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How much do premium pay rn jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for premium pay rn in the United States is $42.75, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $54.33 per hour, depending on experience, location, and employer.

What is the difference between Premium Pay Rn vs Registered Nurse?

AspectPremium Pay RnRegistered Nurse
CredentialsRN license, certifications for specialized areasRN license, state licensure
Work EnvironmentHospitals, clinics, urgent care, sometimes requiring overtime or night shiftsHospitals, clinics, long-term care facilities
Employer & Industry UsageEmployers offer premium pay for overtime, night shifts, or hazardous conditionsStandard nursing roles in healthcare settings

Premium Pay Rn refers to registered nurses who receive additional compensation for working overtime, night shifts, or in hazardous conditions. Regular Registered Nurses perform essential patient care duties without the added premium pay. The main difference lies in the compensation structure, with Premium Pay Rn earning extra for specific work conditions.

What is a Premium Pay RN?

A Premium Pay RN is a registered nurse who receives additional compensation above the standard base pay rate. This premium pay is typically awarded for working shifts that are less desirable, such as nights, weekends, holidays, or overtime, or for filling critical staffing needs. The purpose is to incentivize nurses to cover shifts that are more difficult to staff. Eligibility and rates for premium pay can vary depending on the healthcare facility's policies and labor agreements. Premium Pay RNs play a vital role in ensuring quality patient care during all hours of operation.

How does working as a Premium Pay RN differ from standard RN positions in terms of scheduling and team collaboration?

Premium Pay RNs often work non-traditional or variable shifts, such as nights, weekends, or holidays, to fill critical staffing needs. This flexibility can mean less predictable schedules but also offers the opportunity for higher pay rates. Premium Pay RNs frequently collaborate with a diverse range of teams and units, requiring strong adaptability and communication skills to quickly integrate and support various departments. This role can provide exposure to different clinical areas, which is valuable for broadening experience and career advancement.

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

To thrive as a Premium Pay RN, you need a solid background in clinical nursing, rapid assessment, and critical thinking, backed by an active RN license and often several years of acute care experience. Familiarity with electronic health records (EHRs), hospital protocols, and sometimes certifications like ACLS or BLS is typically required. Outstanding adaptability, communication, and teamwork skills set top performers apart, as Premium Pay RNs frequently float to various units or fill urgent staffing needs. These abilities ensure safe, high-quality care and smooth integration into new teams, which is crucial in dynamic and high-demand healthcare environments.
More about Premium Pay Rn jobs
What job categories do people searching Premium Pay Rn jobs look for? The top searched job categories for Premium Pay Rn jobs are:
Premium Pay Rn jobs near you
Infographic showing various Premium Pay Rn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 25% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $88,916 per year, or $42.7 per hour.

Registered Nurse (RN), Labor & Delivery, Full Time, Nights

Mercy

Saint Louis, MO • On-site

$2.0K/day

Full-time, Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Mercy rating

6.4

Company rating: 6.4 out of 10

Based on 207 frontline employees who took The Breakroom Quiz

638th of 887 rated healthcare providers

Job description

Find your calling at Mercy!

Overview: Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details:

Registered Nurse (RN), Labor & Delivery, Full Time, Nights

Registered Nurse (RN) – Full-Time Night Shift

Location: Mercy South
Schedule: Night Shift

Bonus:

New Grad: Internal/External$5,000

1+ years' experience $10,000

New Grad & Experienced $2,000

New Graduate Nurses Encouraged to Apply

Why Join Mercy?

Mercy is seeking compassionate and skilled Registered Nurses (RNs) to provide exceptional patient care in a collaborative hospital environment. Whether you are an experienced RN or a recent nursing graduate, this opportunity offers industry-leading incentives, career advancement, and comprehensive benefits from day one.

Featured Incentives

Up to $10,000 Sign-On Bonus for Night Shift RNs
Up to $3,000 Relocation Assistance
Stay Premium Program – Earn up to an additional $8/hour based on Mercy service
Student Loan Forgiveness for New Graduate Nurses
$2,000 Annual Tuition Reimbursement
Day-One Medical, Dental, and Vision Insurance
Employer-Matched Retirement Plan
Shift Differential Pay

RN Job Responsibilities

As a Registered Nurse, you will:

  • Deliver high-quality, patient-centered nursing care to patients across all age groups
  • Perform comprehensive patient assessments and develop individualized care plans
  • Implement, monitor, and evaluate treatment plans and patient outcomes
  • Collaborate with physicians, therapists, and interdisciplinary healthcare teams
  • Coordinate patient care activities with ancillary departments
  • Educate patients and families regarding treatment plans and recovery
  • Maintain accurate clinical documentation and compliance standards
  • Promote patient safety, comfort, and positive healthcare outcomes
  • Adhere to Mercy's Mission, Values, Service Standards, and Nursing Practice Guidelines

Required Qualifications

Education

  • Graduate of an accredited Registered Nursing (RN) program

Licensure

  • Current Registered Nurse (RN) license in the state of practice or Compact RN License
  • Must meet all applicable State Board of Nursing requirements

Certifications

  • Basic Life Support (BLS) Certification through the American Heart Association (AHA)
  • BLS may be obtained within 30 days of hire

Physical Requirements

  • Ability to lift, push, and pull up to 50 pounds regularly
  • Ability to stand and walk for extended periods throughout the shift
  • Ability to bend, twist, kneel, squat, reach, and perform direct patient care activities

Ideal Candidates

  • Experienced Registered Nurses
  • New Graduate Nurses seeking loan forgiveness and mentorship opportunities
  • Night Shift RNs looking for premium pay and sign-on incentives
  • Nurses passionate about patient-centered care, teamwork, and professional development

Apply Today

Take the next step in your nursing career with Mercy and enjoy competitive compensation, outstanding benefits, student loan assistance, relocation support, and one of the region's most attractive RN sign-on bonus programs.

Keywords

Registered Nurse, RN, Staff Nurse, Night Shift RN, Hospital RN, Bedside Nurse, Acute Care Nurse, Patient Care, BLS Certified, New Graduate RN, Registered Nursing, Missouri RN License, Nursing Jobs, Healthcare Careers, Medical Surgical Nurse, Inpatient RN, Direct Patient Care

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

keyword(s): Registered Nurse, RN, Staff Nurse, Night Shift RN, Hospital RN, Bedside Nurse, Acute Care Nurse, Patient Care, BLS Certified, New Graduate RN, Registered Nursing, Missouri RN License, Nursing Jobs, Healthcare Careers, Medical Surgical Nurse, Inpatient RN, Direct Patient Care

What Mercy employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827

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