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The Best Traveling Nurse Services to Work for in 2024

The travel nursing agencies we recommend for your next short-term post

Traveling nurses often find working in different parts of the country, or even the world, exhilarating and fulfilling. Many agencies focus on matching registered nurses (RNs) with short-term working opportunities in a variety of healthcare specialties and settings across the United States and internationally. Healthcare facilities in the U.S. rely on travel nurses to meet the demand for nurses, which is expected to soar by 275,000 between 2020 and 2030.

"Being able to explore other healthcare systems and connect with other providers can help give a travel nurse new experiences and perspectives," says Rachel Norton , BSN, RN, a clinician support manager at Vivian Health , a national travel nurse hiring marketplace.  We reviewed more than 20 agencies and studied hundreds of reviews to create this list of the best travel nursing agencies. We considered factors such as company quality, customer service scores, company reputation, wage ranges, housing options, and benefits.

• Best Overall: Triage Staffing
• Best for Sick Pay: Aya Healthcare
• Best for Education: Travel Nurse Across America
• Best Customer Service: Axis Medical Staffing
• Best Track Record: FlexCare Medical Staffing
• Best Newcomer: Advantis Medical
• Best for Benefits: RN Network
• Best Recruiters: Host Healthcare
• Best for Recent Graduates: Fusion Medical Staff
• Best Job Board: TotalMed
• Our Top Picks

Triage Staffing

Aya Healthcare

Travel Nurse Across America

Axis Medical Staffing

FlexCare Medical Staffing

Advantis Medical

Host Healthcare

• Fusion Medical Staff
• See More (7)

Final Verdict

• Compare Providers
• Guide to Choosing

Best Overall : Triage Staffing

• Pay: Hourly wage paid weekly, overtime, bonuses, per diem
• Housing: Tax-free stipend or company-secured housing for 13 weeks
• Benefits: Health coverage, dental and vision coverage, life insurance, 401(k) with company match, vacation, education reimbursement
• Contracts nationwide: Yes

Triage Staffing tops our list because it provides a higher hourly wage and more frequent bonuses than its competitors. Additionally, the agency offers extensive perks, like tuition reimbursement and 401(k) on the first day.

Contracts available in all 50 states

Insurance available on first day

Paid by direct deposit each week

Dedicated support team available 24/7

Reports of poor weekend support for billing issues

Must have 2 years experience for most positions

Triage Staffing , founded in 2006, is considered by industry professionals as one of the most well-rounded travel nurse agencies among the companies listed here and in general. The company was recognized in 2023 by Inc. Magazine and Staffing Industry Analysts (SIA).

The company, which currently has about 1,500 employees, is based in Omaha, Nebraska, and has an impressive rating on Glassdoor .

Triage Staffing specializes in helping nurses and healthcare professionals find 13-week assignments across the U.S. The company strives for transparency and "to build relationships deeper than simple business transactions." Those who are hired are paid weekly (based on an hourly wage) via direct deposit.

The benefits package includes a wage, overtime, bonuses, per diems, and a housing stipend. Triage will also help its travel nurses find housing, if that's their preference. Health insurance is provided by Blue Cross Blue Shield, and those hired get dental insurance, vacation time, and a 401(k) plan.

Best for Sick Pay : Aya Healthcare

• Pay: Hourly wage, overtime, bonuses, per diem, stipends when called off
• Housing: Tax-free stipend or company-secured housing
• Benefits: Health, dental, and vision coverage; life insurance; 401(k) with company match; sick pay; wellness and fitness programs; employee assistance programs; tuition reimbursement; loan forgiveness options

Of the many benefits Aya Healthcare offers, one makes it stand out from other agencies: providing sick pay should you become ill during an assignment. You can rest assured knowing if you get sick, Aya will support you through recovery.

Benefits include sick pay (after 90 days)

Offers local and nationwide travel assignments

Requires only 1 year of experience

Insurance coverage for you and your dependents from day 1

Complaints about communication during recruitment

Large agency size might be challenging

401k eligibility begins after 4 consecutive months of work or 1 year after hiring

Aya Healthcare is one of the most talked-about travel nursing agencies around, literally. A 2017 independent study analyzed the frequency of top travel nursing companies mentioned by users on social media sites. The study concluded Aya Healthcare is the most frequently referenced in user comments.

Aya Healthcare is also one of the only travel nursing agencies that have sick pay, which begins accruing on the first day of an assignment. Nurses can earn one hour for every 30 hours worked, but it can't be used until after at least 90 days after their start date.

In addition to its rare sick pay policy, the company boasts comprehensive benefits. Travel nurses working for Aya Healthcare can start contributing to a company-matched 401k plan after four consecutive months of work for the agency, or one year after their hiring date. It also promises to cover or reimburse nurses for the cost of licensure and help them navigate and expedite the process in the states where they are assigned. Aya Healthcare offers discounts, wellness, and nutrition plans in addition to its medical, vision, and dental benefits, which are available to nurses (and their spouses and children) from their first day with the company.

Aya Healthcare has a strong online presence, including a blog and active social media accounts on nearly every contemporary platform. Its website proudly displays several company awards and accolades, including the Joint Commission's Golden Seal of Approval. The agency has placed thousands of travel nurses and allied workers nationwide and offers a program for  travel nursing from Canada .

Best for Education : Travel Nurse Across America

• Pay: Hourly wage paid weekly, overtime, bonuses, per diem (guaranteed)
• Benefits: Health, dental, and vision coverage; liability insurance; 401(k) with company match; sick pay; travel reimbursement; free continuing education; mental health resources; employee assistance program; chaplain assistance program

Travel Nurse Across America (TNAA) offers comprehensive benefits; however, its continuing education programs are what really sets the agency apart. Thanks to a partnership with Aspen University, the agency helps you earn your BSN with tuition reimbursement upon completion.

RN to BSN tuition reimbursement

RN specialty exam/recertification reimbursements

Insurance coverage available on first day

Offers free mental health resources

Per diem guarantee

Unable to see pay rates on the site

Large agency size might feel less supportive

Travel Nurse Across America (TNAA) had the highest average score when analyzing the top 10 travel nurse agency lists across several well-known sites.

Founded in 1999 in North Little Rock, Arkansas, this company was present on three "Top 10" lists in 2019, a notable feat that speaks to its history of satisfaction. According to BluePipes, TNAA was among the top 10 travel nursing agencies, one of the biggest (in terms of company size) on its 2022 list.  

TNAA uses a full-team approach to assist travelers, with specialty staff equipped to handle a variety of needs, including housing experts and clinical leadership, This agency also offers a wide array of benefits, such as low census pay, tuition reimbursement, and paid licensure fees prior to travel. Overtime is included in the payment for any extra hours worked and in every state, paid sick leave starts to accrue from day one.

TNAA also partnered with Aspen University, so individuals can get their Bachelor of Science in Nursing in 12 months. Upon completion, TNAA will even reimburse tuition expenses. It also offers reimbursements for recertification fees to certain eligible nurses.

Best Customer Service : Axis Medical Staffing

• Benefits: Health, dental, and vision coverage; 401(k) with company match; state license reimbursement; transportation stipends; continuing education

With around-the-clock support 365 days a year, Axis Medical Staffing has one of the best customer service reputations in the industry. It offers a wide array of benefits, including healthcare coverage and company-matched 401(k) plans.

Dedicated support team available 24/7/365

Wide variety of specialty contracts

Offers company matching 401(k) with immediate vesting

Can submit questions to real travel nurses

Provides quick email responses

Pays for housing and assists in securing it

Not transparent about pay rates

Doesn't include paid sick leave in benefits

User reviews for Axis remain the highest on this list. Formed in Seattle, Washington, in 2004, Axis provides several coveted benefits, including payment of paid personalized housing options (with pet deposit costs covered by the agency), as well as immediate vesting in its company-matched 401(k) plan.

This agency regularly features a new  Traveler of the Month nurse on its blog. Additionally, the Axis website has a page dedicated to Ask an Axis Travel Nurse , which features an easy submission form where a nurse can answer all your questions.

This encouraging way of connecting can provide novice or even seasoned travelers with a trusted source in the form of a nursing peer who has traveled with this specific agency several times, instead of hosting an impersonal message board. Axis also offers a live chat feature that's easily accessible on the homepage. These features earned Axis the top spot on BluePipes Best Travel Nursing Companies list in 2022.

