all goes into determining how and when to push for more money. In this article, I’ll do my best to outline how to negotiate on your next travel therapy contract and maximize your pay package.

Working with Multiple Trusted Recruiters

Working with more than one recruiter (ideally three) is one of the most important things you can do increase your pay and negotiating ability as a travel therapist. It’s not enough to just be working with more than one though, you need to make sure that they each know that you have other recruiters also assisting you in your job search in order to find the highest paying job that fits your individual needs. Having a recruiter who understands that they have competition during a job search often makes them much more likely to stay on the ball when it comes to submitting you for jobs and also more likely to give you the highest pay offer they possibly can right off the bat in order to avoid losing your business to a different recruiter. If you only work with one recruiter, they know that the only pay offers you’re receiving are coming from them and that you have nothing to compare to in terms of pay and that they might be able to get away with underpaying you to varying degrees for a contract.

We’ve mentored dozens of travelers who were being low-balled massively, in some cases for years, due to only working with one recruiter who was taking advantage of them, and having no way to know if the offers they were receiving were reasonable. For example, let’s say that you’re only working with one recruiter, and they offer you $1,700/week take home for a job. You have no way to know if $1,700/week is high, low, or fair for that specific contract since you have nothing to compare it to either in terms of other travel jobs in the area or what a different travel company might offer you for that same job. You tell the recruiter that you’ll take the job for slightly higher at $1,750/week and they agree. You feel like you did a good job negotiating a higher pay rate, but in reality it’s possible the recruiter could have afforded to pay you $1,900/week for that job, and purposely made you a low offer knowing they could let you negotiate a slightly higher rate while still making a big profit on the contract. Of course, $1,700/week could also be a really good offer for that job too depending on the situation, but the point is that when working with only one recruiter you have no way of knowing, and the incentive for the recruiter is to start with a lower offer knowing that you might just accept it and allow them to keep a higher margin on the contract.

Of course not all recruiters are going to take advantage of you. Often if you have built a good relationship with a recruiter, or if you’ve been referred to a trusted recruiter by another experienced traveler, you have a better feeling that the recruiter is genuine and they’ll give you their best offer up front. But particularly when you’re starting out and don’t know the recruiter as well, it’s hard to know if they’re low balling you. By working with multiple recruiters who know they have some competition, the odds of receiving a low ball offer are much lower since they want to be the one to land you a job so they get paid, instead of you going with a recruiter from a different travel company.

In addition, even if you have a recruiter or multiple recruiters who you trust and don’t think are low balling you, it’s still in your best interest to work with multiple in order to compare offers. Sometimes, what one company can pay for a job is going to be higher or lower than another company based on the company’s margins and operating costs, and this may be completely outside of the recruiter’s control. So, even if the recruiter is honestly giving you their best offer up front, you put yourself in a better position to receive the highest pay by comparing offers across multiple companies.

Understanding When You Have the Power in a Negotiation

Negotiating from a position of power is vital. Even more vital though is being able to understand when you’re in a position of power and when you aren’t. In any negotiation, the individual with the most power is the one that is in a position to able to “take it or leave it.”

For this reason, one of the biggest things that gives you power in negotiation as a travel therapist is having multiple different offers either from different facilities, or from different companies for the same contract. If you have three offers from three different facilities that would all work for you, then you have a lot of power to push for higher pay from all of them and then simply go with the one that is able to pay the most. If you have offers from two different facilities, one of which pays less but is a better fit for you clinically and the other that pays more but is less ideal clinically but still reasonable, then that is the perfect position to leverage the higher offer from the less desirable clinic to increase the offer at the clinic you really want to go to.

Telling your recruiter something along the lines of, “I’d love to take this job and it sounds perfect for me, but I have another offer that is paying higher. If you can find a way to match that offer then I’ll take it, otherwise I’ll just go with the other offer” is perfectly reasonable and a great negotiation tactic. The issue here is that you have to actually be willing to walk away or take the lower offer if the recruiter truly isn’t able to match the higher offer either because they can’t decrease their margin any lower or the facility won’t increase the bill rate. “Take it or leave it.” We’ve personally used this tactic several times in the past to negotiate a much higher pay package on contracts.

