We place RNs, LPNs and nursing leadership on travel, local contract, per diem and permanent assignments across every acuity level. Contract bill rates typically run $65–$120 per hour depending on specialty, state and urgency. Most of the country is covered by the Nurse Licensure Compact, so supply moves quickly — with the notable exception of thirteen jurisdictions where it does not.
In most states the Nurse Licensure Compact means a qualified nurse can start quickly on a multistate license. Thirteen jurisdictions sit outside it — including California, New York, Oregon, Illinois, Michigan and Minnesota — and in those markets every nurse arriving from out of state needs a single-state license first.
Those are the markets where reqs sit open longest, and where the difference between an agency that manages the application and one that emails a link is measured in weeks.
Contract for census swings, leave coverage and seasonal surge. Per diem to protect ratios without expanding core FTE. Permanent when the seat is structural.
The expensive mistake is running contract labor for eighteen months on a role that was always permanent. If we see it, we will say so — even though the contract is worth more to us. Cost comparison is published here.
Intake covers unit, acuity, ratio, EMR, shift pattern, float expectations and why the role is open. Every candidate is spoken to before submittal, with licensure and certifications verified up front.
Most of the country is covered by the Nurse Licensure Compact, so a nurse holding a multistate license can start quickly. Thirteen jurisdictions sit outside it — Alaska, California, DC, Hawaii, Illinois, Michigan, Minnesota, Nevada, New York, Oregon, Puerto Rico, American Samoa and the Northern Mariana Islands. In those markets every out-of-state nurse needs a single-state license first, and those are the markets where reqs stay open longest.
A vacancy in med-surg and a vacancy in CVICU are not the same problem. The med-surg pool is large and competes on rate and speed; the CVICU pool is narrow, and a general ICU nurse is not a substitute for someone who has managed fresh post-op hearts. We screen to the unit rather than the title, which is why we ask about drips, devices and ratios at intake rather than after the first submittal fails.
Unit, acuity, actual ratio rather than the posted one, EMR, shift pattern, float expectations, and why the role is open. That last question tells us more than the rest combined — a role open because of growth is a different sell than one open because three nurses left in a quarter.
ICU, CVICU, SICU, MICU, NICU, PICU, emergency, trauma, operating room, PACU, labor and delivery, mother/baby, med-surg, telemetry, step-down, oncology, dialysis, case management and nursing leadership.
In a compact state with a credentialed nurse in network, often two to three weeks, limited mainly by your onboarding. In a non-compact jurisdiction the nurse needs a single-state license first, which adds weeks to months depending on the board.
Bill rates typically run $65 to $120 per hour depending on specialty, state and urgency. A full breakdown of what sits inside that number is published on our cost page.
Tell us the credential, the unit and the start date. We come back with a realistic fill window and the current market rate.