Per Diem Nursing Jobs in San Antonio, Texas
Your next shift in San Antonio is waiting. Download the Switch app, pick your shifts, and start earning.
- Flexible scheduling — you pick your shifts
- Instant pay with SwitchPay
- Work at top-rated facilities in San Antonio
- 24/7 support from real people
Trusted by 10,000+ nurses across 2 million+ hours of shifts.
Fill out this quick form and we’ll get you set up.
Working as a nurse in San Antonio
Whether you’re finishing a shift near downtown, commuting from Stone Oak, or living in New Braunfels, Schertz, or Alamo Ranch, finding flexible nursing work in San Antonio shouldn’t be complicated. The city is home to a diverse healthcare community that includes nationally recognized hospitals, skilled nursing facilities, rehabilitation centers, long-term acute care hospitals, and senior living communities. That means there are opportunities for RNs, LVNs, and CNAs looking to earn extra income while building a schedule that works for them.
Major healthcare systems like University Health, Methodist Healthcare, CHRISTUS Santa Rosa Health System, Baptist Health System, and South Texas Veterans Health Care System serve patients across the region, while dozens of skilled nursing and assisted living facilities throughout San Antonio create consistent demand for qualified clinicians. The city’s large military population and growing retiree community also contribute to year-round staffing needs across post-acute care.
If you’re licensed in another compact state, Texas is a Nurse Licensure Compact (NLC) member, allowing eligible RNs and LVNs with a multistate license to practice in Texas without obtaining an additional state license. CNAs must meet Texas certification requirements.
Many healthcare professionals choose per diem work in San Antonio because it gives them flexibility around nursing school, family life, military schedules, or full-time jobs. Others simply want to avoid long cross-town commutes by picking up shifts closer to home. With Switch, you can browse available shifts, choose when you work, and get paid quickly, giving you more control over your schedule and your income.
About San Antonio
With a population of more than 1.5 million residents and nearly 2.7 million people across the metro area, San Antonio blends rich history with a growing healthcare industry. The city is famous for The Alamo, the San Antonio River Walk, Six Flags Fiesta Texas, SeaWorld San Antonio, and its vibrant food scene featuring Tex-Mex, barbecue, and local favorites. Visitors and residents alike enjoy neighborhoods like The Pearl, Southtown, Stone Oak, and the historic downtown district. Healthcare is one of the region’s largest industries, making San Antonio a popular destination for nurses searching for per diem nursing jobs, RN jobs, LVN jobs, and CNA jobs with flexible scheduling. Whether you’re a local clinician or relocating to South Texas, Switch makes it easy to find healthcare shifts throughout the San Antonio area.
Nursing pay in San Antonio, Texas
RNs working per diem across Texas are paid $43–$51.73/hr, LVNs $31.50–$35.44, and CNAs $18–$21 (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 San Antonio, 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 | $18–$21/hr top shifts to $26.25 | $17–$21/hr |
| LVN | $31.50–$35.44/hr top shifts to $43.85 | $28–$33/hr |
| RN | $43–$51.73/hr top shifts to $58.20 | $38–$48/hr |
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.
Jobs by role in San Antonio, Texas
Nearby markets
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!”
Pick your shifts
You control your schedule. Browse available shifts in San Antonio and work when it works for you.
Get paid fast
No waiting around. SwitchPay puts your earnings in your pocket the same day.
Level up with Switch Pro
Show up reliably, earn Pro status, and unlock shift priority, facility preferences, and higher pay.
FAQs about working in San Antonio
Do I need a Texas nursing license to work per diem shifts in San Antonio?
Texas is part of the Nurse Licensure Compact (NLC). If you hold a qualifying multistate RN or LVN license from another compact state, you can generally work in Texas without obtaining a separate Texas nursing license. CNAs must hold a valid Texas certification before accepting shifts.
How much do per diem nurses and CNAs make in San Antonio?
Pay depends on your license, experience, facility type, and shift demand. Weekend, holiday, and last-minute shifts may offer higher rates. With Switch, you’ll always see your pay before accepting a shift.
Does Switch have shifts outside downtown San Antonio?
Yes. Switch connects clinicians with opportunities throughout the San Antonio area, including communities like Stone Oak, Alamo Ranch, Leon Valley, Schertz, New Braunfels, Live Oak, and other nearby areas as facilities become available.
Can I use Switch while working a full-time nursing job?
Absolutely. Many nurses, LVNs, and CNAs use Switch to supplement their income while maintaining a full-time position, attending nursing school, or balancing family responsibilities. You choose the shifts that fit your schedule.