One thing to mention is that lying to one of your recruiters about having another offer in a negotiation is not something that we advise, for a couple of reasons. First, having a good relationship with your recruiters is very important and you should treat them the way that you want to be treated. You wouldn’t want them to lie and take advantage of you, so you shouldn’t do that to them either. Second, if you lie about having another offer to try to increase pay, then it’s very possible that the facility could just go with a different candidate if your recruiter tries to ask for a higher pay rate, and then you lose out on that job without having a back up plan.

It’s also important to know that if you hear about the same job from two different recruiters, you can compare pay and choose to go with the one that has the higher offer, but you need to do this before being submitted for the job by one of the recruiters. You should never be submitted to the same job by two different recruiters. Being double submitted for a job can get you in trouble and often the facility will just throw out your application.

Supply and Demand

Another thing that gives you power in a negotiation is the supply and demand dynamics both of the travel therapy market in general at that time, as well as with that specific assignment. For example, let’s say that the travel therapy market is really tight like it was in 2020 during the height of COVID, and you’re specifically looking for an outpatient PT job in Virginia. If there’s only one outpatient PT travel job in the state, then you’ll be very limited in your ability to play hardball with negotiation on that job since if you don’t land it, it could be several weeks before another similar job pops up. If you don’t take it and have to wait around for something else, you’ll lose significantly more due to the opportunity cost of missing out on that job than you’d stand to gain from increasing the weekly rate slightly. On the other hand, if the supply and demand dynamics are in favor of the travel therapist and there are a plethora of jobs that fit your search criteria, then you can be much more aggressive in your negotiation, knowing that you’ll have other options if that one doesn’t work out.

These supply and demand dynamics also apply to specific assignments that are more or less desirable depending on setting and location. For example, if you’re applying for a SNF contract in North Dakota in the winter, it’s very likely that you’re the only applicant for that position, and you can leverage that situation to push for higher pay on that contract. A facility with no other applicants that has a severe need for a therapist will often increase their bill rate significantly to get a good candidate for the job. The supply and demand dynamics are in your favor here, and you’re in a position of power which is what you need for negotiation. Meanwhile, if you’re applying for a Outpatient job in San Diego, it’s almost guaranteed that they have dozens of applicants since that’s a desirable setting in a very desirable area. If you get an offer but try to push for higher pay, then the facility will just go with a different candidate. The supply and demand dynamics are in their favor which limits your negotiation ability.

Improving and Highlighting Your Skills and Certifications

One surefire way to improve your ability to negotiate as a travel therapist is by making yourself more desirable as a candidate. If a facility has multiple candidates for a travel therapy position, but you’re clearly the best suited for the job either due to your clinical skills, experience, or ability to sell yourself in the interview, then it’s possible that they will be willing to pay more for you. Things like certifications, CEU courses, and prior experience in the setting and/or with the EMR can be bargaining chips that your recruiter can use to push the facility to pay a higher bill rate in order to get you to fill the position, which can lead to a significant increase in your pay package. Keep in mind that your strengths won’t help you in a negotiation if no one knows about them, so be sure to highlight them in your resume as well as in your interview with the facility for the position.

Putting it All Together

We’ll often have travelers reach out asking how to negotiate higher pay on a contract when they clearly don’t have any actual leverage in the negotiation for that position. We wish there was some secret for all negotiations, but unfortunately there isn’t, and every situation involves a lot of nuance.

A new grad applying for a travel job with no experience in a setting that’s in a desirable location and who has no other offers simply isn’t going to be able to negotiate a significant increase in pay. They can always try, but 99% of the time the facility will just go with a different candidate, and the therapist will be back to square one on the job search. Similarly, for a therapist who is looking for a very specific setting and location, there is often little ability to push hard in negotiations and risk losing the one opportunity that fits their search criteria. So in cases like this, telling the therapist to use hardball tactics to push for high pay is going to be counterproductive and frustrating for them.

On the other hand, an experienced clinician applying for a travel job in a less desirable location who has many other offers and job options can often negotiate an increase of several hundred dollars per week on their pay package simply by leveraging their experience, other offers, and the need of the facility to significantly increase the bill rate.