Axis promises reimbursements and benefits similar to other companies, but it is not immediately clear from the company's website whether it offers paid sick leave.

Best Track Record : FlexCare Medical Staffing

• Benefits: Health coverage, dental and vision coverage, 401(k) with company match, state license reimbursement, transportation stipends, meals and incidentals stipend, rental car, travel reimbursement, continuing education, license reimbursement

Boasting more than 50 industry awards, including BluePipes’s 2022 Best Travel Nursing Companies list, FlexCare Medical Staffing has a track record of exceeding expectations and fulfilling its promises to traveling nurses.

Award-winning, highly reputable agency

Single point of contact for all your needs

Outstanding benefits

Features a referral program

Have to make an account to view wages

BluePipes refers to FlexCare Medical Staffing as the "most decorated travel nursing agency of all time," with more than 1,727 reviews reported. This agency obtained a gold finish on Travel Nursing Central’s 2019 list of top travel nursing companies and has consistently placed since 2014. FlexCare has also been on the Highway Hypodermics list since 2011.

FlexCare’s website touts its  Premier Traveler Access program, offering prospective travel nurses the opportunity to unlock and view pay ranges for a wide variety of open jobs, in addition to personalized alerts via text and email. This agency explains its mission to support travelers by providing a single recruiter who is able to meet every need (termed “S1NGLEPOINT” on the website) and help simplify the entire process.

This one point of contact can advocate for the traveler, assist in searching for jobs and housing, provide a transparent and competitive salary rate, as well as ensure timely payment.

Best Newcomer : Advantis Medical

• Benefits: Health coverage, dental and vision coverage, 401(k) without company match, transportation stipends, partial license reimbursement

Advantis Medical has a nurse care team available to help you every step of the way—from setting up your profile and walking you through the onboarding process to helping you find your next assignment—making it an excellent choice for those just starting out.

Excellent reviews from its travel clinicians

Quick response times from trained care team

Has a great reputation in the industry

Site offers several communication methods

Site lacks information on benefits package

No company match for 401(k)

Founded in 2018 as a subsidiary of Advantis Global, Advantis Medical's user reviews are limited in number but are glowing regarding people's experiences with the company.

Advantis Medical recruits travel nurses and places them in top institutions across the United States. The agency offers client connections with hospitals, outpatient clinics, same-day ambulatory surgical centers, as well as skilled nursing facilities.

Advantis Medical’s specialization opportunities include placements in divisions like medical-surgical (M/S), emergency department (ED), intensive care unit (ICU), labor & delivery (L&D), and more. Its benefits include highly competitive compensation packages, direct deposit available from day one, assistance with housing options, health insurance (medical, dental, vision), and a 401(k) option.

The agency also has payment incentives for referrals. To make the process as seamless as possible, Advantis Medical has a one-minute application form which could not be any easier, especially for a traveling nurse who is always on the go.

Best for Benefits : RN Network

• Benefits: Health, dental, and vision coverage; life insurance; employee assistance program; Sanvello membership; Talkspace membership; Teladoc access; credentialing assistance; continuing education; traditional and Roth 401(k); travel reimbursement; loyalty program

RN Network provides a comprehensive benefits package that includes day-one health insurance and 401(k) options, plus additional perks like access to virtual therapy and medical care.

24/7 clinical support

Transparent about pay rate

Provides access to virtual therapy and medical care

Weekly pay via direct deposit

Completion, extension, and referral bonuses

No paid time off

Complaints of lower-paying contracts

Founded in 1998, RN Network has over two decades of experience in the travel nursing industry. Its experience shows in the company's user reviews, many of which highlight its great communication, support, and benefits.

The agency provides an impressive benefits package that includes day-one health insurance with a zero-premium option, as well as a 401(k) with company match, both traditional and Roth options. RN Network also offers access to Talkspace, Teladoc, and Sanvello's mental health app—ensuring its healthcare professionals have the mental health resources they need while on assignment.

Available contracts and pay rates are transparent on their user-friendly website, which can be a rarity in the industry. The company hires RNs, LPNs/LVNs, PCTs, and surgical techs for a variety of specialties throughout the country. Only one year of clinical experience is required, and the company offers a comprehensive onboarding program to help simplify the transition.

Best Recruiters : Host Healthcare

• Pay: Hourly wage paid weekly, plus overtime, bonuses, per diem, COVID quarantine pay
• Benefits: Health, dental, and vision coverage, life insurance; 401(k) with company match; travel reimbursement

Host Healthcare recruiters are some of the best in the business, according to clinician reviews. With exceptional customer service , the company strives to make the job hunt and placement process as smooth as possible for its candidates.

Excellent customer service

Straightforward job hunt and placement process

Offers a variety of housing options, including pet-friendly

24/7 support via multiple channels

COVID-19 quarantine pay available

Can’t view facility or pay without an account

Site lacks information on reimbursement offers

Founded in 2012, Host Healthcare is a travel healthcare staffing agency that works with some of the nation's top facilities. The company has earned multiple awards over the years, including being named one of the Top Travel Nursing Companies by BluePipes.

What sets Host Healthcare apart from other agencies are its recruiters, who are consistently praised by clinicians for their exceptional customer service. In reviews, nurses rave about their recruiters being responsive, receptive, and thorough in their onboarding and placement processes. The company also offers a variety of housing options, including pet-friendly ones, to ensure you have a comfortable place to call home while on assignment.

In addition to its comprehensive benefits package, which includes health insurance, dental, and vision coverage, Host Healthcare also offers a 401(k) with company match and COVID-19 quarantine pay. If your facility quarantines you due to possible COVID-19 exposure, the company will compensate you for the duration of your time off work.

One drawback is that the company requires users to sign up for an account before viewing facilities and estimated weekly pay . However, it hires across multiple specialties and licensure types, including nursing professionals, therapy professionals, and other allied health professionals.

Best for Recent Graduates : Fusion Medical Staff

• Pay: Hourly wage paid weekly, plus overtime, per diem, and bonuses
• Benefits: Health coverage, dental and vision coverage, life insurance, 401(k) with company match, short-term disability, travel and transportation per diem

Fusion Medical offers competitive pay, comprehensive benefits, and transparent information about opportunities, and welcomes new graduates to sign up.

Transparent information for each job posting

Nationwide network

Attentive recruiters

Competitive pay and benefits

Open to new graduates

Per diem reimbursements may be less convenient for expenses like travel

Past complaints from LGBTQIA employees

Fusion Medical Staffing urges applicants to "choose your own adventure." With thousands of travel nursing positions across the U.S. available on its website, Fusion will definitely give you a lot to choose from.

Founded in 2009 in Omaha, Nebraska, Fusion doubled its size by 2016. The company racked up awards from Inc., People, and Staffing Industry Analysts for being among the best places to work and is rated 4.7 out of 5 on Indeed.com .

Assignments through Fusion Medical typically run 13 to 26 weeks and are available across a broad spectrum of nursing specialties. We particularly like how transparent the pay, terms, and benefits for each opportunity are on Fusion's website.

But what really makes the company stand out is its recruitment. Fusion offers 24/7 support and many of its travel nurses rave about their attentive recruiters. Fusion has a new graduate traveling medical job program recruiting nurses who have just finished training. Most travel nursing agencies require at least two years of experience, so Fusion may be a great choice if you're about to finish school and eager to see the country or aren't sure of where you want to call home yet.

Of note: Some LGBTQIA+ travelers and employees have complained of inclusivity issues and unsupportive leadership. In 2021, the company published a blog post about forming an oversight group dedicated to LGBTQIA+ inclusivity and support and alluded to its efforts to "grow" and "learn."

Best Job Board : TotalMed

• Pay: Hourly wage paid weekly, plus overtime, bonuses, and guaranteed hours
• Housing: Company-provided housing or stipend
• Benefits: Health insurance, dental and vision coverage, life insurance, 401(k) with company match, short-term disability up to 12 weeks plus up to 60% of monthly earnings

TotalMed is one of the biggest agencies in the business and has the job board to match. The company is known for making it easy for travel nurses to quickly find a new post in any state.

Large, well-connected agency with huge job board

Solid day-one benefits

Flexible housing options

Pay guaranteed

Generous short-term disability policy

Some nurses complain of long onboarding process

Pay is competitive, but perhaps not the highest of any agency

Focus on placing nurses in areas of urgent need

Few travel nursing agencies have a job board as full as TotalMed 's. The company leverages its wide network of partner hospital systems to offer nurses a plethora of assignments to choose from.

