What Is a Per Diem Nursing Job? Everything You Need to Know
Have you ever wondered about the nursing professionals who seem to have the ultimate flexibility in their careers? Per diem nurses represent a growing segment of healthcare workers who've discovered a way to maintain clinical practice while enjoying unprecedented control over their schedules. This comprehensive guide will walk you through everything you need to know about per diem nursing positions, from basic definitions to practical considerations for making this career move.
Understanding Per Diem Nursing
Per diem nursing refers to temporary, on-call nursing positions where healthcare facilities hire nurses on an as-needed basis. The term "per diem" literally means "per day" in Latin, reflecting the day-to-day nature of these assignments. Unlike permanent staff positions, per diem nurses aren't committed to regular schedules or specific facilities.
These positions exist because healthcare facilities often face unpredictable staffing needs. Patient census fluctuates, staff members call in sick, and seasonal demands create temporary shortages. Per diem nurses fill these gaps, providing experienced clinical care exactly when and where it's needed most.
How Per Diem Nursing Works
Per diem nurses typically work through staffing agencies or maintain direct relationships with multiple healthcare facilities. When a facility needs additional nursing coverage, they contact their pool of per diem nurses with available shifts. You can accept or decline these opportunities based on your availability and preferences.
Most per diem positions require you to commit to a minimum number of shifts per month, often ranging from two to four. Many nurses work considerably more, treating per diem as their primary income source.
Benefits of Per Diem Nursing
Schedule Flexibility
The most significant advantage of per diem work is schedule control. You decide which shifts to accept, allowing you to balance work with family commitments, continuing education, or other pursuits.
Higher Hourly Rates
Per diem nurses typically earn higher hourly wages than staff nurses in comparable positions. Facilities pay premium rates for this flexibility, often 20-30% above standard wages. While you won't receive traditional benefits, the increased hourly compensation can offset this difference.
Diverse Clinical Experience
Working across multiple facilities exposes you to different protocols, technologies, and patient populations. This variety enhances your clinical skills and makes you more marketable in the nursing field.
Reduced Workplace Politics
As a per diem nurse, you're less involved in facility politics and administrative responsibilities. You focus primarily on patient care without the additional burdens that permanent staff often shoulder.
Potential Drawbacks to Consider
Limited Benefits
Most per diem positions don't include health insurance, retirement contributions, or paid time off. You'll need to secure these benefits independently or through a spouse's plan.
Income Variability
Your income depends on shift availability and your willingness to work. During slow periods or personal time off, your earnings will decrease. This variability requires careful financial planning and maintaining emergency savings.
Less Job Security
Per diem work lacks the stability of permanent positions. Facilities may reduce their per diem needs during budget constraints, and you won't have the same employment protections as permanent staff.
Requirements for Per Diem Nursing
Most per diem positions require active RN licensure and recent clinical experience, typically within the past two years. Many facilities prefer nurses with at least one year of experience in their specialty area. Some positions may require specific certifications like BLS, ACLS, or specialty credentials depending on the unit.
Making the Decision
Per diem nursing can be an excellent choice for experienced nurses seeking flexibility and higher hourly compensation. However, it requires careful consideration of your financial situation, benefit needs, and career goals. This path works particularly well for nurses with working spouses who provide health insurance, those nearing retirement, or professionals seeking better work-life balance.
Your Next Steps in Per Diem Nursing
Per diem nursing offers a unique opportunity to take control of your career while maintaining the clinical practice you love. With proper planning and realistic expectations, it can provide the flexibility and professional satisfaction many nurses seek. If per diem nursing appeals to you, apply to Nursefinders today and connect to an experienced recruiter.
