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A healthcare job is a contract between two parties, one being the healthcare employer and the other being the healthcare job seeker. A
healthcare job seeker may be defined as: "A person in the service of another under any contract of hire, express or implied, oral or
written, where the healthcare employer has the power or right to control and direct the healthcare employee in the material details of
how the work is to be performed." Black's Law Dictionary page 471 (5th ed. 1979).
In a commercial setting, the healthcare employer conceives of a productive activity, generally with the intention of generating a
profit, and the healthcare job seeker contributes labour to the enterprise, usually in return for payment of wages. Healthcare jobs also
exists in the public, non-profit and household sectors. To the extent that healthcare jobs or the economic equivalent is not universal,
unemployment exists.
A healthcare employer is a person or institution that hires healthcare job seekers and workers for healthcare jobs. Healthcare employers
offer hourly wages or a salary in exchange for the worker's labor power, depending upon whether the healthcare employee is paid by the
hour or a set rate per pay period. A salaried healthcare jobs seeker is typically not paid more for more hours worked than the minimum,
whereas wages are paid for all hours worked, including overtime.
Healthcare employers include everything from individuals hiring a babysitter to governments and businesses which may hire many
thousands of healthcare employees for healthcare jobs. In most western societies, governments are the largest single healthcare employers
but most of the work force is employed in small and medium businesses in the private sector.
Although healthcare job seekers may contribute to an enterprise, the healthcare employer maintains control over the productive base of
land and capital, and is the entity named in contracts. The healthcare employer typically maintains ownership of intellectual property
created by an healthcare employee within the scope of a healthcare job and as a function thereof. These inventions or creations become
the property of the healthcare employer based on a concept known as "healthcare jobs for hire".
A healthcare employers' relative level of power over healthcare employees is dependent upon numerous factors; the most influential
being the nature of the healthcare employment relationship. The relationship healthcare employers share with healthcare job seekers is
affected by three significant factors - interests, control and motivation. It is up to healthcare employers to effectively manage and balance these factors to ensure a harmonious and productive working relationship.
Motivation is the third and most difficult of the factors for healthcare employers to effectively manage in the employment relationship.
Healthcare jobs seekers motivation can often be in direct conflict with control mechanisms of healthcare employers, and can be broadly
defined as that which energizes, directs and sustains human behaviour ( Stone, 2005, p 412). Dubin (1958, p 213) further elaborates on
this, noting motivation as "something that moves a person to action, and continues him in the course of action already initiated."
The healthcare employment relationship is thus a difficult challenge for healthcare employers to manage, as all three facets are often
in direct competition with each other, with interests, control and motivation often clashing in the equally important quest for
the individual healthcare jobs seeker autonomy, employer command and control and ultimate profits.
A healthcare employee contributes labor and expertise to an endeavour. Healthcare jobs seekers perform the discrete activity of economic
production. Of the three factors of production, healthcare employees usually provide the labor.
Specifically, a healthcare employee is any person hired by a healthcare employer to do a specific healthcare job. In most modern
economies, the term healthcare employee refers to a specific defined relationship between an individual and a corporation, which
differs from those of customer, or client.
Most healthcare job seekers attain the status of healthcare employee after an interview with a company. If the individual is determined
to be a satisfactory fit for the position, he or she is given an official offer of healthcare employment within that company for a
defined starting salary and position. This healthcare job seeker then has all the rights and privileges of a healthcare employee, which
may include medical benefits and vacation days. The relationship between a corporation and its healthcare employees is usually handled
through the human resources department, which handles the incorporation of new hires, and the disbursement of any benefits which the
healthcare job seeker may be entitled, or any grievances that healthcare employee may have.
There are differing classifications of healthcare jobs within a company. Some are part-time and some are full-time and permanent and
receive a guaranteed salary, while others are hired for short term contracts or work as temps or consultants. These latter differ from
permanent healthcare jobs in that the company where they work is not their employer, but they may work through a temp-agency or
consulting firm. In this respect, it is important to distinguish independent contractors from healthcare employees, since the two are
treated differently both in law and in most taxation systems. In the United States, healthcare employers are required to withhold income
taxes, withhold and pay Social Security and Medicare taxes, and pay unemployment tax on wages paid to an employee. Employers generally
do not pay or withhold payroll taxes on payments to independent contractors.
Many companies further classify healthcare jobs as exempt or non-exempt. This designation is used to separate healthcare jobs that are
eligible for overtime from those that are not. Exempt healthcare jobs are ones that is typically salaried and is not eligible to earn
overtime. Non-exempt healthcare jobs are typically paid hourly and are eligible for overtime pay.
An offer of a healthcare job, however, does not guarantee employment for any length of time and each party may terminate the
relationship at any time. This is referred to as at-will employment. In some healthcare jobs it is customary to offer 2 weeks notice
when resigning for a healthcare job. However, leaving two weeks notice may not be legally enforceable.
Healthcare job recruitment refers to the process of screening, and selecting qualified people for a healthcare job at an organization or
firm, or for a vacancy in a volunteer-based organization or community group. While generalist managers or administrators can undertake
some components of the healthcare job recruitment process, mid- and large-size organizations and companies often retain professional
healthcare job recruiters or outsource some of the process to healthcare job recruitment agencies. External healthcare job recruitment
is the process of attracting and selecting healthcare employees from outside the organization.
The healthcare job recruitment industry has four main types of agencies: employment agencies, healthcare job recruitment websites and
job search engines, "headhunters" for executive and professional healthcare job recruitment, and in-house recruitment. The stages in
healthcare job recruitment include sourcing candidates by advertising or other methods, and screening and selecting potential candidates
using tests or interviews.
The healthcare job recruitment industry has four main types of agencies. Their recruiters aim to channel healthcare job candidates into
the hiring organizations application process. As a general rule, the agencies are paid by the companies, not the candidates.
Also known as a healthcare job agencies, recruitment agencies have historically had a physical location. A candidate visits a local
branch for a short interview and an assessment before being taken onto the agency's books. Recruitment consultants then work to match
their pool of candidates to their clients' open positions. Suitable candidates are short-listed and put forward for an interview with
potential healthcare employers on a temporary ("temp") or permanent ("perm") basis.