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Here's your quick checklist on how to hire per diem cnas. Read on for more details.

This hire guide was edited by the ZipRecruiter editorial team and created in part with the OpenAI API.

How to hire Per Diem Cna

Hiring the right Per Diem Certified Nursing Assistant (Cna) is critical for ensuring the smooth operation and high-quality care standards of any healthcare facility. In medium to large organizations, the demand for flexible, reliable, and skilled CNAs is higher than ever, especially as patient volumes fluctuate and staffing needs shift rapidly. A Per Diem Cna brings the agility to fill staffing gaps, cover unexpected absences, and maintain compliance with patient care ratios, all while supporting permanent staff and upholding organizational standards.

For business owners and HR professionals, the impact of hiring the right Per Diem Cna extends beyond immediate staffing needs. The right candidate can enhance patient satisfaction, reduce overtime costs, and decrease burnout among full-time staff. Conversely, a poor hiring decision can lead to increased turnover, compliance risks, and negative patient outcomes. In a highly regulated and competitive industry, every hire matters. The right Per Diem Cna not only brings technical competency but also adaptability, professionalism, and a commitment to patient-centered care.

This comprehensive guide is designed to help you navigate the complexities of hiring a Per Diem Cna, from defining the role and required certifications to sourcing candidates, assessing technical and soft skills, conducting background checks, and onboarding. Whether you are scaling up your team in a large hospital or optimizing staffing in a mid-sized facility, following best practices in recruitment and selection will ensure you attract and retain top talent. By understanding the nuances of the Per Diem Cna role and leveraging proven hiring strategies, your organization can achieve operational efficiency, regulatory compliance, and superior patient outcomes.

Clearly Define the Role and Responsibilities

  • Key Responsibilities: Per Diem CNAs are responsible for providing direct patient care under the supervision of registered nurses or licensed practical nurses. Their duties typically include assisting patients with daily living activities such as bathing, dressing, feeding, and mobility; monitoring vital signs; reporting changes in patient conditions; maintaining accurate records; and ensuring a clean and safe environment. In medium to large businesses, Per Diem CNAs may also be called upon to float between departments, adapt to varying patient populations, and quickly learn new protocols. Their flexibility and ability to integrate into different teams are essential for maintaining continuity of care during staff shortages or peak demand periods.
  • Experience Levels: Junior Per Diem CNAs generally have 0-2 years of experience and may require more supervision and orientation. Mid-level CNAs typically possess 2-5 years of experience, demonstrating greater independence, familiarity with multiple care settings, and the ability to mentor newer staff. Senior Per Diem CNAs, with 5+ years of experience, often serve as informal leaders, troubleshoot complex care situations, and may be trusted with higher-acuity patients or specialized units. Experience level directly impacts the scope of assignments and the degree of autonomy expected.
  • Company Fit: In medium-sized organizations (50-500 employees), Per Diem CNAs may be expected to cover a broader range of duties and adapt to a more generalized care environment. In large organizations (500+ employees), the role may be more specialized, with Per Diem CNAs assigned to specific departments such as ICU, Med-Surg, or long-term care. Larger facilities often require familiarity with advanced electronic health record (EHR) systems and adherence to more complex protocols. Understanding your organization's size and structure will help define the ideal candidate profile and ensure a strong fit.

Certifications

Certifications are a fundamental requirement for Per Diem CNAs, ensuring that candidates possess the necessary knowledge, skills, and legal authorization to provide patient care. The primary certification for this role is the Certified Nursing Assistant (CNA) credential, which is regulated at the state level in the United States. To obtain CNA certification, candidates must complete a state-approved nursing assistant training program, which typically includes both classroom instruction and hands-on clinical experience. These programs are offered by community colleges, vocational schools, and healthcare facilities.

Upon completion of the training program, candidates must pass a competency examination administered by the state's Department of Health or a designated testing agency. The exam generally consists of a written (or oral) test and a practical skills assessment. Successful candidates are then listed on the state's Nurse Aide Registry, which employers use to verify certification status. Some states require periodic renewal of the CNA credential, which may involve continuing education or proof of recent employment in a nursing-related capacity.

