Types
of Employment
Per-Diem Nursing:
All nurses and caregivers that join our company as per-diem employees have unlimited flexibility to work as often as they like. Per-diem employees are considered “at will” employees and are under no obligation to accept shifts or work any minimum number of hours. All per-diem nurses have the option of being paid daily for any shift worked. Per-diem employees remain on our active roster and are eligible to work as long as current license, CPR, and other related documents are current. Allowing employees to retain active status gives our nurses and caregivers the opportunity to take a travel assignment and return to per-diem shift work without having to complete the application process a second time.
Local Traveler Nursing:
Local traveler contracts are typically 13 weeks and can be written to auto-renew at the end of the stated term. Nurses that sign a local traveler contract typically agree to work a minimum of 72 hours for every 14 days of the contract term. Under this agreement nurses can work a number of consecutive days to meet their hours requirement and use their free days to vacation (at any time) before their contract even ends.
Nurses that choose this agreement have the option of working when and where they prefer in San Diego so long as the minimum hourly requirement is met. There is no commitment to work a particular hospital or shift and nurses always retain the option of declining or accepting an offered shift. Local travelers are paid a weekly cost of living stipend and an hourly wage that is comparable to rates paid for traditional traveler contracts. Health insurance benefits are also available through our local traveler program. Incentives are also built-in to ensure that when shifts are offered by our clients at a time-and one half or double-time rate the contracted nurse will earn the incentive pay.
Travel Nursing:
Travel assignments typically are for
13 week durations and require the contracted nurse
to work a specific floor at a particular hospital for
the duration of the contract. Once a nurse has worked/accepted
a travel assignment at a hospital they are ineligible
to work per-diem for that facility/group for a set
duration of time after the contract ends. Pay rates
for travel contracts are typically higher than per-diem
rates and include weekly stipends, insurance benefits,
and some housing assistance. Contracts can be specially
tailored to meet the needs and preferences of most
nurses, with tremendous flexibility in regards to how
a nurse is compensated. Assignments can take nurses
from coast to coast and just about every state in between
depending on demand and the nurses’ area of expertise.
Private Duty Nursing/Care:
Caregivers and nurses
that prefer to work with a single patient in a home
setting agree to be interviewed by a patient’s family
or guardian to ensure a good match between patient
and caregiver. Private duty/care nurses and caregivers
work under the same terms as per-diem employees unless
special arrangements are made to suite the needs of
the client and agreed to by the nurse/caregiver. With
private/personal care patients there is more time and
effort given to deliver the kind of service requested
by the client. For this reason we have made several
options available to our employees that perform this
kind of work, including buyout contracts that allow
an employee of Pacifica Health and Medical to reach
and agreement for private hire at the end of a certain
period of time. Employees can, of course work with
the same client as employees of Pacifica for as long
as the client and/or employee like, with alternatives
always remaining available.
Term Buyout: In a term buyout employment agreement
the nurse/caregiver typically is under contract to
work at a specific facility for a set duration. At
the end of the contract term the facility and nurse/caregiver
each have the option to exercise a “buyout”. This means
that if the nurse/caregiver would like to continue
to work at the facility, as an employee of the facility,
the client can offer such permanent employment for
a fee paid to Pacifica Health and Medical. The term
buyout option works especially well for nurses looking
for the security and consistency of full time employment
with one facility, and has the added benefit of allowing
a nurse/caregiver and the client to determine whether
they are a “good fit” without an upfront, long-term
commitment.
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