Per Diem Power: Find Freedom and Flexibility in Your Next Role 

Per Diem Power: Find Freedom and Flexibility in Your Next Role 

Flexibility, high pay and experience make per diem a career move to consider  

Per diem, meaning “by the day,” jobs have existed for thousands of years, but the healthcare industry has adopted this term in a unique way. In other industries, per diem typically refers to an expense allowance for lodging, meals and incidental costs, whereas in healthcare, it denotes a specific type of position.

Per diem jobs in healthcare refer to a type of contract and pay rate across various settings, including hospitals, emergency departments, clinics, acute care centers, physician practices, and outpatient facilities, such as urgent care and ambulatory surgery centers. Per diem rates are typically flat, all-inclusive payments made to employees by the facility.

Working per diem in healthcare involves taking job assignments as needed rather than committing to a full-time role with fixed hours. Since permanent staff at healthcare facilities and local clinicians often seek extra shifts to increase their income, per diem positions can get filled quickly. Per diem employees may work for just a day to cover a sick colleague or for several weeks or months to fill gaps left by someone on extended leave or even a retiree.

Per diem gets more popular

Many healthcare facilities are moving away from traditional staffing and turning toward per diem roles, particularly in nursing, due to rising employment costs and fluctuating patient census. Facilities like hospitals and long-term care facilities turn to per diem professionals for short-term staff gaps and high turnover.

The benefit for healthcare facilities hiring per diem staff is clear: it’s a cost-effective strategy to only pay for labor when needed versus maintaining a full-time workforce. For per diem professionals, this means finding the right role where your specialty is needed is even easier than ever. Especially if you’re using a reputable healthcare job marketplace to find a per diem job that suits your experience, background and certification.

Factors that affect pay in per diem

The factors that affect per diem pay are location, shift type and hours worked. Here’s more detail for each:

Location – not all areas of the country offer the same per diem rates. Pay rates differ by location and facility. Per diem rates are primarily determined by the cost of living in the area where the role is situated and the level of demand for the professional. The highest paying per diem rates are typically found in large, populated cities where healthcare professionals are in great demand to meet patient census. New York, Los Angeles, and Chicago are three examples of cities that provide the country’s highest-paying per diem rates.

Shift type – working on major holidays when other clinicians typically prefer time off, such as Thanksgiving and Christmas, can result in higher pay for a per diem clinician. For per diem healthcare employees, there is no fixed schedule and they work only when there is a staffing gap at the facility or an increase in patient census. Hospitals, acute care centers, nursing and rehab centers are common settings for per diem jobs.

Hours worked – In per diem, pay is tied directly to the number of hours worked. Each facility or recruiter will have a timekeeping system to track employees’ shifts. Per diem healthcare employees must accurately record their shift’s start and end times to ensure they get paid properly.

Do per diem roles offer benefits like health insurance?

Typically, per diem in healthcare does not cover any medical, vision, or dental benefits. Additionally, there are no paid time off benefits or retirement plans. If you’re working per diem, you need to obtain benefits through a separate health insurance plan. Because these standard employee benefits are not available to per diem employees, the pay rate is generally higher.

Benefits of per diem roles

Is it easy to find per diem healthcare jobs? Yes, finding per diem jobs in new cities or nearby healthcare facilities is achievable. You can select per diem positions near your home, enabling you to work at familiar facilities while staying local. Whether you decide on travel per diem or local per diem roles, there are specific career advantages worth considering: 

Flexibility. Per diem allows you to work as much or as little as you want. Due to the higher pay for certain per diem positions, some healthcare professionals can work fewer hours while still earning a competitive income. Furthermore, some full-time healthcare employees may take on per diem shifts during their days off to supplement their income. You can select per diem roles based on the day, time, workplace environment and specialty that you prefer. If you choose not to pick up shifts during the week, that’s entirely your decision. This is what makes per diem a flexible option that anyone can tailor to meet their needs for extra shifts, taking time off, traveling, exploring new areas and building a career that fits their lifestyle.

Work-life balance – Having a balance between professional and personal life is essential. The ability to select your shifts based on your comfort level significantly enhances your work-life balance. Every healthcare professional knows the struggles of missing key moments like family gatherings, holidays, and birthdays or working excessive hours at the expense of spending time with friends or pursuing hobbies. With per diem healthcare, you’re not tied to a permanent position, allowing you to shape your schedule.