Additional certifications can enhance a Per Diem CNA's qualifications and value to employers. For example, Basic Life Support (BLS) certification, issued by organizations such as the American Heart Association or the American Red Cross, is often required for CNAs working in acute care or hospital settings. BLS certification demonstrates proficiency in cardiopulmonary resuscitation (CPR) and emergency response procedures. In specialized environments, such as long-term care or rehabilitation, CNAs may pursue certifications in dementia care, restorative nursing, or infection control, which are offered by professional associations and continuing education providers.

Employers benefit from hiring CNAs with up-to-date certifications, as this reduces liability, ensures compliance with regulatory standards, and supports high-quality patient care. During the hiring process, it is essential to verify all certifications, confirm their validity with the issuing organizations, and ensure that candidates meet any state-specific requirements. Investing in certified Per Diem CNAs not only protects your organization but also signals a commitment to excellence and patient safety.

Leverage Multiple Recruitment Channels

  • ZipRecruiter: ZipRecruiter is an ideal platform for sourcing qualified Per Diem CNAs due to its user-friendly interface, robust candidate matching algorithms, and extensive reach within the healthcare sector. Employers can post detailed job descriptions, specify required certifications, and leverage ZipRecruiter's AI-powered tools to connect with candidates who meet precise criteria. The platform's screening questions and customizable application workflows streamline the initial vetting process, saving HR teams valuable time. ZipRecruiter's database includes a large pool of healthcare professionals actively seeking per diem and flexible roles, increasing the likelihood of finding candidates with the right availability and skill set. Success rates are high, with many employers reporting faster time-to-hire and improved candidate quality compared to traditional methods. Additionally, ZipRecruiter's integration with applicant tracking systems (ATS) and communication tools simplifies scheduling interviews and managing candidate pipelines, making it a top choice for medium and large healthcare organizations.
  • Other Sources: In addition to ZipRecruiter, internal referrals remain a powerful recruitment channel. Encouraging current employees to refer qualified CNAs can yield candidates who are already familiar with your organization's culture and expectations. Professional networks, such as local nursing associations and alumni groups, provide access to experienced CNAs seeking per diem opportunities. Industry associations often host job boards, career fairs, and networking events tailored to healthcare professionals. General job boards can also be effective, especially when targeting a broad geographic area or seeking candidates with specific language skills or specialty experience. Leveraging multiple channels increases your reach and helps build a diverse, high-quality candidate pool. For best results, maintain clear communication about job requirements, scheduling expectations, and organizational values across all recruitment platforms.

Assess Technical Skills

  • Tools and Software: Per Diem CNAs must be proficient in using electronic health record (EHR) systems, as accurate documentation is essential for patient safety and regulatory compliance. Familiarity with platforms such as Epic, Cerner, or Meditech is highly desirable, especially in large healthcare organizations. CNAs should also be comfortable using basic medical equipment, including blood pressure monitors, pulse oximeters, and patient lifts. In some settings, knowledge of telehealth platforms and mobile communication tools is beneficial, enabling CNAs to coordinate care and receive assignments efficiently. Proficiency in these tools ensures seamless integration into existing workflows and minimizes training time.
  • Assessments: Evaluating technical proficiency requires a combination of written tests, hands-on demonstrations, and scenario-based assessments. Written tests can assess knowledge of medical terminology, infection control protocols, and documentation standards. Practical evaluations should include demonstrations of vital sign measurement, safe patient transfers, and accurate data entry into EHR systems. Scenario-based interviews, where candidates describe how they would respond to common patient care situations, provide insight into their critical thinking and technical competence. Incorporating these assessments into your hiring process ensures that candidates possess the necessary technical skills to perform effectively from day one.

Evaluate Soft Skills and Cultural Fit

  • Communication: Effective communication is essential for Per Diem CNAs, who must interact with patients, families, nurses, physicians, and support staff. CNAs should be able to convey information clearly, listen actively, and document observations accurately. In cross-functional teams, strong communication skills facilitate collaboration, reduce errors, and promote a positive work environment. During interviews, assess candidates' ability to articulate their experiences, respond to feedback, and adapt their communication style to different audiences.
  • Problem-Solving: Per Diem CNAs frequently encounter unexpected challenges, such as changes in patient condition, equipment malfunctions, or conflicting priorities. Look for candidates who demonstrate resourcefulness, adaptability, and a proactive approach to problem-solving. Behavioral interview questions, such as "Describe a time you had to manage a difficult patient situation," can reveal how candidates analyze problems, seek solutions, and escalate issues appropriately. Strong problem-solving skills contribute to patient safety and operational efficiency.
  • Attention to Detail: Attention to detail is critical for CNAs, as small errors in documentation, medication administration, or patient care can have serious consequences. Assess this trait by reviewing candidates' application materials for accuracy and completeness, conducting skills assessments that require precise execution, and asking situational questions about how they ensure accuracy in their work. CNAs who consistently demonstrate attention to detail help maintain compliance, reduce risk, and support high-quality care delivery.

