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Per Diem Rn Jobs in Silver Spring, MD (NOW HIRING)

A24Group

Per Diem LPN Bowie MD 20716

Bowie, MD · On-site

$31 - $34/hr

Per Diem LPN | Bowie, MD 20716 Bowie, Maryland 20716 | Skilled Nursing / Rehabilitation | All ... Monitor, document, and promptly report changes in resident condition to the RN/supervisor and ...

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Per Diem Rn information

See Silver Spring, MD salary details

$5

$42

$79

How much do per diem rn jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for per diem rn in Silver Spring, MD is $42.85, according to ZipRecruiter salary data. Most workers in this role earn between $30.72 and $59.23 per hour, depending on experience, location, and employer.

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.

How to make $150,000 as a nurse?

Per Diem RNs can earn $150,000 or more annually by working high-demand shifts, gaining specialized certifications, and taking on multiple assignments or overtime. Increasing experience, working in high-paying regions, and maintaining flexibility in scheduling can also boost income potential.

How to make an extra $2000 a month as a nurse?

Per Diem RNs can increase their income by taking on additional shifts, working in high-demand specialties, or signing up for agencies that offer higher pay rates. Gaining certifications in areas like ICU or emergency nursing and working flexible or weekend shifts can also help boost earnings to reach an extra $2000 monthly.

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.

How to make $100,000 a year as a nurse?

Per Diem RNs can reach a $100,000 annual income by working high-demand shifts, gaining specialized certifications, and increasing their hours or working in high-paying regions. Combining multiple assignments and developing advanced skills in areas like critical care or anesthesia can also boost earning potential.

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.

What is a per diem RN job?

A per diem RN (Registered Nurse) job is a healthcare position where the nurse works on an as-needed basis, often without a fixed schedule or long-term commitment. These roles typically offer flexible hours, higher pay rates, and may require the nurse to be available for short-term assignments in hospitals, clinics, or other medical facilities.

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.
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Per Diem Rn jobs near you
Infographic showing various Per Diem Rn job openings in Silver Spring, MD as of June 2026, with employment types broken down into 20% As Needed, 33% Full Time, 37% Part Time, 3% Temporary, and 7% Contract. Highlights an 97% In-person, and 3% Remote job distribution, with an average salary of $89,127 per year, or $42.8 per hour.
Clinical Nurse (RN) - Per Diem Level II | Labor & Delivery | Days

Clinical Nurse (RN) - Per Diem Level II | Labor & Delivery | Days

Howard University Hospital

Washington, DC • On-site

Full-time

PTO

Posted 8 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

242nd of 1,001 rated hospitals

Job description

Clinical Nurse (RN) – Per Diem Level II | Labor & Delivery | Day Shift

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 Labor & Delivery 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 antepartum, intrapartum, and immediate postpartum patients. 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 rapid, comprehensive assessments and develop individualized plans of care for antepartum, intrapartum, and immediate postpartum patients across the full spectrum of acuity
  • Monitor and interpret electronic fetal monitoring (EFM) strips using NICHD terminology; communicate nonreassuring findings and escalate via SBAR and chain of command as indicated
  • Initiate, manage, and titrate oxytocin inductions and augmentations per protocol; recognize and respond to uterine tachysystole and fetal heart rate abnormalities
  • Provide skilled intrapartum nursing support through all stages of labor; assist with vaginal, operative vaginal, and cesarean deliveries; function as scrub or circulating nurse in the OR as required
  • Administer magnesium sulfate, corticosteroids, antihypertensives, and other high-risk obstetric medications safely per protocol
  • Provide immediate newborn stabilization at delivery and initiate neonatal resuscitation per NRP guidelines pending NICU response
  • Assess and manage postpartum hemorrhage (PPH) including uterine massage, fundal assessment, quantitative blood loss (QBL) measurement, and hemorrhage bundle activation
  • Recognize and escalate obstetric emergencies including shoulder dystocia, cord prolapse, uterine rupture, amniotic fluid embolism, and maternal sepsis; participate in emergency drills and debriefs
  • Establish rapport with patients and families under high-stress conditions, providing emotional, psychological, and spiritual support throughout the L&D experience; support skin-to-skin contact and early breastfeeding initiation
  • 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 Labor & Delivery setting
  • Current, active RN license in the District of Columbia
  • Current BLS and ACLS certification through the American Heart Association (AHA) required
  • Neonatal Resuscitation Program (NRP) certification through the American Academy of Pediatrics (AAP) required
  • Fetal Heart Monitoring certification required (AWHONN Intermediate or Advanced)
  • Nationally recognized nursing certification in obstetric nursing (e.g., RNC-OB) 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 II CommitmentDepartmentLabor & DeliveryShiftNights | 7:30 AM – 8:00 PMScheduleTwo (2) 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 — beginning the night before). 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 $61.00/hour (Fixed Rate).

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.