Per Diem Nursing Jobs in Decatur, Texas
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Working as a nurse in Decatur
Decatur is the health care center of Wise County and one of the highest-volume per diem markets in North Texas. Wise Health System anchors the area, and the skilled nursing and long-term care communities around Decatur, Bridgeport, and Springtown generate consistent CNA and LVN demand throughout the week.
The market suits nurses in the northwest corner of the DFW area who would rather not commute into Fort Worth traffic. Shifts here are close-knit — smaller facilities where you tend to see the same residents and staff — and weekend and night coverage carries a meaningful premium.
Texas is a Nurse Licensure Compact state, so RNs and LVNs with a multistate license from another compact state can claim shifts without applying for separate Texas licensure. CNAs need to be listed and in good standing on the Texas Nurse Aide Registry.
Nursing pay in Decatur, Texas
RNs working per diem in the Decatur area are paid $43.00–$43.00/hr, LVNs $31.00–$34.88, and CNAs $19.75–$19.75 (Switch — rates paid on completed shifts, last 12 months).
Figures are the middle 50% of hourly rates actually paid to providers on completed Switch shifts over the last 12 months, including weekend and holiday premiums. Rates vary by facility and shift — you’ll see the exact rate on every shift before you claim it. As a 1099 provider you cover self-employment tax and benefits.
What nurses actually earn in Decatur, Texas
Switch rates are what providers were actually paid on completed shifts over the past year — not a starting rate. Shown against local wages for employed staff nurses.
| Role | Switch (1099 per diem) | Local staff wages (W-2) |
|---|---|---|
| CNA | $19.75/hr top shifts to $24.69 | — |
| LVN | $31–$34.88/hr top shifts to $38.75 | — |
| RN | $43/hr top shifts to $53.21 | — |
Switch figures are the middle 50% of hourly rates actually paid on completed shifts in the last 12 months, including weekend and holiday premiums; “top shifts” is the 95th percentile. Local staff wages are employed (W-2) hourly ranges from the U.S. Bureau of Labor Statistics, May 2025. As a 1099 provider you cover self-employment tax and benefits, so the two figures are not directly equivalent.
What nurses say about Switch
“Working for Switch has been a wonderful experience and has also been empowering for a busy mom like myself. I have the privilege to pick and choose my own schedule and work around my hectic schedule outside of work as a parent.”
“I have been with Switch for about five years now and the thing that I like the best about them is because they care about their workers. They pay me quickly, which is a good thing. Being with Switch brings me peace of mind. Great agency to work for!”
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FAQs about working in Decatur
How much do per diem nurses make in Decatur?
Rates vary by role, facility, and shift — nights, weekends, and holidays pay more than weekday shifts. You see the exact rate on every shift in the Switch app before you claim it, so nothing is negotiated after the fact.
Do I need a Texas license to pick up shifts in Decatur?
Texas is a Nurse Licensure Compact state, so RNs and LVNs holding a multistate license from another compact state can work here without a separate Texas license. CNAs must be active and in good standing on the Texas Nurse Aide Registry — nurse aide certification does not transfer automatically.
What kind of facilities post shifts in Decatur?
Mostly skilled nursing, rehab, long-term care, and assisted living. Shifts are typically floor care for CNAs, medication passes and treatments for LVNs, and unit supervision and assessments for RNs.
How fast do I get paid?
Once your shift is approved you can cash out the next day with SwitchPay instead of waiting for a two-week pay cycle.
What do I need to start working in Decatur?
An active license or certification, current BLS/CPR, COVID vaccination or a signed exemption form, and a current TB test. You'll take six short skills tests in the app and pass a background check. There are no reference checks.