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Float Rn Jobs in North Carolina (NOW HIRING)

RN - Float Support Reports To - Director of Nursing Support Status - Exempt Shift - Varies Location - Assignments Will Be Across Entire 15 County Service Area Hourly Float Premium - $10/Hour Schedule ...

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Float Rn information

See North Carolina salary details

$12

$37

$64

How much do float rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for float rn in North Carolina is $37.67, according to ZipRecruiter salary data. Most workers in this role earn between $27.98 and $44.33 per hour, depending on experience, location, and employer.

What is a float RN?

Float RNs, or float registered nurses, are nurses who are not assigned to a specific unit or department within a healthcare facility. Instead, they move between different units as needed, filling staffing gaps and providing care wherever there is the greatest need. Float RNs must be flexible, adaptable, and skilled in multiple areas of nursing, as they may work in various specialties such as medical-surgical, ICU, or emergency departments. This role is crucial for maintaining optimal patient care during staff shortages or unexpected increases in patient volume.

What are the key skills and qualifications needed to thrive as a float RN?

To thrive as a Float RN, you need a broad clinical knowledge base, adaptability to various specialties, and an active RN license, often with experience in multiple care settings. Familiarity with different electronic health record (EHR) systems and hospital protocols is crucial due to frequent transitions between units. Strong communication, quick learning, and resilience make a Float RN stand out when adjusting to new teams and patient populations. These skills ensure safe, effective care and seamless workflow integration across diverse clinical environments.

How does the work schedule and assignment process typically function for a float RN within a hospital setting?

Float RNs usually work flexible schedules and are assigned to different units based on staffing needs, which can change daily or even during a shift. This means you may need to quickly adapt to various departments, patient populations, and team dynamics. While this variety can be challenging, it also provides the opportunity to gain diverse clinical experience and develop a broad skill set. Most hospitals provide orientation or training for float nurses to ensure they are comfortable working in multiple areas, and you’ll collaborate closely with unit staff to deliver quality patient care.

What is the difference between Float Rn vs Registered Nurse?

AspectFloat RnRegistered Nurse
CredentialsRN license, additional certifications for multiple specialtiesRN license, may have specialty certifications
Work EnvironmentMultiple units or facilities, adaptable to staffing needsSpecific unit or department, consistent environment
Employer UsageHospitals, clinics, staffing agenciesHospitals, healthcare facilities, clinics
Search/Comparison IntentFlexibility, staffing, travel nursingSpecialty, department, location

Float Rns are registered nurses who work across various departments or facilities, providing staffing flexibility. In contrast, Registered Nurses typically work within a specific unit or specialty. Both roles require an RN license and similar certifications, but Float Rns are valued for their adaptability and broad skill set, making them essential for staffing coverage in diverse healthcare settings.

What cities in North Carolina are hiring for Float Rn jobs?

Cities in North Carolina with the most Float Rn job openings:

Infographic showing various Float Rn job openings in North Carolina as of August 2026, with employment types broken down into 3% As Needed, 52% Full Time, 11% Part Time, 7% Temporary, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $78,352 per year, or $37.7 per hour.

RN - Float Support

Flat Rock, NC • On-site

$10/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 9 days ago


Key responsibilities

  • Provide direct nursing care and supervise staff in delivering nursing services to patients.

  • Support organizational staffing needs by working in various departments, locations, and shifts as assigned.

  • Assess patient health, implement treatment plans, and document patient responses to care.


Job description


Our Accolades.

Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina.

Our Benefits.Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:
  • Competitive Salaries, Reviewed Annually
  • Annual Operational Performance Bonus Opportunities
  • $0 Employee Premiums on Medical Insurance
  • Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care 
  • Medical & Dental Insurance Benefits First of the Month after Hire
  • 403B Retirement Plan with Employer Match
  • Generous Paid Time Off Package: 20+ Days of PTO Per Year
  • Up to 6 Paid Holidays
  • Employer Paid STD, LTD, & Life Insurance
  • Employer Paid Teletherapy & Telemedicine Coverage
  • Health & Dependent Care Flexible Spending Accounts
  • A Robust Employee Wellness Program
  • Up to $3k in Tuition Reimbursement Each Year



RN – Float Support


Reports To

Director of Nursing Support 

Status

Exempt

Shift

Varies

Location

Assignments Will Be Across Entire 15 County Service Area

Hourly Float Premium

$10/Hour

Schedule

40 Hour Work Week

Varies – Days, Nights, & Weekends

Service Area

Entire 15 County Service Area

Assignment Duration

2-12 Weeks

Mileage Reimbursement

At Organizational Rate

Eligible for High Mileage Driver Bonus Program

Bonus

Eligible for Annual Operational Performance Bonus

Overnight Travel

Hotel Accommodations Paid by Employer

$30-40 Per Diem for Overnight Travel Assignments




 

Summary

Provide direct nursing care and instruct/supervise the LPN and Hospice Aide staff in the delivery of nursing care to patients. The Float RN provides flexible clinical support throughout the organization based on operational need. This position is designed to provide coverage for staffing vacancies, leaves of absence, onboarding, high census, admissions, after hours, Elizabeth House, weekends, special projects, or other clinical priorities. The Float RN serves as a highly adaptable clinical resource capable of supporting multiple service lines, departments, and geographic regions. Assignments may vary in duration, location, schedule, and responsibilities based on organizational need while maintaining the highest standards of patient-centered hospice care. The Float RN is expected to work where the organizational need is greatest and may be assigned to any clinical program, department, shift, or geographic service area.

 

Essential Duties & Responsibilities

  • Practice within the scope of license, certification or registration, where applicable, and as required by law and regulation. 
  • Assess the patient's physical and mental health including the patient's reaction to illnesses and treatment regimens. 
  • Record and report the results of the nursing assessment. 
  • Plan, initiate, deliver, and evaluate appropriate nursing acts. 
  • Teach, assign, or supervise other personnel in implementing the treatment regimen. 
  • Collaborate with other healthcare providers in determining the appropriate patient and family-centered plan of care. 
  • Implement the treatment and pharmaceutical regimen prescribed by any person authorized by State law to prescribe the regimen. 
  • Provide teaching and counseling about the patient's health. 
  • Report and record the plan of care, nursing care given, and the patient's response to that care. Supervise, teach, and evaluate those who perform nursing functions and administer nursing programs and nursing services. 
  • Provide for the maintenance of safe and effective nursing care, whether rendered directly or indirectly. 
  • Accept assignments of varying lengths based on staffing needs and operational priorities. Function as a clinical resource to maintain continuity of patient care during vacancies, leaves of absence, onboarding, increased census, staffing shortages, or other operational challenges. Provide clinical support in any assigned department, region, service line, or program based on organizational need. 
  • Demonstrate flexibility by adapting quickly to different teams, workflows, patient populations, leaders, schedules, and care settings while maintaining high-quality patient care. 
  • Maintain productivity and documentation standards appropriate to each assignment.
  • Perform other duties as assigned.