TotalMed prides itself on placing nurses and other medical workers in new postings quickly and prioritizes assigning workers to places urgently in need of additional staff. It offers a standard array of benefits, plus a pay guarantee and a generous short-term disability policy that covers up to 12 weeks of injury or illness with up to 60% of your pay.

Some travel nurses have complained of a protracted onboarding process, but once the initial paperwork is out of the way, most seem very happy with the company's efficiency and the quality of its recruiters. Its pay may not always be the highest of any agency, but travel nurses working with TotalMed still enjoy the benefit of payment guarantees and the confidence that a new job will almost always be available, and fast. TotalMed also goes a long way to smooth out the transition process by organizing and covering the cost of any licensing and certifications its travel nurses may need, as well as offering reimbursement for pesky costs like new scrubs.

Even though some agencies on our list require account registration to access pay rates, each one offers competitive benefits and wages. Triage Staffing is our choice for best overall travel nursing agency because of its positive reviews, superior customer service, and competitive wages. Day one 401(k) and tuition reimbursement are just a few ways it provides long-term support for travelers. 

Compare the Best Travel Nursing Agencies

Guide to choosing the best travel nursing agencies.

Travel nursing agencies are  staffing agencies  that place registered nurses and healthcare professionals in hospitals and clinics with short-term staffing needs. They often send individuals to national or international locations where there are nursing shortages.

Here are a few tips for choosing the best travel nursing agency to meet your needs.

Is a Travel Nursing Agency Right for You?

There are many advantages to working with a travel nursing agency in addition to the obvious benefit of being able to travel and explore new places. Some of the other advantages of working with a travel nursing agency include:

• Competitive pay: Travel nursing agencies offer competitive pay rates that are often higher than what you would make as a staff nurse and recruiters can help you find lucrative positions.
• Benefits : Health insurance, retirement plans, and other benefits are typically included in a travel nursing agency's compensation package.
• Housing: Travel nursing agencies often provide housing or help nurses find housing in their assignment location.
• Specialty assignments based on nursing field: Agencies can help place you in an assignment that matches your specialty, interests, and skills . Some facilities accept travelers into new specialties or a float pool that covers multiple units, as long as they have prior travel nursing experience. This is an added bonus for those who wish to explore new areas of nursing.
• Flexibility: Agencies offer a variety of assignment lengths and locations, so you can choose an assignment that fits your lifestyle.
• Perks and discounts : Free or reduced-cost continuing education courses, travel expenses, gym memberships, completion bonuses, and other perks are often available through travel nursing agencies.

How to Choose a Travel Nurse Agency

Consider the following when choosing a travel nursing agency:

• Average pay rates: Pay rate varies by agency, location, and assignment. Travel nurses often work with multiple agencies at the same time to find the best assignments and pay rates.
• Benefits package: Make sure the agency's benefits are comprehensive and meet your needs. Benefits may include health coverage , dental, vision, life insurance, short-term disability, 401K, vacation time, and education reimbursement.
• Housing options: Determine if the agency provides housing or assists with finding housing. Some nurses prefer to find their own housing, while others prefer the convenience of having the agency secure housing for them.
• Reputation: Check out online reviews and ratings to get an idea of the agency's reputation. Talking to other travel nurses who have worked with the agency is also a good way to get first-hand information.

Frequently Asked Questions

Which travel nurses are most in demand.

Staffing agencies report that demand is high for critical care and medical-surgical nurses. Emergency room staff and labor and delivery staff are also in great demand.

Do Travel Nursing Agencies Pay for Housing?

Your agency will either have housing available for you or will reimburse you for your housing expenses. If you choose to secure your own housing, most agencies will give you a stipend to help offset the cost of rent and utilities. Talk with your agency recruiter about your housing options and what will work best for you.

How Long Are Travel Nursing Assignments?

Some travel nursing opportunities can be as short as eight weeks, while others can last for up to six months at a time. There are often options and offers to extend assignments, too.

What Experience Do You Need to Be Recruited by a Travel Nursing Agency?

Most agencies require new travelers to have recent experience as a nurse—meaning you can't become a travel nurse right out of nursing school. A year or two of experience is commonly required. A qualified nurse may also need more experience to work in the intensive care unit (ICU) or another specialty area.

Can Travel Nurses Choose Where They Work?

Yes, and that's generally a benefit of the job. Some agencies work to assign candidates throughout the United States, while others place travel nurses internationally. Before deciding to work with an agency, it makes sense to find out where they place travel nurses if you have a specific placement location in mind.

Methodology

We reviewed more than 20 agencies and studied hundreds of reviews from travel nurses around the country to identify the best travel nursing agencies. We then analyzed company quality and customer service scores across multiple sources to determine which companies are most reputable. Wages, housing options, and benefits were also a top priority. We reviewed the range of assignments, as well as the quantity and quality of each agency's listings in all 50 states.

VERYWELL Health / Design by Amelia Manley

U.S. Department of Labor. U.S. Department of Labor announces $80M funding opportunity to help train, expand, diversify nursing workforce, address shortage of nurses .

Healthcare Research & Analytics. Social listening: Evaluation of travel nurse companies: Analysis of travel nurse sentiment towards travel nurse companies .

BluePipes. Best Travel Nursing Companies 2022 .

Travel Health Nurses Make a Difference

American travel health nurses association.

The American Travel Health Nurses Association (ATHNA) is the professional organization for the specialty of travel health nursing in North America. Founded in 2004, ATHNA is a 501 (c)(3) non-profit incorporated in New York. With more than 3,300 members across the United States and internationally, ATHNA is committed to professional development, networking, research, and advocacy in travel health nursing. If you provide health care services for travelers – both domestic and international – ATHNA is the nursing organization that supports you and your patients. Join us as we build our professional community!

Our Mission Statement

As the U.S. professional organization and voice for the specialty of travel health nursing, ATHNA's mission is "to advocate for nurses engaged in the care of all travelers through professional development, scholarship, evidence-based practice, and specialty board certification."

The Specialty of Travel Health Nursing

Recognized by the American Nurses Association in 2020 as a distinct nursing specialty, Travel Health Nursing is the specialized nursing practice that advances the well-being of all travelers in all phases / stages of travel, both domestic and international.

Travel health nursing professionals provide care for individuals, families, and groups through all stages of travel including pre-travel preparation, in transit support, and post travel evaluation and management. We practice in a variety of settings that include hospitals, private travel health clinics, universities, corporations, the military, public health centers, and community clinics. As clinicians, we are specially educated and trained to assess traveler health and safety risks and to provide risk management strategies that include immunizations, medications, health counseling, and referrals. Travel health nurses also function as researchers, faculty members, consultants to business and governments, entrepreneurs, and nursing leaders in this country and internationally.

ATHNA Offers Free Membership. If you provide services to travelers, please consider joining our professional association.

• Join Today!

On Saturday, June 22, 2024, ATHNA will hold its annual NED: Networking, Education and Development Day

This unique opportunity for professional development, CE credits, and face-to-face networking is offered simultaneously at multiple regional sites and is available for Members Only. Full details and registration will be available mid-April.

Not a member? Join Today!

ATHNA is proud to announce the results of our 2023 board elections. As an all-volunteer professional organization, now in its 19 th year with more than 3,200 members, the American Travel Health Nurses Association appreciates and values the energy, enthusiasm, and commitment of its officers and 16-member board of directors. Congratulations to our three new officers and a warm welcome to three new directors!

Effective July 1, these nursing professionals joined Gail Rosselot as they began their new 2-year terms on the ATHNA Executive Council:

Kathryn Reid, PhD, RN, FNP-C, CNL President

Kathryn lives in Charlottesville where she is an Associate Professor at the University of Virgina School of Nursing. Bringing to ATHNA experience in multiple clinical, administrative, and educational roles, Kathryn also serves as Director of the UVA Nursing Continuing Education Program. We are excited to have Kathryn lead the only US professional organization for travel health nursing as we approach our 20-year anniversary in 2024. Please read her inaugural President’s Message on this homepage.

