You Got the Job Offer! Now What?
A Step-by-Step Guide for Nurses Working with All Med Search
Whether you’re a U.S.-based RN or an international nurse preparing for your U.S. career, receiving a direct hire job offer is a huge step forward. It means the facility is ready to bring you on as a permanent employee, and you’re one step closer to achieving your professional goals.
But after the excitement wears off, many nurses wonder: “What happens now?”
At All Med Search, our job doesn’t end when you get the offer—it’s just the beginning of your next chapter. We’re here to walk you through everything that comes after, ensuring a smooth transition from candidate to team member at your new facility.
Step 1: Review the Offer Carefully
Take a breath, take your time, and read the offer carefully. This is your chance to ensure everything aligns with your expectations and needs. Look closely at:
- Base salary or hourly wage
- Shift schedule and work hours
- Paid time off (PTO), holidays, and sick leave
- Health, dental, and vision benefits
- 401(k) or retirement plans
- Bonuses or relocation assistance
- Start date and orientation schedule
- Length of any initial employment agreements or commitments
Need help understanding the offer? Your All Med Search recruiter is here to walk through it with you and help answer any questions before you make a decision.
Step 2: Ask Questions or Clarify Details
If there’s anything unclear—or if there’s something you’d like to discuss further, such as a start date adjustment or relocation assistance —this is the time to speak up. We’re here to help guide those conversations professionally and respectfully.
You don’t have to navigate negotiation alone. We’ll advise you on what’s reasonable to ask, how to approach it, and we’ll often communicate with the employer on your behalf.
Step 3: Formally Accept (Or Decline) the Offer
Once you’re confident in your decision, it’s time to officially accept the offer. This usually involves signing the offer letter and sending it back to the employer, along with a brief, professional acceptance email or message.
Your acceptance email might look something like this:
Subject: Job Offer Acceptance – [Your Name]
Dear [Hiring Manager’s Name],
Thank you again for the opportunity to join [Company Name] as a [Job Title]. I’m excited to accept the offer and look forward to contributing to the team.
Please find the signed offer letter attached.
Best regards,
[Your Full Name]
Double-check the document for any missed signatures or required information before sending it in. Some companies may also have onboarding paperwork or background checks that follow—stay on top of these to ensure a smooth start.
If you’re declining, be polite and appreciative. You never know when paths might cross again.
Step 4: Licensing, Credentialing & Onboarding Prep
Once you’ve accepted the offer, your future employer will begin the onboarding process. All Med Search will continue to assist and support you in completing all necessary steps, which may include:
- License endorsement (if you’re relocating to a new state)
- Drug testing and background checks
- Health and immunization records
- Submission of certifications (BLS, ACLS, etc.)
- Any pre-employment paperwork required by the employer
For international nurses, this may also include visa processing and credential evaluation. We’ll coordinate with the facility and guide you through the timeline.
Step 5: Relocation or Transition Support
If your new role involves relocating, All Med Search helps ensure a smooth transition. While the facility is your employer, we continue to assist with:
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Travel planning
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Temporary or long-term housing guidance
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Preparing for life in your new city
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Connecting you with local resources and communities
For international nurses, this includes cultural orientation, immigration support, and day-to-day prep for life and work in the U.S.
Step 6: First Day Readiness
As your start date approaches, we’ll help make sure you’re ready. That includes:
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A checklist of what to bring
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Contact info for your onboarding coordinator at the facility
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Details about orientation, reporting time, and dress code
Even after you’ve started, we’ll check in to make sure your transition has been positive—and we’ll always be here if you need support.
Final Thoughts:
Receiving a direct hire offer means the healthcare facility believes in your value and is ready to welcome you as part of their team. And while All Med Search isn’t your employer, we’re your partner in this process—every step of the way.
From helping you understand your offer to preparing you for your first day, we’re here to make sure your move into a new role is as smooth and successful as possible.
Ready to Take the Next Step in Your Career?
Whether you’re actively job searching or just starting to explore new opportunities, having a recruiter in your corner can make all the difference. At All Med Search, we guide candidates through every step of the hiring process—from resume to offer letter and beyond.
Contact us today to learn how we can help you land your next role with confidence and clarity.
Email Marni@AllMedSearch.com or call 858-414-6425 to get started.