u/ChinaCatSunflower11

I have been an NP for a year and a half. The first job I had was at a clinic where I did my student clinicals. It was a small private clinic, they began to have serious financial problems, they failed to make payroll (for everyone) for two months straight, I left, they closed down shortly thereafter. I got another job at a large VBC company. That clinic insisted that providers see upwards of 30 patients daily. Almost all of these were multi-morbid, very complex patients. Providers rarely left the clinic before 8pm and very few slept more than 3-4 hours at a time. I left that job after finding out about some illegal activities there. A large telehealth company “hired” me, we signed a contract last January. Since then, I have been stuck in “insurance credentialing”. At this point, it seems they have just ghosted me. I am trying to scrape by doing asynchnous telehealth. It pays very, very little. I have applied to every job that I might possibly be eligible for in a 70 mile radius. (I cannot relocate at this time.) So far, nothing. I don’t mean to sound naive, and I am not looking for sympathy. I am genuinely confused. Is the job market this rough for everyone? Have I had a run of bad luck? Am I an idiot? Am I just supposed to give up now? I honestly do not know. This situation has been so depressing that I am having trouble seeing this objectively. I appreciate any insight.

I have been a nurse for eight years. I went to NP school. I graduated, passed boards and certifications, and I have three state licenses and two DEAs. I got a job in a value based care clinic not far from my home. I left that job after nine months because I became aware that the clinical director (and managers) had committed a major fraud. You won’t believe this, but they were using dog feces to fraudulently bill for colofit tests.

I was “hired” by a telehealth company in February 2026. They are allegedly in the process of “insurance credentialing”. I inquired about this process after 90 days. I’ve heard nothing. I cannot find a job anywhere near me, and I cannot find a job in telehealth despite dilligent effort.

I’m done. Apparently, this was a total failure on my part. So I have an exorbitant amount of loan debt and no job. I have tried the best I could in healthcare, and I have nothing to show for it. I have no idea how to move forward now. I do not know what I am going to do to support myself. But I know this, I am not making a single loan payment if I can’t work as an NP. I did not work that hard, try that much, and make it this far just to get kicked in the teeth and pay off a loan that ultimately did not do anything for me.

I quit. I finally get it. This whole thing is a scam, a joke, a charade. I should have quit years ago. But now, finally, I am giving up. Sorry for whining, just had to get this out somewhere.

I am a provider currently stuck in the process of “credentialing” for a job I was offered (and accepted) last February. I admit that I am extremely frustrated with this process, but I am trying to understand it. From my perspective, I just can’t understand why this process takes so long. To me, logically it does not make sense. I have a completely clear federal as well as state back ground checks. My resume and employment history are very clear. (I am a relavtively new provider, so the work history part is pretty simple.) I have passed muster with three state licensing boards, hold a national certification, and two DEA numbers. Every one of those credentials required extensive checks and verification. If a provider has already passed board exams, gained board licensure, passed DEA checks and has a clear criminal and civil background check, what else do insurance companies want to verify? Again, logically: you can’t get a state license without undergoing a verification process of your education, work history, etc. You can’t get a national certification without them verifying the same thing. You can’t get a DEA number without undergoing an extensive background check, educational/license verification. So, then, why would an insurance company repeat all of this? It seems very redundant and unnecessary to me. I am not trying to fight the system, I am only trying to understand it at this point. Can anyone explain what I’m missing here? Why does this process even exist? Why does it take so long when so much has already been verified multiple times? I would truly appreciate any insight anyone has. Thanks for reading.