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How much do per diem rn jobs pay per hour?

As of May 31, 2026, the average hourly pay for per diem rn in Reston, VA is $43.25, according to ZipRecruiter salary data. Most workers in this role earn between $31.01 and $59.76 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Per Diem RN, and why are they important?

To thrive as a Per Diem RN, you need a valid RN license, strong clinical assessment abilities, and experience across various healthcare settings. Familiarity with electronic health record (EHR) systems and up-to-date certifications such as BLS and ACLS are typically required. Flexibility, strong communication, and the ability to quickly adapt to different teams and environments are standout soft skills. These competencies are vital for delivering safe, effective care while efficiently integrating into new units with minimal orientation.

How does scheduling typically work for a Per Diem RN, and what level of flexibility can I expect?

As a Per Diem RN, you have the flexibility to choose your shifts based on your availability, which makes this role ideal for those seeking work-life balance or supplemental income. Scheduling is often managed through online portals or direct communication with nurse managers, and you may be asked to fill shifts on short notice to cover staff shortages or peak periods. While you have control over your schedule, keep in mind that the most shifts are often available during weekends, holidays, or less desirable hours. Building strong relationships with staffing coordinators and being open to various shifts can help you secure more consistent work.

What is a Per Diem RN?

A Per Diem RN is a registered nurse who works on an as-needed basis rather than having a set, full-time schedule. These nurses fill staffing gaps, cover for absences, or help during busy periods at hospitals, clinics, or other healthcare facilities. Per diem RNs often have flexibility in choosing their shifts, but they may not receive the same benefits as full-time staff. This role is ideal for nurses seeking variety and work-life balance.

What is the difference between Per Diem Rn vs Staff Nurse?

AspectPer Diem RnStaff Nurse
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentVaries daily, short-term assignments, flexible schedulingFull-time or part-time hospital or clinic settings, consistent schedule
Employment TypePer diem, as-needed basisPermanent or temporary staff position
UsageSupplemental staffing, fill-in shiftsPrimary nursing staff in healthcare facilities

Per Diem Rns are registered nurses working on a flexible, as-needed basis, often filling in for staff shortages or covering shifts temporarily. Staff Nurses typically hold full-time or part-time positions with consistent schedules in healthcare facilities. The main difference lies in employment type and scheduling flexibility, with Per Diem Rns offering more adaptability compared to the steady employment of Staff Nurses.

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Per Diem Rn jobs near you
Infographic showing various Per Diem Rn job openings in Reston, VA as of May 2026, with employment types broken down into 2% As Needed, 68% Full Time, 25% Part Time, 1% Temporary, and 4% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $89,969 per year, or $43.3 per hour.
Clinical Nurse, RN - Per Diem Level III | Neonatal Intensive Care Unit (NICU) | Days

Clinical Nurse, RN - Per Diem Level III | Neonatal Intensive Care Unit (NICU) | Days

