In healthcare, there’s no one-size-fits-all approach to employment. Whether you’re a nurse, physical therapist, or medical tech, the type of work arrangement you choose can significantly impact your job satisfaction, financial stability, and work-life balance.
You’ve probably come across three common employment options: per diem, contract, and permanent positions. But how do you know which one is right for you?
Let’s break down the pros and cons of each option, so you can make an informed decision that aligns with your career goals and personal lifestyle.
Per Diem: Flexibility at Its Best
What is it?
Per diem (Latin for “per day”) jobs offer the most flexibility, allowing you to pick up shifts as you go. Typically, per diem workers are called in to fill gaps in staffing, and you’re not guaranteed a set number of hours each week.
Pros:
Ultimate Flexibility: You have the freedom to choose when and how much you want to work.
Higher Pay Per Shift: Per diem jobs often pay more per hour since there’s no commitment from the employer for consistent hours.
Work-Life Balance: You can take time off whenever you want, making it easier to fit in vacations, personal time, or second jobs.
Variety: If you enjoy working in different settings or facilities, per diem allows you to explore various environments.
Cons:
Inconsistent Hours: Because you’re not guaranteed shifts, your income can be unpredictable.
Limited Benefits: Most per diem roles don’t come with benefits like health insurance or retirement contributions, though some agencies offer limited options.
Less Job Security: Per diem staff can be let go more easily if the facility no longer needs extra help.
Ideal for: Healthcare professionals who want flexibility, are good at adapting to different work environments, and don’t mind the occasional unpredictability of their schedules.
Contract: Stability with Flexibility
What is it?
Contract roles are typically temporary positions that last anywhere from a few months to a year. You’re still technically a full employee of the agency that hires you, but you’re placed at a healthcare facility on a set-term contract.
Pros:
Predictable Income: Unlike per diem, contracts generally come with guaranteed hours and a set pay rate, offering more financial stability.
Potential for Higher Pay: Contracts often offer higher pay rates and additional perks like travel allowances or stipends, especially for travel nurses or allied health professionals.
Skill Expansion: Working in different facilities allows you to broaden your skills, experience, and network.
Possibility of Extension: Some contracts can be extended or even turn into permanent positions, allowing for career growth and stability.
Cons:
Limited Benefits: While some contract roles offer benefits, they may not be as comprehensive as permanent positions, or they may be short-term.
Relocation: For travel positions, you may need to relocate temporarily, which can be both exciting and stressful.
Uncertainty After the Contract Ends: Once your contract is over, you might be left searching for another contract or job, especially if your current facility doesn’t have an open permanent role.
Ideal for: Professionals who want a middle ground—stable hours, decent pay, and the flexibility to move between different settings, but without the full commitment of permanent work.
Permanent: Stability and Benefits
What is it?
Permanent positions are full-time, long-term roles at a healthcare facility, where you’re an employee of that facility. You’re offered consistent hours, job security, and often comprehensive benefits.
Pros:
Job Security: You have a permanent position, which often comes with long-term employment and consistent hours.
Comprehensive Benefits: Permanent positions typically offer benefits like health insurance, retirement plans, paid time off, and sick leave.
Career Growth: Being a permanent employee allows you to build relationships with coworkers, advance in your career, and become part of the facility’s culture.
Predictable Work Schedule: You know exactly when and where you’ll be working, offering peace of mind and a stable routine.
Cons:
Less Flexibility: You’re tied to a set schedule and may not be able to take time off as easily. It’s harder to pick up shifts elsewhere or take a break for an extended period.
Burnout Risk: The routine of working in the same facility or department can lead to burnout if you don’t manage stress or take time for self-care.
Limited Variety: You may not have the chance to work in different settings or try new roles.
Ideal for: Professionals who value stability, enjoy being part of a consistent team, and want the full range of employee benefits that come with long-term employment.
Which Is Right for You?
Your ideal work arrangement depends on what’s most important to you. Here’s a quick guide to help you decide:
Go Per Diem if: You value flexibility and can handle the unpredictability of hours and income.
Go Contract if: You want a balance of stability and flexibility with a guaranteed paycheck but are still open to exploring different locations or facilities.
Go Permanent if: You’re looking for long-term job security, benefits, and the chance to grow in a single facility.
There’s no “one-size-fits-all” answer to whether you should go per diem, contract, or permanent—it all depends on your lifestyle, career goals, and personal preferences. Whatever path you choose, we’re here to help guide you to opportunities that fit your needs.
Ready to explore your options? Contact us today to chat about per diem, contract, or permanent healthcare opportunities available to you!
