By AMN Healthcare

April 22, 2024

1871 Views

ADVERTISEMENT

Top 6 Advantages and Disadvantages of Per Diem Nursing Jobs

AMN Healthcare provided this article.

Per diem nursing offers a unique blend of benefits and challenges, catering to individuals seeking flexibility and higher pay rates. Nicole T., a senior recruitment manager for AMN Healthcare, provides insights into the reality of per diem work, highlighting its pros and cons.

per diem nursing

Pros of Per Diem Nursing

1. Flexibility: Per diem nursing allows you to create your own schedule, accommodating personal commitments and interests. There’s no pressure to adhere to minimum or maximum shift requirements, providing autonomy in balancing work and life responsibilities.

2. Higher Pay Rates: Compared to other nursing roles, per diem positions typically offer increased pay rates. This compensation reflects the flexibility and readiness required to fill critical staffing needs across various healthcare settings.

3. Variety of Settings: Per diem nurses have the opportunity to work in diverse healthcare environments, gaining firsthand experience and networking opportunities. This exposure can enhance clinical skills and pave the way for future permanent employment.

per diem nursing

Cons of Per Diem Nursing

1. Inconsistent Schedule: Per diem nurses face the challenge of unpredictable shift availability, necessitating flexibility and spontaneity. While some thrive in this environment, others may find it challenging to maintain a work-life balance.

2. Lack of Benefits: Per diem positions often do not provide traditional job benefits such as health insurance and paid time off. However, higher pay rates and flexibility may offset this shortfall for some individuals.

3. Limited Job Security: The nature of per diem work results in fluctuating employment opportunities, leading to periods of high demand and downtime. This uncertainty may not suit those seeking stable, long-term employment.

Embrace the Opportunity

Per diem nursing offers a unique blend of freedom and challenges. If you value flexibility and potential earnings, consider exploring per diem positions through AMN Healthcare. Take control of your career and shape your schedule while maximizing your earning potential. Apply today to embark on a rewarding journey in per diem nursing.

Find Your Next Travel Nurse Assignment with Our Job Board!

Are you on the hunt for your next travel nurse gig? Look no further than our job board! Click here to explore all our current opportunities.

Discover the Perfect Housing for Your Next Assignment

Need somewhere to stay on your next travel nurse assignment? We’ve got you covered. Check out our housing page to find your ideal home away from home. Click here to start your search.

By Medely

February 21, 2023

2828 Views

ADVERTISEMENT

Navigate Flexibility: Per Diem Travel Nursing – Pros, Cons, and Meaning

Medely provided this article.

One of your strengths as a travel nurse or allied professional is the ability to show up for a new assignment and adapt to fit the situation at hand. That versatility also makes you a valuable per diem nurse—someone who can step in to deliver critical patient care when a healthcare facility comes up short on staff.

Many healthcare workers take per diem nursing shifts or travel assignments, but there are also great reasons to consider doing both! Let’s take a look at some of the pros and cons of taking on per diem jobs during a travel nursing assignment and what it can mean for your career plan.

What is a per diem nurse?

In healthcare facilities, per diem nursing—also known as PRN, an abbreviation for pro re nata, which means “as needed” or “as the occasion arises”—means picking up extra shifts on a temporary or on-call basis. In some facilities, this can mean booking jobs when you have time; in others, it may bring just a few days a month. That variety is what makes it such a perfect solution for nursing professionals looking for more.