Amy Manion, PhD, APRN, CPNP-PC Treasurer

Amy lives in Indiana. She is a Pediatric Nurse Practitioner at Northwestern Children's Practice, and an Associate Professor, College of Nursing, Rush University in Chicago. Amy also serves as President of the E-Chapter of NAPNAP where she brings much experience with running a virtual organization.

Susan Cruz, ANP-BC, MS, MPH, AFTM RCPS (Glasg) Certificate in Travel Health ® Secretary

A long- time member of ATHNA, Susan lives in Maine and works as an NP at the Maine General Medical Center in their Occupational Health Unit. In that unit, Sue also serves as the hospital’s primary travel health provider.

Gail Rosselot, MS, MPH, APRN-BC, COHN-S/R, FFTM, RCPS (Glasg), FAANP, FISTM, FATHNA Certificate in Travel Health ® Vice President

Gail continues in her role as VP and currently chairs the Certification Task Force to implement a Certification by Portfolio for the specialty of travel health nursing by December 2024.

ATHNA also welcomes three new directors for the 2023 to 2025 term to our board of 16: Andrea Anderson from Washington DC, Colleen Jeffery from Houston TX, and Candace McAlester also from Houston, TX. Check back next month to learn more about these three dynamic nurse leaders.

Rabies Learning Module: Free & Accredited

Rabies: dazed or confused successfully implementing the revised acip rabies vaccine recommendations.

In the May 2022 MMWR, ACIP issued modified recommendations for the use of rabies vaccine. The pre-exposure series has now been changed from 3 to 2 doses on a 0, 7-day schedule. (MMWR May 6, 2022 www.cdc.gov/mmwr/volumes/71/wr/mm7118a2.htm .)

With this reduced dosing schedule, more travelers can potentially benefit from rabies vaccination predeparture. To assist clinicians seeking to protect travelers from the potentially fatal infection of rabies, ATHNA now offers a FREE and On-Demand Educational Activity. Accredited by AANP for 1.0 contact hour of continuing education (which includes 0.5 hours of pharmacology) this program:

• Provides a basic review of rabies infection and pathogenesis
• Defines a variable incubation rate
• Includes clinic tools to teach rabies prevention: RABID
• Explains how to implement the new ACIP 2 dose rabies primary series

This learning module is suitable for NPs, RNs, MDs, DOs, PAs, Pharmacists, and anyone interested in knowing how to prevent a potentially fatal case of rabies.

This educational activity was made possible with the support of a Bavarian Nordic educational grant and is available on the ATHNA learning platform.

President's Message

ATHNA is celebrating a 20-year milestone in 2024! Our American Travel Health Nursing Association, ATHNA, was officially incorporated and launched in 2004. So much has been accomplished in 20 years! In addition to providing resources and ongoing education for travel health nurses to use in practice, ATHNA board members worked tirelessly to expand membership, secure recognition by the American Nurses Association, ANA, as a distinct nursing specialty, and partnered with the ANA to align and publish Travel Health Nursing: Scope and Standards of Practice, 1st edition . We continue to maintain active partnerships and collaborations with other key organizations affiliated with travel health issues. We hope you share in celebrating all that has been achieved for you, our travel health nurses.

Looking into the next 20 years, we are excited to be building pathways for you and all travel health nurses to become board-certified in our specialty practice. We are in the preliminary planning stages and many thanks to the many members who volunteered to help – stay tuned! This United States nationally-recognized board certification will be the first of its kind, and this is just one major example of what ATHNA is doing to advance our specialty and support you, our members.

At our December 2023 board meeting, the Board of Directors approved updates to ATHNA’s Mission Statement to reflect the addition of specialty board-certification, and our revised mission is provided below:

As the professional organization for the specialty of travel health nursing, ATHNA’s mission is to advocate for nurses engaged in the care of all travelers through professional development, scholarship, evidence-based practice, and specialty board-certification. (December 14, 2023)

So, what is coming next? Look for more information about these developments in the coming weeks and months:

1. We want to hear from you! Complete the short survey when you receive the link.

We will be sending a membership survey to your inbox very soon. We want to know what you need from ATHNA, your travel health nursing specialty organization. An important component of this survey concerns certification. We hope you will respond and enter a drawing to win some prizes!

ATHNA TravelBytes

TravelBytes are engaging, substantive, and concise posts from a variety of fellow professionals in the field of travel health. The writers strive to illuminate challenging clinical issues, share timely evidence-based recommendations, and keep you apprised of relevant global health and policy developments.

• 2024-01 – Respiratory Syncytial Virus (RSV) and CDC Immunization Recommendations Amy Manion PhD, APRN, CPNP-PC
• 2024-01 – Traveling Internationally with Medications G. Rosselot MS, MPH, APRN-BC, FAANP, FISTM, FFTM, RCPS (Glas), FATHNA

Access former TravelBytes here .

Education Resource

Travel health risks and prevention strategies are always changing. Keeping current is a challenge for our professional specialty! At various times throughout the year ATHNA posts relevant, peer reviewed content for travel health professionals to keep our travelers healthy and safe "on the road." Here is some recent content:

Are you preventing SIRVA at your clinical site? (January)

Do you know the safety guidelines for prescribing Tafenoquine? (February)

Are you using the CDC App to vaccinate with the appropriate Pneumococcal regimen? (April)

Do you know the 5Ws of sun protection? (May)

Mpox is now a WHO designated global emergency. We have resources to help you better understand this infection. (June)

FGM – female genital mutilation is not often discussed in travel health meetings. This presentation addresses a potential health risk for girls living and traveling to more than 30 nations. (September)

Health Literacy – you may be surprised at how little of your counseling messages are understood by your patients – and ways you can improve understanding. (November)

• Access content by the month here.

Zero By 30: Prevent Rabies Deaths

World Rabies Day will be celebrated on Thursday, September 28th this year, but you can start preventing traveler deaths from this deadliest of infectious diseases from rabies every time you provide pretravel counseling.

Started in 2007, Rabies Day is an annual global opportunity to bring together partners to enhance prevention and control efforts worldwide and to reflect on how rabies impacts communities around the world. World Rabies Day also marks the death anniversary of French biologist, microbiologist and chemist, Louis Pasteur, who developed the first rabies vaccine in 1885. According to the CDC, while rabies is a 100 percent preventable disease, nearly 60,000 people die from this viral infection around the world each year.

According to WHO, "The world has the vaccines, medicines, tools, and technologies to break the cycle of one of the oldest diseases." Most rabies deaths around the world are caused by dog bites (CDC, Yellow Book 2020). Zero by 30 is the WHO Global Strategic Plan for the elimination of dog-mediated human rabies deaths by 2030.

Travel health nurses have opportunities every day to educate the public about this deadly infection and to protect our travelers with avoidance education and immunization. Starting in April through a Bavarian Nordic support grant, ATHNA will offer a FREE, CE accredited, educational activity to support the Zero By 30 campaign. It will be offered on- demand and will provide nursing professionals in diverse clinical settings with up-to-date prevention guidance for their international travelers.

The long- awaited change in the rabies PrEP vaccination schedule is now official!

On May 5, CDC published the new recommendation in the MMWR. This was the final step necessary to make this shortened 2 dose schedule the US standard for pretravel immunization against rabies. We encourage nurses to read the publication in its entirety. In the fall, ATHNA plans to offer educational offerings to raise rabies awareness among all nursing professionals, understand how to administer rabies vaccine according to the latest ACIP guidelines, utilize a checklist to counsel behavioral prevention measures, and address FAQs about the updated vaccination guidelines. Remember: always educate your patients to avoid direct contact with mammals.

Use of a Modified Preexposure Prophylaxis Vaccination Schedule to Prevent Human Rabies: Recommendations of the Advisory Committee on Immunization Practices - United States, 2022

The American College Health Foundation Guide for Travel Health Practices Now Available!

ATHNA has been alerted to a new publication available to assist any travel health provider prepare university populations for international travel. Whether you work in a college setting or see college students, faculty, or administrators off-site, this text can provide helpful pre-travel guidance and information. Here is a short description of the ACHF Guide which is made available without charge through a Valneva support grant.

As institutions of higher education (IHEs) have increasingly adapted curricular and co-curricular programs to include more study abroad programs, travel health programs are becoming increasingly common in college health and well-being settings. The American College Health Foundation's (ACHF) Guide for Travel Health Practices at Institutions of Higher Education aims to assist IHEs in addressing the unique aspects and challenges of providing travel health services on campus. This comprehensive guide is meant to serve as a resource for both clinicians and non-clinicians who work with students, faculty, and staff who travel abroad. To download your guide and/or the guide's many appendices and handouts:

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Members Only Portal

Membership benefits.