The bottom line is that negotiation isn’t ever going to be one size fits all, and anyone who tries to give you black and white blanket advice either doesn’t understand negotiation or is trying to sell you something.

When negotiating for pay on your next contract, use the tips above to analyze the power dynamics and make sure that you’re negotiating from a position of strength and are being realistic in your requests so that you don’t miss out on a great contract for you!

I hope this helps you in future travel job searches and negotiations! Feel free to message us if you have any questions, or if you want help getting connected with additional recruiters to expand your negotiating power!

Written by Jared Casazza, PT, DPT – Jared has been a Travel PT since 2015 and has mentored thousands of current and aspiring travel therapists.

Jared Casazza, PT, DPT, Travel Therapy Mentor

8 Lessons Learned After 6 Years as a Travel Therapist

Whitney and I began our careers as Traveling Physical Therapists in 2015 when we were new grads. Since then, we’ve taken over a dozen travel contracts each and mentored thousands of current and prospective travel therapists. We’ve also talked to and interviewed nearly 100 recruiters at over 15 different travel companies while in search for the best travel therapy companies and recruiters.

Over the last 6 years we’ve learned a lot about the travel therapy industry, from both the perspective of the travel therapist and the travel therapy company. In this article I hope to share some of the biggest lessons we’ve learned in order to help you become a more informed travel therapist.

1. It’s Not What You Make, But What You’re Able to Save

The vast majority of new travelers who contact us have decided to travel in order to improve their financial situations. This was also my main motivation for wanting to pursue Travel PT as a new grad. Many therapists assume that I was able to reach financial independence in such a short period of time as a traveler by taking only the highest paying contracts, but this actually isn’t true. Often, the highest paying contracts in the country are also in the highest cost of living areas. Unfortunately, traveling to high cost of living areas, even when the pay is higher, often doesn’t lead to the best outcome financially. I learned early on in my travel therapy career that taking moderately paying contracts in lower cost of living areas where housing and other expenses are more affordable was the way to make the most of my travel contracts to get ahead financially.

If reaching financial independence or improving your financial position is your primary goal with travel therapy, then keep in mind that the amount you’re able to save on each contract after taking into account your expenses is more important than just looking at the weekly take home pay alone.

2. The Recruiter You Choose is More Important than The Travel Company

New travelers are often in search of the best or highest paying travel therapy company, and I was no different. But Whitney and I quickly realized, after talking to recruiters from a few different companies, that each travel company has its pros and cons; but what will impact your experience as a traveler the most are the recruiters you choose to work with, not as much the travel companies themselves. This has only become more clear as we’ve mentored more and more travelers over the years.

For example, a travel company could have great job options, high pay, and great benefits; but if your recruiter there is not on top of communication, you may be late in getting submitted to jobs and never have the opportunity to get the contract you wanted. Since the recruiter is the main, and sometimes only, point of contact with the travel company, a traveler’s perception of a travel company is shaped almost entirely by the recruiter they choose.

Finding the best recruiters for you isn’t always easy though and can require some trial and error. In the past, Whitney and I have occasionally had awful experiences with recruiters that were highly recommended by others, and had great experiences with recruiters who we’d never heard anyone talk about or had heard less favorable things about. Recruiters aren’t one size fits all, and sometimes the personality and communication style of a recruiter that are great for another traveler, won’t fit you at all. Ideally you’ll find a recruiter and company that are both perfect for your wants and needs, but keep in mind that if you find yourself choosing between a great recruiter at a less desirable company and a bad recruiter at a more desirable company, your experience as traveler will almost certainly be more enjoyable working with a recruiter that you mesh well with and that has your best interest in mind.

3. It’s Important to be Very Selective on Which Contracts You Take

When I started traveling, I was focused on working and savings as much as possible early on to reach a point of financial security quickly. This meant trying to take back to back contracts as often as possible and occasionally settling on the facilities that I went to in order to make that happen. While this undoubtedly allowed me to reach my financial goals more quickly, it also caused me more stress and hassle than it was worth. Some travel contracts are absolutely amazing, while others are terrible. The more selective you are on which contracts you take, the better your experience will be as a traveler, and that is often more important than working as much as possible or only taking the highest paying jobs. Knowing what I know now, I’d much rather take a travel job paying $1,600/week take home at a great facility where I’ll enjoy my time, than one paying $2,000/week take home with a stressful work environment with unrealistic productivity expectations.