Per diem healthcare professionals frequently report high job satisfaction in career surveys since they feel more in control of their schedules and can take time off when needed. Working per diem often results in less burnout or exhaustion related to their work.

Gaining valuable job experience. Per diem roles enable healthcare professionals to work in various clinical settings and encounter diverse patient demographics. Per diem offers an excellent opportunity for clinicians to develop skills and gain expertise in different areas of healthcare.

While per diem roles can be challenging, there is a significant benefit to gaining firsthand experience and observing how various facilities operate. For instance, if you are a registered nurse in a small setting such as a physician’s office, you might want to explore different types of care in a busy, fast-paced hospital. Alternatively, if you are a hospital nurse anesthetist, you may take shifts at a surgery center to gain insight into various procedures.

Another benefit is valuable professional networking experience. Working alongside new clinical teams allows you to meet and collaborate with various clinical providers and helps expand your career network, which can lead to potential job opportunities. In the end, per diem healthcare roles focus on helping patients and the continuity of care, which is a priority for every healthcare facility. 

Turn to StaffDNA to find per diem jobs

StaffDNA® is the leading source for finding per diem jobs across various specialties, including nursing, allied healthcare, physical therapy and advanced practice. StaffDNA is the only tech company connecting candidates seeking per diem healthcare jobs in all specialties and settings. You can even search by location. Whether you’re looking for travel per diem positions or jobs near home, we have everything in one user-friendly app.

For per diem healthcare jobs, StaffDNA is the go-to resource for job seekers. The StaffDNA app offers a streamlined and transparent way to search, apply and get hired for per diem positions. You can easily find per diem jobs across various healthcare specialties, book the assignments you want and manage your work schedule—all in one place.

At StaffDNA, we believe it should be easy to find a job you love. Download our app today in the Apple App Store or Google Play Store

Picture of Heather Armstead at StaffDNA

Heather Armstead

VP of Per Diem Staffing

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Step into any hospital break room and you’ll observe something immediately: clinical professionals are always on the move. Nurses, doctors, radiology technicians, respiratory therapists, and so many others cover miles walking their shift, endure brutal 12-hour marathons, and juggle patient care with the physical demands of the job. When you’re this busy, having the right gear becomes necessary, not a luxury.

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Healthcare organizations face some of the toughest workforce challenges: tight budgets, lean IT teams and limited tools for sourcing, hiring and onboarding staff. Add in manual scheduling, rising labor costs and high burnout, and the pressure grows. Rolling out complex systems can feel out of reach without dedicated tech support. Even simply evaluating new technology can overwhelm already stretched-thin teams.

These challenges make it clear that technology isn’t just helpful; it’s essential for healthcare organizations. Especially when they’re striving to do more with less. Not only are healthcare organizations falling short on implementing new technology, but they’re struggling to update outdated systems. A 2023 CHIME survey found that nearly 60% of hospitals use core IT systems, such as EHRs and workforce platforms, that are over a decade old. Outdated tools can’t integrate or scale, creating barriers to smarter staffing strategies. But the opportunity to modernize is real and urgent.

Tech in Patient Care Falls Short

In healthcare, technology has historically focused on clinical and patient care. Workforce management tools have taken a back seat to updating patient care systems. Yet many big tech companies have failed when it comes to customizing healthcare infrastructure and connecting patients with providers. Google Health shuttered after only three years, and Amazon’s Haven Health was intended to disrupt healthcare and health insurance but disbanded three years later.

Why the failures? It’s estimated that nearly 80% of patient data technology systems must use to create alignment is unstructured and trapped in data silos. Integration issues naturally form when there’s a lack of cohesive data that systems can share and use. Privacy considerations surrounding patient data are a challenge, as well. Across the healthcare continuum, federal and state healthcare data laws hinder how seamlessly technology can integrate with existing systems.

Why Smarter Staffing Is Now Essential

These data and integration challenges also hinder a healthcare organization’s ability to hire and deploy staff, an urgent healthcare priority. The U.S. will face a shortfall of over 3.2 million healthcare workers by 2026. At the same time, aging populations and rising chronic conditions are straining teams already stretched thin.