In addition to the information offered on our homepage, we offer our members additional content and resources available on the Membership Portal. Not yet a member? Join today – we offer free membership and welcome your participation in the U.S. professional organization for the specialty of travel health nursing.

What does the Membership Portal Offer?

Travel Health Knowledge and Skills Travel health nurses can access foundational information for the practice of our specialty. Here you will find the Model Travel Health Nursing Curriculum and the Travel Health Nursing Glossary.

Forms Archive From time-to-time ATHNA shares new forms, checklists, and clinical tools to facilitate efficient and effective patient care. This includes the ATHNA template for a pretravel assessment questionnaire updated every year as needed, a screening tool for yellow fever vaccination, a checklist for rabies pretravel prevention counseling, and more. Members will want to adapt these documents to their own practice settings and travel populations and review and revise prn.

Career Center Members are welcome to post open positions or announce their availability for travel health nursing employment. Employers are welcome to post employment opportunities.

Membership Certificate A certificate suitable for framing is available as a download to our members.

NED Information Announcements about registration, CE topics and speakers are posted here for our members who plan to attend one of the regional and unique Networking, Education and Development conferences ATHNA offers each summer.

Announcements

U.S. Certification by Porfolio for Travel Health Nurses

With the 2020 official recognition of travel health nursing by the ANA and the subsequent publication of the foundational text for our specialty, Travel Health Nursing: Scope and Standards of Practice , the ATHNA Board of Directors is now working to achieve its next goal for our profession: the achievement of U.S. board certification.

As many of you know, there is currently no professional nursing board certification for travel health nursing in the United States. Unlike other specialties – occupational health nursing, oncology nursing, ambulatory nursing, and the like – travel health nurses have not established an equivalent national certification. Lacking a U.S. specialty credential, some nurses have undertaken international or interdisciplinary certificates and courses to demonstrate professional achievement. However, none of these are specific to professional nursing, nor do they confirm knowledge of U.S. standards of care. Acceptance of these alternatives by regulatory bodies, employers, and academic institutions is mixed.

Now that our specialty has obtained formal recognition in this country, we can proceed to establish a U.S. certification that adheres to the eligibility and renewal criteria consistent with the American Nurses Credentialing Center (ANCC) and other similar national nursing organizations. We can finally achieve equal standing with other U.S. nursing specialties.

ATHNA envisions a certification process that will feature a professional portfolio rather than an examination. We have already initiated contact with organizations that can help us achieve this milestone in the near future.

A task force of ATHNA members is assembled and working monthly on this important project. Keep checking this website for regular updates on our progress.

ATHNA is tax-exempt under Section 501(c) (3) of the US Internal Revenue Service and is registered with the NY State Charities Bureau.

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Travel Health Nursing: Scope and Standards of Practice

Do you prepare individuals and families for international travel?

As international travel returns, nurses will need to be prepared to offer travel health services according to best practices and the latest legal guidelines. An essential resource for delivering comprehensive and quality care is Travel Health Nursing: Scope and Standards of Practice, 2021 , a joint publication of the American Travel Health Nurses Association ( www.athna.org ) and the American Nurses Association.

• Did you know? Fewer than twenty percent of travelers seek pretravel services at travel health clinics; most travelers seek immunizations, medications, and counseling guidance from their primary care provider.
• Travel Health Nursing: Scope and Standards of Practice is written not only for nurses in this new specialty, but also for any nursing clinician with patients who travel
• This text is the legal foundation for the nursing care of US travelers
• If you provide any travel health services: pre-travel assessment, immunizations, or health counseling (e.g., malaria, zika, traveler's diarrhea, jet lag, altitude illness) you will find this text essential
• Post travel care is mentioned as well- Recommendations for post-travel triage and evaluation are included
• To access the Table of Contents, go to: www.nursingworld.org/~4951d0/globalassets/catalog/book-toc/2021_travel-health-nursing_toc.pdf

To purchase your personal copy or multiple copies for your clinical setting:

Immunize.org Update

Board of Director member, Lori Wolfe RN BSN MSN ABOHN-C, offers these Immunize.org updates for Winter 2024.

Remember: anyone can receive weekly free email updates from Immunization Action Coalition by registering at immunize.org.

Let's talk about vaccines; Here is the skinny below, what you can know!

Order Immunize.org's child, adult, and lifetime immunization record cards – wallet-sized, designed to last!

Immunize.org's personal immunization record cards , printed on rip-proof, smudge-proof, water-proof paper, are designed to last a lifetime. They fit in a wallet when folded. The record cards are for you to give to your patients as a permanent personal vaccination record and are sold in boxes of 250.

• Child & Teen Immunization Record Card
• Adult Immunization Record Card
• Lifetime Immunization Record Card

Make bulk purchases and receive quantity discounts. For quotes on larger quantities or customizing, or to request sample cards, call 651-647-9009 or email [email protected] .

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Award in honor of Jane Chiodini

ATHNA is not surprised, but we are very proud to announce that an award in honor of Jane Chiodini MBE MSc, RGN, FFTM RCPS (Glasg) QN has been established at the recent Annual Conference of the Faculty of Travel Medicine, Royal College of Physicians and Surgeons, Glasgow. Jane is a member of ATHNA's Executive Committee as ATHNA's Director of Communications, and she also responsible for the beautiful design of our educational web content. The award was created in honor of her years of work on behalf of the faculty, including her recent term as Dean, the first nurse to hold that position. Congratulations Jane!

Talent Amongst ATHNA Members

We are never surprised to learn that ATHNA members have many talents and passions beyond travel health nursing.

In the past, we have shared the beautiful photographs of former Secretary Diane McHugh. This month we share the blue-ribbon success of Susan Cruz, a member of our Board who provides occupational and travel health services up in Maine.

Congratulations Sue on your beautiful artwork!

Susan Cruz's Biography : Susan grew up in the hamlet of Garrison, New York, in the beautiful Hudson River Valley. Her childhood was spent walking in the woods on the mountain behind her home, on trails around one of the castles in Garrison. Her art teacher encouraged her to continue watercolor painting. She studied at Cornell University in Ithaca, NY, among the beautiful gorges, and later at Columbia University medical center along the Hudson River. After working in the medical field in such diverse places as New York City, Pennsylvania and Washington DC, living overseas in Thailand and the Philippines, and raising a family, she sought to return to her earlier passion of watercolor painting. Living in Northern Virginia, she took classes with Lou Negri and Jean Gill to resume this journey. She moved to Maine in 2010, enjoying the beauty of living on the Messalonskee stream. Here, she has pursued further study with Pat Binette and Doreen Paul-Hebda. As a board member of the Waterville Area Art Society, she has enjoyed being part of the art community here for over 10 years. She was recently selected by the Medical Center Art Committee for her own art show at the hospital in Augusta from September 2020 - March 2021. Her paintings were also selected as part of the Ebb and Flow Art exhibit, Reflections on the Kennebec River, at Common Street Arts in 2018. This year she won seven ribbons at the local Clinton Fair. Now she loves to portray the beauty all around her, both here in Maine, and to places she travels.

During This Flu Season, Don't Get Mixed-Up

In the current issue of Immunization Action Coalition's IAC Express # 1, 594 we are alerted to a recognized vaccine safety issue now that vaccines for both influenza and Covid-19 are available for co-administration. CDC is receiving reports that clinicians are making various administration errors such as patients receiving a 2021-2022 flu vaccination instead of a Covid vaccine or patients receiving two doses of Covid vaccine instead of one dose of flu and another of Covid, etc.

In a busy clinic, errors like these can occur, so the Institute for Safe Medication Practices has issued a report that recommends implementing these safety strategies to avoid errors:

• Provide staffing support
• Separate vaccination areas
• Label the syringes
• Separate the vaccines
• Identify the patient and requested vaccine
• Involve the patient/parent in the checking process
• Document lot number/expiration date
• Scan the barcode
• Provide the intended vaccine
• Report vaccine errors

Travel health nurses (THNs) are encouraged to read the full report Mix-Ups Between the Influenza (Flu) Vaccine and COVID-19 Vaccines in the October 7 issue of Medication Safety Alert.