Conduct Thorough Background and Reference Checks

Conducting thorough background checks is a vital step in the hiring process for Per Diem CNAs, given the sensitive nature of their work and the regulatory requirements of the healthcare industry. Begin by verifying the candidate's employment history, ensuring that all positions listed are accurate and relevant to the CNA role. Contact previous employers to confirm job titles, dates of employment, and performance, paying particular attention to reliability, professionalism, and any disciplinary actions.

Reference checks provide additional insights into the candidate's work ethic, interpersonal skills, and ability to adapt to different care environments. When speaking with references, ask targeted questions about the candidate's punctuality, teamwork, and response to challenging situations. This information helps validate the candidate's self-reported experience and identify any potential red flags.

Certification verification is essential. Confirm that the candidate's CNA credential is current and in good standing by checking the state's Nurse Aide Registry. For additional certifications, such as BLS, contact the issuing organization to ensure validity. Many healthcare employers also require criminal background checks, including fingerprinting, to comply with state and federal regulations. Screen for any history of abuse, neglect, or other offenses that would disqualify the candidate from working with vulnerable populations. Finally, review immunization records and health screenings, as these are often required for employment in healthcare settings. By conducting comprehensive background checks, you protect your organization, your patients, and your reputation.

Offer Competitive Compensation and Benefits

  • Market Rates: Compensation for Per Diem CNAs varies based on experience, geographic location, and care setting. As of 2024, hourly rates typically range from $18 to $25 for junior CNAs (0-2 years), $25 to $32 for mid-level CNAs (2-5 years), and $32 to $40 or more for senior CNAs (5+ years) or those working in high-demand regions or specialized units. Urban areas and large healthcare systems may offer premium rates to attract top talent, especially during peak periods or for night and weekend shifts. It is important to conduct regular market research to ensure your pay rates remain competitive and reflect current industry standards.
  • Benefits: While Per Diem roles are often associated with limited benefits, offering attractive perks can help recruit and retain high-quality CNAs. Common benefits include flexible scheduling, shift differentials, and opportunities for overtime. Some organizations provide access to health insurance, retirement plans, and paid time off for Per Diem staff who meet minimum hours thresholds. Additional incentives, such as tuition reimbursement, continuing education support, and employee wellness programs, can differentiate your organization in a competitive market. Recognizing and rewarding exceptional performance through bonuses or recognition programs also contributes to job satisfaction and loyalty. By offering a comprehensive compensation and benefits package, you position your organization as an employer of choice for Per Diem CNAs.

Provide Onboarding and Continuous Development

Effective onboarding is essential for integrating Per Diem CNAs into your team and setting them up for long-term success. Begin with a structured orientation program that covers organizational policies, patient care protocols, and safety procedures. Provide an overview of the facility layout, introduce key team members, and review expectations for communication, documentation, and professional conduct. Assign a mentor or preceptor to guide the new CNA through their first shifts, answer questions, and provide feedback on performance.

Hands-on training should include demonstrations of equipment, EHR systems, and emergency procedures relevant to the units where the CNA will be assigned. Encourage new hires to shadow experienced staff and participate in team meetings to build relationships and understand workflow dynamics. Regular check-ins during the first 30, 60, and 90 days allow managers to address concerns, reinforce training, and assess progress. Solicit feedback from the new CNA about their onboarding experience to identify areas for improvement and ensure continuous quality.

For Per Diem CNAs, flexibility and adaptability are key. Provide clear guidance on how to access shift schedules, request assignments, and communicate availability. Ensure that all necessary credentials, access badges, and logins are issued promptly to minimize downtime. By investing in a comprehensive onboarding process, you foster engagement, reduce turnover, and promote a culture of excellence and accountability within your organization.

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