Smart workforce technology is becoming not just helpful, but essential. It allows organizations to move from reactive staffing to proactive workforce planning that can adapt to real-world care demands.

Global Inspiration: Japan’s AI-Driven Workforce Model

Healthcare staffing shortages aren’t just a U.S. problem. So, how are other countries addressing this issue? Countries like Japan are demonstrating what’s possible when technology is utilized not just to supplement staff, but to transform the entire workforce model. With one of the world’s oldest populations and a significant clinician shortage, Japan has adopted a proactive approach through its Healthcare AI and Robotics Center, where several institutions like Waseda University and Tokyo’s Cancer Institute Hospital are focusing on developing AI-powered hospitals.

Japan’s focus on integrating predictive analytics, robotics and data-driven scheduling across elder care and hospital systems is a response to its aging population and workforce shortages. From robotic assistants to AI-supported shift planning, Japan’s futuristic model proves that holistic tech integration, not piecemeal upgrades, creates sustainable staffing frameworks.

Rather than treating workforce tech as an IT patch for broken systems, Japan’s approach embeds these tools throughout care operations, supporting scheduling, monitoring, compliance and even direct caregiving tasks. U.S. health systems can draw critical lessons here: strategic investment in integrated platforms builds resilience, especially in a labor-constrained future.

The Power of Smart Workforce Technology

In the U.S., workforce management is becoming increasingly seen as more than a back-office function; it’s a strategic business operation directly impacting clinical outcomes and patient satisfaction. Smart technology tools are designed to improve care quality, staff satisfaction, scheduling, pay rates, compliance and much more.

For example, by using historical data, patient acuity, seasonal trends and other data points, organizations can predict their staff needs more accurately. The result is fewer gaps in scheduling, fewer overtime payouts and a flexible schedule for staff. AI-powered analytics can help healthcare leadership teams spot patterns in absenteeism, see productivity and forecast needs in multiple clinical areas in real-time. Workforce management tools can help plan scheduling proactively, rather than reactively. It’s a proven technology tool that can help drive efficiency and reduce costs.

Why So Many Are Still Behind

Despite the clear benefits, many healthcare organizations are slow to adopt smart tools that empower their workforce. Several things are holding them back from going all-in on technology:

Financial Pressures

Over half of U.S. hospitals are operating at or below break-even margins. For them, investing in new technology solutions is financially unfeasible. Scalable, subscription-based and even free workforce management tools are available, but most organizations are unaware of or lack the resources to source these products. Workforce management tools can deliver long-term return on investment for most organizations. Taking the time to understand where the value lies and which tools to invest in needs to happen.

Outdated Core Systems

Many facilities still depend on legacy technology infrastructure that lacks real-time capabilities. Many large players in the healthcare workforce management industry dominate hospital systems. Other smaller, real-time tools that offer innovative solutions to scheduling, workforce hiring, rate calculators and more are available at a fraction of the cost.

Competing Priorities and Strategic Blind Spots

Healthcare organizations and hospitals have many high-priority business objectives and regulatory demands. Digital transformation naturally falls down on the priority list, which causes them to miss improvements that can lead to long-term stability. With patient care and provider satisfaction at the top of the priority mountain, technology changes can be easily missed or shoved to the side when other business objectives are perceived to “move the needle” more.

Poor Change Management

Even the best technology efforts can fail without the right strategy for adoption and support from senior leadership. Resistance from staff, lack of training, or poor rollout communication can undermine success. Effective change management—clear leadership, role-based training and feedback loops—is essential.

Faster than the speed of technology

Change needs to come quickly to healthcare organizations in terms of managing their workforce efficiently. Smart technologies like predictive analytics, AI-assisted scheduling and mobile platforms will define this next era. These tools don’t just optimize operations but empower workers and elevate care quality.

Slow technology adoption continues to hold back the full potential of the healthcare ecosystem. Japan again offers a clear example: they had one of the slowest adoption rates of remote workers (19% of companies offered remote work) in 2019. Within just three weeks of the crisis, their remote work population doubled (49%), proving that technological transformation can happen fast when urgency strikes. The lesson is clear: healthcare organizations need to modernize faster for the sake of their workforce and the patients who rely on providers to deliver care.

 

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