Pros: The benefits of per diem shifts for travel nurses

There are many different reasons to pick up per diem shifts while on a travel assignment. You may be motivated to:

  • Take control of your schedule. Combining travel nursing assignments with per diem shifts gives you a lot of flexibility, allowing you to take on as much work as you want without tying yourself to a full-time position.
  • Earn extra money in a short period of time. Travel assignments are known for their financial incentives; per diem assignments also typically offer higher hourly rates. Earning extra cash through per diem shifts can help maximize your earnings.
  • Cross-train for the role you want. A catch-22 for travel nurses is that you get assignments based on the experience you already have, which can make it difficult to try something new. If you’re interested in a different specialty or want a broader perspective by working with different facilities, per diem jobs can help you get that extra exposure.
  • Keep your skills and expertise sharp. Per diem nursing offers a chance to flex your skills in different areas, so you can avoid getting rusty if your assignments tend to focus on a particular specialty.
  • Check out a facility before your next move. Book shifts in a new facility if you’re considering a long-term assignment there in the future—it’s a great way to test the waters.
  • Make new connections. Being away from home as a travel nurse can get lonely. Adding extra hours with per diem jobs can help introduce you to new people and new patients if you aren’t keen to spend your downtime by yourself.

A few hours per week of per diem work can do a lot to move your professional and personal goals forward. But before you start accepting per diem temporary assignments, there are a number of things to be cautious about.

Cons: Consider this before adding per diem shifts to your schedule

If you’re interested in adding PRN nursing jobs to your travel nursing assignments, it’s important to be transparent with your travel nursing agency—even if you book per diem shifts through a different agency or directly with the facility.

(If you’re a Medely travel pro, we’ve got you covered! We offer per diem, local assignments, and travel assignments with facilities across the country.)

Your success as a travel nurse or allied professional hinges on effective relationships with the agencies, facilities, and healthcare workers you work with. Communicating with your agency about your long-term goals can help you establish a solid plan while protecting you from potentially damaging situations. For example:

  • Conflicts of interest or contractual breaches. Every contract is different, and it’s important to be clear about any potential constraints on your travel assignment, such as a non-compete clause or requirement to be readily available.
  • Scheduling mishaps. Imagine that you inadvertently take a per diem shift at the same time as a contract shift or get called in by the contract facility to come in when you’re in the middle of a per diem shift. Situations like this don’t just impact your reputation—in the worst circumstances, it could lead to a canceled contract or leave you at risk of a nursing license complaint.
  • Burnout. Don’t forget to take care of yourself! Working per diem shifts can be part of a nursing professional career that’s challenging and rewarding—but in order to bring your best self to work, it’s important to put your well-being first.

Is PRN nursing right for you?

Per diem jobs help healthcare professionals own their schedules while providing crucial care in hospitals, clinics, and other facilities when it’s needed most. Find out how per diem jobs can boost your career and learn about opportunities available in your area. Check out the travel nursing jobs available to you on Medely.

Our job board is a great place to search for your next travel nurse assignment. If housing is an issue, we have you covered with our housing page. You can search for what you are looking for.

By Medely

November 30, 2020

13131 Views

ADVERTISEMENT

Five Reasons to Pick Up Per Diem Shifts as a Travel Nurse

This article was provided by Medely.

As a travel nurse, you’re well aware of the advantages of travel assignments – as well as the downsides. But travel assignment woes are just one reason you should keep picking up per diem shifts in your back pocket. 

Getting setup to book per diem shifts will vary depending on several factors. The facility you’re working at, and your travel agency is at the top of that list. You’ll want to check with both to see if there’s anything you need to know before booking per diem. If your travel agency doesn’t support per diem while on assignment, you may want to consider an agency that does. If your facility doesn’t have extra shifts for you, that’s actually for the best. As you’ll see below, there are good reasons to work extra shifts at a different location.

With that said, let’s jump into our five reasons to pick up per diem shifts as a travel nurse.

  1. Earn extra cash when you need it
  2. Enjoy complete control of your schedule
  3. Expand your knowledge and experience
  4. Evaluate new facilities
  5. Exercise your past skills to keep them sharp  

1. Earn extra cash, when you need it

A travel assignment that was canceled mid-flight. A seemingly endless Christmas gift list. Life’s unpredictable, and we all have times we could use a financial infusion. Per diem, nursing is a perfect solution as it typically pays well. Plus, when you’ve made enough to finish that gift list, you can step away for a while.