Howard University Hospital

Washington, DC • On-site

Full-time

PTO

Posted 29 days ago

Howard University Hospital rating

7.6

Company rating: 7.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

232nd of 990 rated hospitals

Job description

Description
Clinical Nurse, RN - Per Diem Level III | Neonatal Intensive Care Unit (NICU) | Days
Howard University Hospital | Washington, DC
Role Summary
The Clinical Nurse - Per Diem (RN) is a Registered Nurse reporting to the Clinical Nursing Administrator and embedded in the Howard University Hospital Neonatal Intensive Care Unit - part of a comprehensive Women and Infant Services program serving the Washington, DC metro area. Through collaboration with the interdisciplinary team, you will deliver safe, effective, patient- and family-centered care to critically ill and medically complex neonates across the full spectrum of acuity. You will exemplify HUH's CARES values, adhere to ANA standards of practice, and fulfill our nursing mission and vision.
What You'll Do
  • Perform comprehensive neonatal assessments and develop individualized, evidence-based plans of care for critically ill and medically complex neonates across the full spectrum of acuity, including preterm, surgical, and medically complex patients
  • Manage and titrate complex respiratory support modalities including conventional mechanical ventilation, high-frequency oscillatory ventilation (HFOV), CPAP, and high-flow nasal cannula (HFNC); recognize and respond to changes in respiratory status
  • Initiate and maintain vascular access including umbilical venous catheters (UVC), umbilical arterial catheters (UAC), and peripherally inserted central catheters (PICC); perform continuous hemodynamic monitoring and interpret arterial waveforms
  • Administer high-risk neonatal medications including vasopressors, inotropes, sedatives, total parenteral nutrition (TPN), and surfactant safely per protocol; recognize and respond to adverse effects
  • Monitor for and manage thermoregulation using isolettes and radiant warmers; implement and maintain developmentally supportive care practices including NIDCAP principles, positioning, and environmental modification
  • Recognize and escalate neonatal emergencies including respiratory failure, cardiovascular decompensation, sepsis, seizures, necrotizing enterocolitis (NEC), and intraventricular hemorrhage (IVH); participate in emergency drills and resuscitation events
  • Initiate and manage phototherapy for hyperbilirubinemia; monitor bilirubin trends and recognize indications for escalation
  • Support family-centered and family-integrated care by engaging parents and caregivers as active partners; facilitate skin-to-skin (kangaroo) care, support breastfeeding and human milk feeding, and provide education on NICU equipment, procedures, and infant cues
  • Provide compassionate, culturally responsive support to families navigating the NICU experience, including those facing complex diagnoses, surgical interventions, and end-of-life circumstances
  • Document patient care, assessments, and outcomes accurately in the electronic health record; communicate irregularities and continuing care needs across nursing teams
  • Delegate tasks appropriately to non-licensed personnel and assistants
  • Adhere to infection control protocols, medication administration and storage procedures, and controlled substance regulations
  • Participate in unit performance improvement programs, and engage in education, engagement, and practice committees
  • Maintain and grow clinical knowledge through educational workshops, professional publications, and professional societies
  • Perform other duties as assigned consistent with the scope of this role

Required Qualifications
  • Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred
  • Graduate of an accredited school of nursing
  • Minimum three (3) years of bedside RN experience in a NICU setting (Level III or IV preferred)
  • Current, active RN license in the District of Columbia
  • Current BLS certification through the American Heart Association (AHA) required
  • Neonatal Resuscitation Program (NRP) certification through the American Academy of Pediatrics (AAP) required
  • Nationally recognized nursing certification in neonatal nursing (e.g., RNC-NIC) highly desirable

About Howard University Hospital
With over 150 years of caring for our community in the Washington, DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. As the nation's only teaching hospital located on the campus of a Historically Black University, we offer a superior learning environment built on groundbreaking research and exceptional patient outcomes.
What We Offer
  • Highly competitive per diem compensation
  • Flexible scheduling within defined per diem commitment
  • Professional practice environment grounded in the HUH CARES values
  • Opportunities to contribute to a respected academic and clinical institution

Please note: Per Diem positions are not benefits-eligible and do not accrue PTO. Employees may be eligible for compensation under the DC Accrued Sick and Safe Leave Act (ASSLA).
Position Details
Position TypePer Diem - Level III CommitmentDepartmentNeonatal Intensive Care Unit (NICU)ShiftDays | 7:30 AM - 8:00 PMScheduleThree (3) 12-hour shifts per week, set in four (4) week cyclesWeekend RequirementTwo weekends per month (24 hours/month)Holiday RequirementEvery other major holiday required (New Year's, Thanksgiving, Christmas). Additional coverage expected for Easter, Memorial Day, Independence Day, and Labor Day
Pay & Schedule
This is a per diem, non-exempt position. Hourly rate is $70.00/hour.
Compliance Statements
Culture of Care: Howard University Hospital supports a Just Culture that promotes accountability, learning, and patient safety.
Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.
Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process, please contact the Human Resources Department at HUHLA@huhosp.org.
Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience, education, internal equity, and other relevant factors.
Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.

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