4. Arranging Short Term Housing Can Be a Hassle

Finding affordable short term housing can be very difficult, especially recently with rent prices seemingly increasing all over the country. Mistakes with housing are also the most common way that travelers lose money. As a traveler it’s very important to avoid locking yourself into a lease any longer than month to month if at all possible, because if your contract happens to get cancelled then you’re in a bad position. It’s also important to watch out for scams where you’re asked to send money prior to ever seeing the property. These scams are becoming increasingly common, and the scammers often prey specifically travel healthcare workers. For therapists who travel with a family or with pets, which further limits housing options, sometimes buying an RV is a very good choice. When looking for housing, make sure to consider all options, and spend some time choosing the best fit for you.

5. You’ll Always Be Nervous When Starting a New Contract

When I started traveling, I can remember being very nervous about my first day at a new facility. I thought that after I did a few contracts and increased my confidence that I’d no longer be nervous. But now, 6 years later, I realize that was naïve. In this regard, my experience taking travel contracts has been similar to public speaking. The more I do it, the easier it becomes, but I still get nervous each time. This is only natural because each contract is brand new and no matter how good you are at asking the right questions in the interview, there’s always going to be some uncertainty prior to starting the job. It’s important to not let that nervousness deter you though! Realize that this is a normal part of the process.

6. Your First Week Likely Won’t be Perfect

No matter how experienced you are as a traveler, the first week at a new job is almost always pretty tough. Even at the best contracts, you’ll have to get used to all new patients, new coworkers, a new clinic setup, and a new documentation system. On top of that you’ll be familiarizing yourself with a brand new area of the country. We often hear from new travelers that they’re overwhelmed after their first few days at their first contract and worried that they made the wrong choice. Whitney and I have had this experience many times ourselves, and almost every time, once we give it some time and get comfortable at the clinic, we end up really enjoying it. So don’t worry if your first week doesn’t go as well as you hoped. Things should get much easier after the first week.

7. Thirteen Weeks Goes By Really Fast

When starting a new contract, 13 weeks can seem like a long time, but inevitably before you know it, you’re looking for your next contract and this contract is almost over. When we started traveling, we’d often get toward the end of a contract only to realize that there was going to be no way to fit in all the things we wanted to do and see in before we left.

To avoid this, in the first week at a new travel assignment, it’s a good idea to get some recommendations from coworkers and patients for things to do and see around the area. Then make a list of the things you really want to do before you leave and a rough plan on which weekends you’ll do each thing. If you don’t plan things out, it’s very easy to get to the end of the contract and have regrets about not doing everything you wanted to because the time goes by faster than you think it will.

8. Travel Therapy Can Really Improve Your Clinical Skills

Many new grads considering travel are worried that they won’t improve their clinical skills as a traveler. In my experience, this has not been the case at all. In my first couple of years as a traveler, I worked with dozens of PTs in many different clinics and made a point to ask questions and learn from each of them. I picked up wisdom, manual techniques, and exercises from a large variety of therapists with different treatment philosophies each place that I went. This was very valuable to me in my practice as I learned not only how I wanted to structure my own evaluations and treatments from great therapists, but also things I wanted to avoid doing as well. If you go into travel therapy with curiosity and a hunger to learn, you can significantly improve your clinical practice from all the therapists you meet along the way.

Summary

When starting out as a new travel therapist, there is a lot to learn. Over the years Whitney and I have learned a ton, and we do our best to share these lessons and experiences with you all in order to improve your travel therapy journey. The more time you can spend becoming educated on all the ins and outs of travel therapy prior to starting, the better your experience will be. If you’re brand new to travel therapy and looking for somewhere to start, our free Travel Therapy 101 Series is a great place to begin!

You can also message us with any questions you have, and get our recommendations for recruiters here!

Written by Jared Casazza, PT, DPT – Jared has been a Travel PT since 2015 and has mentored thousands of current and aspiring travel therapists.

Jared Casazza, PT, DPT, Travel Therapy Mentor