2. Enjoy complete control of your schedule

There’s a lot of freedom involved in travel nursing, but nothing beats per diem for flexibility. Per diem shifts are the epitome of “Work when you want.” Before you accept a shift, there’s zero commitment on your part. Book shifts when you need them and kick up your feet and relax when you don’t.

3. Expand your knowledge and experience

As a travel professional, you’ve seen how different a job can be at a new facility. Per diem shifts, let you work with different facilities and professionals every shift. This can give you both a broader perspective and knowledge base, as well as grow your network.

4. Evaluate new facilities

Working per diem shifts lets you test drive a new facility before committing to an assignment. Check out the company culture. Sample their caseload and pro-to-patient ratio. See if employees are a good fit for your personality—all without committing to a long-term assignment.

5. Exercise your past skills to keep them sharp

Haven’t worked a specific role in a while and need a refresher? Yup, per diem can help with that too. Developing and honing your skills will always be a benefit. Working per diem shifts enables you to do that in a way that fits your lifestyle and career plans. 

Is working per diem shifts as a travel nurse right for you?

These are just a few of the reasons why working per diem shifts makes sense for travel professionals. In fact, every nurse or allied pro likely has a reason or two to work per diem shifts. Again, If you need an agency that supports both, consider checking out Medely. They offer per diem, local assignments, and travel assignments with thousands of facilities from coast-to-coast.

Finished the travel nursing guide and are ready to look for an assignment?

Check out our travel nurse jobs!

By The Gypsy Nurse

March 10, 2019

39506 Views

ADVERTISEMENT

Diagnosing Your Travel Nurse Pay Package- Part 1

Tips to determine your best Travel Nurse Pay Package options

Many components make up a travel nurse’s pay package. When comparing pay packages, don’t just look at the numbers. Travel nurses should dig deeper to see what other benefits are provided. Those additional benefits and bonuses can result in thousands of realized dollars on each contract.

Whether you’re ready to take on your first contract in travel nursing—or perhaps you’ve been at it for a while—determining the best compensation package can be daunting. With so many variables and agencies making promising claims, it’s important to understand what will work best for you and your financial well-being. As part of our ongoing “Truth in Travel Nursing” series, The Gypsy Nurse team has compiled the following first key steps in what to look for in your travel nurse pay package.

Hourly Equivalent

Several factors impact the hourly rate offered for travel nursing assignments. These include:

  • location: or the region and cost of living where the assignment is located
  • nursing specialties
  • timing: how quickly you can start the assignment
  • even some general supply and demand factors

A travel nurse’s pay will generally consist of two main components:

  • The regular, taxable hourly rate
  • The non-taxable reimbursements for housing and meals/incidentals. These are also called stipends, subsidies, allowances, or per diems. These reimbursement payments are meant to cover meals and lodging costs resulting from the duplicate costs of living away from home for the job. Note that you will not receive a housing subsidy if you take company housing.

While sometimes the taxable hourly rate can seem low, agencies structure pay packages to be tax-efficient for the nurse. The less money that goes to a taxable hourly rate and the more that goes to the non-taxable subsidies, the better the net pay for the nurse. This cannot be very clear. Let’s look at some variables and what they may mean for your situation.

Take a Closer Look at Your Taxable Rate

The taxable hourly rate calculates several benefits should you need to use them. Unemployment, workers’ compensation, and disability payments are based on taxable income. Taxable earnings are also where social security contributions originate. Therefore, if you are nearing retirement, lower taxable earnings could significantly impact your future social security payments. In addition, if you need to borrow money for a home or auto loan, the lender will determine your loan amount qualifications from your taxable income.

Take a Closer Look at Non-Taxable Amounts:

Higher non-taxed reimbursements will make your net paycheck increase. At face value, this is appealing. However, it may not be quite that simple. The tax code allows tax-free stipends only while working away from one’s tax home. In many pay-package discussions, the aspect of “per diems” comes up. Here is some further information to help clarify:

You must be eligible for the tax-free per diems. Do you qualify?