And ATHNA recommends that every THN subscribe to IAC Express for free, weekly immunization updates:

Book Review: Do You Provide Health Services to College Students?

Not sure how to prepare study abroad students? Wondering about resources for students with anxiety or eating disorders? Looking for new ways to fund student health services?

Whether you practice within a college health service or care for college students in another setting, the newly published Principles and Practice of College Health is a worthwhile guide for delivering comprehensive quality health services to this population. Just released by Springer, this important text is edited by John A. Vaughn, M.D., Director of Student Health at Duke University since 2013 and Anthony J. Viera, M.D., Chair of the Department of Family Medicine and Community Health at Duke.

• Book Review

A Seismic Shift in US Travel Health Nursing: The Achievement of Specialty Recognition and its Implications

Richards JA, Rosselot GA J Travel Med, Volume 28, Issue 1, 2021, taaa202 https://doi.org/10.1093/jtm/taaa202

Past Presidents Julie Richards and Gail Rosselot recently published an article in the Journal of Travel Medicine about the implications of ANA specialty recognition for Travel Health Nursing here in the US. The Perspectives piece is timed to coincide with the soon to be published Travel Health Nursing: Scope and Standards of Practice. According to Julie, "We believe specialty recognition will go a long way to recognize travel health nursing professionalism and promote quality care for travelers and the communities they impact. We hope travel health professionals in all 50 states can benefit." The article details the process for specialty recognition and its benefits, including the opportunity now to establish a U.S. certification for travel health nurses comparable to other U.S. nursing certifications.

ATHNA will feature an article on this website introducing the new Scope & Standards when they become available early in 2021.

Featured Photograph

ATHNA member Gail Rosselot recently traveled to Belize. While there she saw toucans, a Jaguar, howler monkeys, and manta rays, but as a travel health nurse she found this pharmacy sign especially interesting.

Do you have a travel photo to share? In this new website feature, we'll post member favorites each month. Send your photographs to [email protected] .

Autumn in the Sylvania Wilderness Area

This month we again share the photographic talent of our Secretary, Diane McHugh. The subject this time, however, is domestic travel rather than international- in keeping with the current pattern of US family travel during the COVID19 pandemic.

Many of you may be familiar with the Boundary Waters region of Northern Minnesota where it meets Ontario. That region is well known and very popular with campers, house boating, canoeing and kayaking, but it is also rather remote, wild and untamed... This photo captures the beauty of another northern wilderness region located in Michigan's Upper Peninsula. Sylvania Wilderness is comprised of more than 18,000 acres of protected lands and is part of the National Wilderness Preservation System. It is located much closer to major metropolitan areas and yet provides a calming world apart for lucky backcountry campers, hikers, and kayakers. An occasional moose, many fish and sometimes the Northern Lights await visitors to this preserve that was once a private Sylvania Club favored by Dwight Eisenhower and Lawrence Welk among others.

As described on its website: "The old-growth forests and pristine lakes in the region provide habitat for a wide range of animal and plant life, including rare orchids, bald eagles, loons and osprey. The wilderness contains 34 named lakes, some with sandy beaches and others surrounded by record-size red and white pines. The Ottawa National Forest is comprised of nearly 1 million acres and is located in the western reaches of Michigan's Upper Peninsula. The forest's rolling, tree covered hills extend from the south shore of Lake Superior to the Wisconsin border. Lakes, rivers and waterfalls are found throughout this beautiful landscape."

Sounds like a match for any destination...

This site is designed and supported by Shoreland, Inc. , publisher of Shoreland Travax ® . Photos are supplied by Harlan Crowder . The American Travel Health Nurses Association gratefully acknowledges this contribution to the specialty of travel health nursing in the United States.

To advance nurses engaged in the care of all travelers- both domestic and international- through professional development, evidence-based practice and advocacy.

ATHNA is committed to professional development, networking, research and advocacy in travel health nursing. We offer our members resources for clinics, CE programs, a unique, regional conference day, monthly updates, regional contacts, and much more... Join ATHNA and start enjoying the many benefits of membership.

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ATHNA is the national professional association for the travel health nurse, not a "travel nurse." Travel health nursing is a recognized ANA specialty that prepares individuals, families and groups for international travel and cares for them upon return. Travel nurses are individuals who travel across the US to provide temporary, traditional nursing care at facilities where unmet staffing needs are high and supplemental staffing is needed during times of peak capacity.

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21 Best Travel Nursing Agencies Ranked [Updated For 2024]

• Kimberly Hennerfeind
• Last Updated: April 17, 2024

Looking to start your journey as a travel nurse and want to explore all of the best travel nursing agencies? Then we’ve got you covered!

While there are an overwhelming number to choose from, we aggregated data from Indeed and Glassdoor in order to determine the top-rated travel nursing agencies for 2023/2024. Best of all, the ratings on these sites come from real travel nurses who have actually worked with these companies.

So, in this post, you’ll see the top-rated travel nursing agencies and learn a little more about each one. If you want to explore an agency further, just follow the links to read our full, in-depth reviews.

We’ll also start with some recommendations based on our research to help you find companies with the best benefits, support, and more.

By the end, you’ll have a good idea of what each company offers, so you can choose the right travel nursing agency for your career goals.

Table of contents

What is the best travel nursing agency, best travel nursing agency for support, best travel nursing agency for benefits, biggest travel nursing agency, 1. axis medical staffing, 3. triage staffing, 4. fusion medical staffing, 5. travel nurses inc., 7. prime time healthcare, 8. medical solutions, 10. onestaff medical, 11. aya healthcare, 12. fastaff travel nursing, 15. travel nurse across america, 20. trustaff, what is the highest-paying travel nursing agency, start working with the best travel nursing agencies.

Axis Medical Staffing is the best travel nursing agency based on ratings from travel nurses on Indeed and Glassdoor.

However, always remember that while one agency may be a perfect fit for one travel nurse, it may be a different story for someone else.

For example, while one travel nurse may value a close relationship with their recruiter, another might be more concerned with salary or benefits.

Host Healthcare is the best travel nursing agency for those looking for robust support from recruiters. As soon as you start working with this company, you’ll have access to 24/7 support.

So, anytime you have a question or concern, you can call, text, or DM to get a quick answer. This makes it a great option for those who are new to travel nursing and might need a little extra guidance.

Of course, whether you’re a new travel nurse or a seasoned pro, there will always be times when you need to get in touch with your agency quickly.

Additionally, Host gives you access to jobs in all 50 states. All you need to do is select your desired contract location, and the company will help you find placements.

If you’re looking for a travel nurse agency with great benefits, you should check out RNNetwork . The company offers Day One benefits, meaning you’ll have access to them on the first day of your contract.

They offer a host of benefits including:

• Zero-Premium Health Insurance: Fully paid by RNnetwork, with dependant and life partner coverage.
• Prescription Pay: No-deductible for medications.
• Dental Plan: 100% coverage for preventive services and children’s orthodontic coverage.
• Vision Benefits: Coverage for lenses, glasses, frames, and exams nationwide.
• Continuing Education: Access to free, unlimited courses and licensure assistance.
• Credentialing Assistance: Full support and substantial cost coverage for licensing and certifications.
• Employee Assistance Program: Access to expert advice for financial, mental, behavioral, and legal issues.
• Life and AD&D Insurance: $50,000 coverage without requiring enrollment in a medical plan.
• Teladoc: 24/7 physician consultation services over the phone.
• Sanvello: Free access to a mindfulness app for stress, anxiety, and depression relief.
• Talkspace: 24/7 access to licensed therapists online.

We discuss some of the other reasons to choose RNNetwork later on in the complete rankings.

The largest travel nursing agency is AMN Healthcare . In fact, they owned nearly 20% of the entire market share of the industry according to a report from a few years ago.

Working with the largest agency comes with a number of advantages, like the number and diversity of available job opportunities. Additionally, you’ll receive robust support and comprehensive benefits, like free housing, 401(k), and life insurance.

Given that AMN is such a big company that’s been around since 1985, you also know they have an established reputation. The company even has exclusive deals with healthcare facilities, giving you access to even more jobs.

Overall, AMN healthcare is a option for those looking for a large travel nursing agency with access to lots of resources.

