Per Diem Nursing Jobs in Waco, Texas
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Working as a nurse in Waco
Waco sits at the center of Texas along I-35 between Dallas and Austin, with a healthcare community that keeps steady demand for nurses and CNAs. From acute care hospitals to skilled nursing, rehabilitation, and senior-living facilities across Hewitt, Woodway, Bellmead, and Robinson, Waco offers a solid mix of settings for RNs, LVNs, and CNAs who want flexible schedules.
Baylor Scott & White Hillcrest Medical Center and Ascension Providence anchor acute care in the region, while a network of skilled nursing and assisted living communities across McLennan County keeps per diem opportunities available throughout the week.
Texas is a Nurse Licensure Compact (NLC) state. If you hold a qualifying multistate RN or LVN license from another compact state, you can practice in Texas without applying for a separate Texas license. CNAs must meet Texas certification requirements.
With Switch, you browse available shifts, choose when you work, and get paid quickly — giving you more control over your schedule and your income.
About Waco
Home to Baylor University and a metro of roughly 300,000, Waco has grown quickly along the I-35 corridor — known for its riverfront, the Magnolia Market at the Silos, and an expanding healthcare and education economy. Its central location makes it a practical market for nurses picking up flexible per diem shifts.
Nursing pay in Waco, 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 Waco, 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–$32/hr |
| RN | $43–$51.73/hr top shifts to $58.20 | $38–$49/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 Waco, Texas
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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 Waco
Does Switch have shifts across Waco?
Yes. Switch connects clinicians with opportunities throughout the Waco area, including Hewitt, Woodway, Bellmead, Robinson, and nearby McLennan County communities as facilities become available.
Do I need a Texas nursing license to work per diem shifts in Waco?
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 a separate Texas license. CNAs must hold a valid Texas certification before accepting shifts.
How much do per diem nurses and CNAs make in Waco?
Pay varies by role, experience, facility type, and demand. Weekend, holiday, and high-demand shifts often pay more. With Switch, you’ll always see the exact pay before you accept a shift.
Can I pick up shifts around a full-time job or nursing school?
Yes. Many RNs, LVNs, and CNAs use Switch to add income around a full-time position, nursing school, or family life, with no minimum-hour requirements. You choose which shifts fit your schedule.