There is a widespread myth that if you live (tax home) more than 50 miles away from your assignment, you are entitled to, eligible for, or guaranteed the per diems completely free of taxes. IRS Publication 463 states that you can accept tax-free stipends if “you need to sleep or rest to meet the demands of your work while away from home.”  There are no guidelines, no specific distance given that would constitute your need to sleep or rest. Therefore, if a traveler prefers to drive 70 miles each way to work and back each shift, they do not qualify for tax-free lodging allowances. Why? Because they are commuting. Further, if you commute or are within a “commutable distance,” you don’t qualify. There are no duplicate lodging expenses to reimburse.

The Per Diem amounts

The General Services Administration (a federal government agency) sets GSA Per Diem Rates. These are “the maximum allowances federal employees are reimbursed for expenses incurred while on official travel.” Although designed for government employees, these rates are also applied by the IRS to private sector employees. The travel nurse industry uses these in determining per diem rates. Therefore, these reimbursements are paid free of taxes. Above all, you mustn’t assume you will be paid the exact current GSA table rates. Here are three GSA realities:

  1. GSA rates are the maximum amounts that can be reimbursed without the requirement to turn in receipts. There is NOT a requirement that these maximum amounts be paid out.
  2. GSA rates are based more on short-term hotel housing, which tends to be pricier than the longer-term housing used for a typical travel nurse assignment.
  3. Bill rates are what determine what travel pay and per diems will be. Very rarely is an agency bill rate high enough to pay out the GSA table maximum amount and retain a profit.

Stick with The Gypsy Nurse as we continue to evaluate additional factors that ultimately make up your compensation and your paycheck. We’ll continue to explore more benefits, total package value, guaranteed pay, low census protection, and more in our next article.

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

By Joseph Smith @ Travel Tax

October 21, 2015

9049 Views

ADVERTISEMENT

What are per diems?

A lot of confusion surrounds the “per diem” payments that many travelers receive that covers lodging and meals.

These payments are usually paid on a tax free basis assuming that the traveler has a qualifying tax home. Per Diems are also called allowances, stipends, subsidies and reimbursements, but more specifically, are paid for lodging and meals – not transportation.

The per diem concept can be summed up with this illustration:Suppose you and 99 other people were sales reps for a medical manufacturing company. Your weekly activity consisted of traveling to potential buyers, spending nights in hotels and eating out. When you returned, you handed all of your receipts to a human resources staff member that processed reimbursement checks for you and the other 99 sales agents. What seems to be a simple process is now 99 times larger and if this occurs each week, your employer would commit a full time staff member to this task alone.

Enter the per diem.

Since the Federal government has a LOT of traveling employees a system was designed where the costs for lodging and meals was standardized for every locality in the world. The system allowed the employer to use these standard rates as the reimbursement amount for lodging and meals without the exchange of receipts, disregarding the actual expense of the employee. In effect, the employer pays the per diem rate and so long as the employee had a reasonable expense and the rest is theirs to keep regardless of the amount of the expense unless there was NO expense at all  (like a trucker sleeping in their cab).

This is an important concept for another reason – this is how ones makes money as a traveler- by taking the per diem and finding cheaper lodging. The rest is theirs to keep and so long as they have a qualifying tax residence, the entire payment is free of tax or more accurately, “excluded from gross wages subject to tax”.


If you need additional information or assistance on tax or tax-free issues, please contact Joseph Smith at TravelTax.com


Note from Gypsy Nurse:

If you accept tax-free per diem, it’s imperative that you are following the IRS guidelines of ‘Duplication of Expenses’ and have a valid Tax Home. I’ve worked both as a per-diem employee as well as an itinerant (all taxed) employee and to be honest, I don’t see a ton of difference in the take-home amounts. The flexibility (for me) of not having to maintain a tax-home has been worth the small difference in take-home.

It’s also important to note that you will not likely receive the full Government GSA rate for any given location. It is however important that you do NOT receive over this government designated rate.