21 Best Travel Nursing Agencies Ranked

Below we ranked the best travel nursing agencies based on reviews left on Indeed and Glassdoor. In instances where there was insufficient data on these sites, we substituted Facebook reviews.

Axis Medical Staffing earned the title of best travel nursing agency for 2023 based on our aggregated data from ratings by travel nurses.

This agency was founded in 2004 and boasts lots of benefits, including:

• Assignment opportunities in every state
• A “personal touch” unrivaled by other agencies
• A nice payment structure

Though it’s a highly-rated company and travelers are eligible for healthcare benefits the first of the month following their date of hire but it is something to be aware of as there is a month wait. If this is key in your decision, there are other options that offer day-one benefits.

However, if you’re in it for the adventure, this is a great agency to work with.

2. Host Healthcare

We mentioned earlier that Host Healthcare is one of the best travel nursing agencies when it comes to support. You can contact them with questions 24/7, and their recruiters will try to find your ideal placement.

However, Host offers a number of other great benefits too. For example, the company provides access to thousands of exclusive contract positions all across the country. Some other amazing benefits they provide include:

• Day one medical coverage that lasts up to 30 days between assignments
• 401(k) matching
• Travel reimbursements
• A dedicated housing support team

Overall, because Host Healthcare offers such comprehensive support, it’s a great option for those who are new to travel nursing. However, experienced travel nurses can also benefit from working with them.

Triage Staffing operates by the motto of “real and ready.” There are tons of great reviews from their employees, and they emphasize clear and open communication.

If you’re looking to build long-term relationships and communicate with your recruiter regularly, this may be a perfect option.

Just keep in mind that they do promote a more fun and casual culture, which may not be suitable for everyone.

Also, you’ll need two years of experience if you want to work with them. However, if you don’t have the experience yet, they still encourage you to get in touch and build a relationship while you gain that experience.

Fusion Medical Staffing is the next company on our list of best travel nursing agencies.

It began as a small business in 2009, but since then has grown rapidly. They’ve even won awards for being one of the fastest-growing companies and having an excellent workplace culture.

Some of the reasons to choose Fusion include:

• They accept new graduates and provide a mentorship program
• An emphasis on social responsibility and volunteering
• An inclusive culture; for example, participating in LGBTQ+ pride events, disability fundraisers, and more

While the company does hire new graduates, the information on their website isn’t all that thorough. This can be a little scary for new travel nurses, so make sure you ask the right questions so you can decide if Fusion meets all of your needs.

Travel Nurses Inc. has been in business for over 30 years and features 24/7 clinical support. They also won the ClearlyRated Best of Staffing in both 2021 and 2022.

The agency has a robust job board, and even features a “Furnished Finder” tool that allows you to book housing options right on their website.

They provide day-one healthcare coverage and make contract transparency a priority. Your recruiter will schedule a review of your contract before you begin an assignment, ensuring all your needs are met.

While the ratings for this company on Indeed and Glassdoor are a bit sparse, this agency has lots of glowing reviews on Facebook and Google that are worth checking out.

The only thing to keep in mind is that you will need one year of experience to work TNI.

6. Atlas MedStaff

Atlas MedStaff is next in our rankings of the best travel nursing agencies, and has been around for over three decades. They place a focus on working closely with travel nurses and tailoring their contracts to fit their needs.

For example, each contract includes an “ Atlas Adventure ,” which is a unique experience that could include anything from skiing to going to see your favorite professional sports team.

Other reasons to work with this agency include:

• Great insurance and benefits options
• Paid private housing options
• Transparent and long-term relationships

Just make sure you get set up with and develop a good relationship with your recruiter. As with many other of the best travel nursing agencies, this could make or break your experience.

Prime Time Healthcare has been recruiting healthcare professionals for over 15 years.

If salary is a top priority, this may be a good agency to work with. Their travel nurse salary tends to go above average and offer great secondary perks, like:

• An excellent range of benefits
• Referral bonuses
• Paid travel

Keep in mind that Prime Time tends to work with elite-level healthcare professionals.

Also, this agency doesn’t only find placements for travel nurses. They also fill positions for per diem nursing and permanent positions.

If you want an agency solely focused on travel nursing, you may want to look somewhere else. However, if you want to build a long-term relationship with a company and eventually move out of travel nursing, this could be a perfect fit.

Medical Solutions is an agency that focuses on custom-tailored contracts for their travel nurses.

In fact, before a nurse agrees to a contract, a consultant from the agency will speak with them about what is most important to them.

While each contract will be different depending on the needs of each nurse, you can expect:

• An excellent 401(k) plan
• Loyalty bonuses
• Health benefits
• Employee assistance program

While the contract flexibility and customization can be great for travel nurses who know exactly what they want, all the options could be overwhelming if you’re not sure.

If you’re new to travel nursing, it may be better idea to go with an agency offering standard contracts that have been tried and tested by lots of nurses before you.

9. RNnetwork

RNnetwork ranks number four on our list of best travel nursing agencies.

This agency gives you the best of both worlds. While they have a personal and friendly approach to working with travel nurses, they also have the resources of a huge staffing company. This is because they are owned by a parent company called CHG Healthcare Services.

Other benefits of working with RNnetwork are that they:

• Only focus on travel nursing
• Provide great compensation and benefits
• Have an easy-to-use job search platform

Just be wary of the fact that your experience may vary depending on the recruiter you are matched with. The wrong recruiter could leave you with a subpar experience.

OneStaff Medical boasts experienced recruiters and dedication to the nurses they work with.

If you choose this agency, you’ll be able to contact a representative 24/7, 365 days a year. This way, if any problems come up, you can start finding solutions immediately.

They also provide communication on assistance with career goals and help in meeting your travel expectations.

Like most of the agencies on this list, you’ll have access to standard benefits and plenty of housing options.

However, OneStaff tends to work with travel nurses with at least two years of experience.

There have also been complaints of lack of cooperation between the agencies’ departments. Though they may be isolated instances, it’s a good idea to be wary.

Aya Healthcare is one of the biggest and best-known travel nursing agencies in the United States.

Due to their size and reputation, they feature a huge selection of assignments to choose from.

Other advantages of working with this agency include:

• Day-one benefits
• Credentialing and paperwork support
• Scholarships and education assistance

If you want to work with an agency with lots of resources, you should definitely consider Aya.

However, just remember that their size may mean you can’t build the same type of relationship you could with a smaller agency.

If having a “personal touch” is important to you, this may not be the best option.

Fastaff Travel Nursing specializes in “Rapid Response” healthcare staffing. This means they staff facilities in desperate need of nurses during times of crisis, like environmental disasters or extreme staffing shortages.

This agency offers some of the highest pay rates to travel nurses. However, this is largely because the assignments tend to be more difficult given their “Rapid Response” specialization.

If salary is top priority, this may be just the agency for you.

However, keep in mind that you’ll likely need to be ready to start working within 48 hours of accepting a position.

These more difficult assignments also tend be a better fit for more experienced nurses. Their culture is more professional and less friendly because of the urgent nature of most of their placements.

We mentioned earlier in this article that AMN is the largest travel nursing agency, giving you access to a bigger pool of exclusive jobs and resources.

However, there are lots of other great things about this travel nursing agency too. For example, they offer a host of benefits, like:

• Free and high-quality private housing
• Medical, dental, and vision insurance
• 401(k) and flex spending accounts
• Life insurance
• Free continuing education courses
• Discounts on things like computers, cell phones, hotels, car rentals, gym memberships, and more

Perhaps most noteworthy is their mobile app. With the AMN Passport app, you can receive personalized job alerts, view time and pay details, and organize your credentials.

Overall, AMN is likely best for travel nurses with a bit of experience under their belt. However, if you’re looking for an agency with robust resources and great benefits, this could be the right fit.

14. Aureus Medical

Aureus Medical has been around for over 35 years, and they promote a highly-personalized approach to travel nursing.

Every nurse has a dedicated recruiter. However, if the recruiter is unavailable, there is always someone to offer support 24/7.

The agency also boasts:

• Long-standing relationships with healthcare facilities
• A dedicated housing and travel department
• Robust benefits

One thing to keep in mind, however, is that the agency is rather large. So, despite having a dedicated recruiter, you may have to deal with a number of different staff members.

Unfortunately, this means information can sometimes slip through the cracks, meaning you may have to repeat yourself if your information isn’t passed along by their staff members.

