Per Diem Nursing Jobs in Palestine, Texas
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Working as a nurse in Palestine
Palestine anchors health care for Anderson County and the surrounding Piney Woods of East Texas. Palestine Regional Medical Center serves as the acute hub, and the skilled nursing and long-term care communities around town post steady CNA and LVN shifts throughout the week.
Known for its dogwood trails and railroad history, Palestine functions as a regional draw for a wide rural area — nurses commonly cover Elkhart, Frankston, and the nearby small towns in the same week. The drives are longer than in a metro, but the shifts are consistent and less contested.
Texas is a Nurse Licensure Compact state, so a multistate RN or LVN license from another compact state is valid here. CNAs must be active and in good standing on the Texas Nurse Aide Registry.
Nursing pay in Palestine, Texas
RNs working per diem across Texas are paid $43.00–$51.73/hr, LVNs $31.50–$31.50, and CNAs $17.50–$19.69 (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, measured across Texas where a role has too little local shift history to report on its own. 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 Palestine, 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 | $17.50–$19.69/hr top shifts to $21.88 | — |
| LVN | $31.50/hr top shifts to $39.38 | — |
| RN | $43–$51.73/hr top shifts to $58.20 | — |
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 Palestine
How much do per diem nurses make in Palestine?
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 Palestine?
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 — aide certification does not transfer automatically.
What kind of facilities post shifts in Palestine?
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 Palestine?
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.