Travel Nurse Across America has been around since 1999. They’ve often been featured in top ten lists for travel nursing agencies, and they’re considered one of the most reputable in the nation.

The agency boasts great relationships with its client facilities and a clear and transparent company culture.

One of the best things about TNAA is their benefits. They send an Assignment Benefit Summary before each assignment begins.

If you’re looking to put in some extra hours, you may also be able to take advantage of “TNAA Boost Pay.” This is a special rate you receive if you work an extra shift.

The agency also features other typical benefits, and even pay protection if one of your shifts gets cancelled.

While the company does boast a robust job board, it doesn’t publish pay rates on third-party sites when promoting job opportunities. This could be frustrating when looking for a position that fits your compensation needs.

16. Krucial Staffing

Krucial Staffing specializes in staffing healthcare facilities in urgent need of nurses.

This means the assignments tend to be in more high-risk, emergency areas. It also means you’ll typically need to be ready to start working within 48 hours.

While these assignments are certainly more challenging, you’ll also be compensated for that extra difficulty.

Additionally, you’ll receive:

• Extra benefits through Krucial’s partnerships
• Excellent housing options

If you’re up for a challenge and want access to a wide variety of assignments that tend to be shorter in length, this may be the right option for you.

NuWest has been around for about 25 years and prides itself on the quick deployment of travel nurses. In fact, they typically send nurses to an assignment within 72 hours.

This agency has a smaller feel and a more personal touch. It also offers competitive pay rates and all the benefits you’d expect from a travel nursing company.

The downside is that they have a smaller number of available assignments compared to some other agencies. They mainly staff facilities in:

However, if you’re a travel nurse looking to work in one of these states and you’re prepared for quick deployment, NuWest may be a good fit.

18. TotalMed

TotalMed Staffing provides healthcare facilities travel nurses and helps nurses find local jobs.

If you’re a travel nurse looking to cover all your basics, this agency may be a good option. They have a large network and robust online job board, meaning you’ll have lots of assignments to choose from.

The company also provides:

• Day one benefits
• Credentialing and paperwork assistance
• Educational and professional support

One thing to be wary of is that some nurses have complained about a long onboarding process. However, for most nurses, the process has not been a problem.

Maxim Healthcare Staffing has been around for over three decades. In addition to travel nurses, they also staff for home healthcare and wellness services. The company employs more than 65,000 healthcare professionals in the United States.

The agency offers competitive pay rates and placements at some of the best facilities in the country.

Like some of the other travel nursing agencies on this list, a lot of the travel nursing assignments tend to be in high-stress, high-volume areas.

While this will earn you a higher paycheck, it may not be the best fit for newer nurses.

Another thing to keep in mind is that the agency has been a bit slow to resolve paycheck issues in the past. While the problems were always resolved, it could add more stress to an already stressful placement.

Trustaff has been matching travel nurses with hospitals for over two decades.

One thing that makes this agency stand out is their superb communication and helpful staff. They have an active support line with people ready to help you out.

They offer everything you’d expect from a travel nursing company, including:

• Health insurance
• Start and completion bonuses

However, assignment length can be inconsistent when working with Trustaff. Most assignments last 13 weeks, but they could end up being shorter or longer.

If you need a more consistent schedule, this may not be the best fit.

Nomad boasts one of the best and most streamlined digital marketplaces for finding travel nursing assignments. Also, their pay packages tend to be on the higher end of the spectrum.

A few other upsides to working with this agency include:

• Licensure reimbursement
• Medical, dental, and vision benefits

However, some travel nurses that worked with the company reported that there was poor communication. This could be a huge problem, especially if you’re new to travel nursing.

Nomad Travel Nursing is part of the broader Nomad Health platform, so it may be easy to get lost in the shuffle of such a big company.

It’s worth noting that there are plenty of both 5 and 1 star ratings, so it may just depend on the recruiter you end up working with.

There is no single travel nursing agency that pays the most. In fact, all the agencies on this list provide competitive rates.

If you’re looking to make as much money as possible from your contract, you should focus on factors like location and the type of contract.

For example, travel nurses have a much higher earning potential in states like California or New York compared to states like Arkansas or Kentucky. Just keep in mind that the cost of living is also greater in the former states than the latter.

Additionally, a more specialized nursing role will typically pay more than a general RN role. So, if you want to make more money, consider earning certifications or getting an advanced degree.

Whichever agency you choose, travel nursing salaries are much higher than resident registered nursing salaries. The average annual salary for a travel nurse is $106,030 per year, compared to resident RN salaries at $82,750 per year.

While Axis Medical Staffing is the top-rated travel nursing agency in 2023, the company that’s right for you will depend on your priorities.

Don’t be afraid to explore multiple options before making your final decision. This will ensure you secure the best contract possible.

If you’re reading to start working as a travel nurse, then start traveling now !

Kimberly Hennerfeind is a freelance writer and registered nurse with expertise in health, medical and legal content at Nursing Notes, LLC. Her almost 30 years of nursing include neonatal/pediatric critical care, and legal nurse consulting. She spent several years as a travel nurse in Tennessee and Texas in large children’s hospitals. She lives near Nashville, TN with her family and beloved dogs.

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Home / Nursing Careers & Specialties / Travel Nurse

Travel Nurse

What is a travel nurse, how to become a travel nurse, travel nurse faqs, what does a domestic or international travel nurse do, travel nurse salary and employment, helpful organizations, societies, & agencies.

Travel nurses are RNs from various clinical backgrounds who work for independent staffing agencies. They are assigned to different care areas on a temporary basis to fill in short-term employment gaps.

Travel nursing is a specialty that took root when the field of nursing faced a nationwide shortage. Hospitals, clinics, and other care areas had unfilled positions, yet had patients needing care. To try and attract nurses to the open positions, employers offered higher pay, housing, and covered the cost of relocating.

Due to these shortages, health care facilities have vacancies that need to be filled—and travel nurses are often the ones to fill open positions. Not only do travel nurses work in health care in any state in the country, but they also work outside of the United States as international travel nurses. The adventure and excitement of new opportunities, along with higher-than-average pay, are facets of travel nursing that many RNs find attractive.

Why Are Travel Nurses Important?

Travel nurses are an important part of the health care team because they help bridge the gap between supply and demand in the field of nursing. Mandatory nurse-patient ratios have led to increased patient safety and lower patient mortality . While this is a positive finding, and more and more states are passing legislation to implement staffing ratios, there are not enough nurses to fill the openings. Travel nurses assigned those open positions help to increase patient safety and improve patient outcomes.

Additionally, nurses from different educational backgrounds, care areas, and geographic locations bring a great deal to the practice of nursing. Sharing ideas and practices not only benefits patients, but also other nurses.

A travel nurse should have the following characteristics to excel in the role:

• Enjoys experiencing new cities, towns, and organizations
• Enjoys freedom. Travel nurses choose when and where they work, and choose their duration of employment
• Enjoys flexibility. Travel nurses create their schedules, benefits packages, and income based on which agency they choose to work
• Thrives on challenges. Moving to different states or overseas and being “the new nurse” repeatedly is challenging. Learning new organizational systems and workflows is particularly challenging
• Loves learning new things. Each assignment takes travel nurses to new health care facilities, some with higher levels of technology or different standards of practice. Each experience helps nurses build upon their knowledge base

Additionally, travel nurses should have supportive families and friends. It's difficult to either pack up and move an entire family or leave your family and friends behind. The flip side to this is that new relationships are formed in each new location.

What Are the Educational Requirements for Travel Nurses?

Those interested in the specialty of travel nursing should first pursue a nursing degree through a two or four-year university. Obtaining an associate's degree ( ADN ) or bachelor's degree ( BSN ) in nursing is required. A BSN is not required to be a travel nurse, but some health care facilities only hire BSN-prepared nurses. The staffing agency in which the nurse is employed should match the nurse appropriately based on educational requirements.

After completion of an accredited nursing program, successful completion of the NCLEX-RN is required for licensure.

Most travel nurse agencies require a minimum of one year of hands-on experience in the chosen specialty of nursing. Additionally, some agencies will only hire BSN-prepared RNs. International travel nurses should speak the language of the country they are to practice in, as communication is an important part of effective healthcare delivery. Nurses are encouraged to research agencies when considering travel nursing.

Are Any Certifications or Credentials Needed?

No additional exams are required for travel nursing. Based on the specialty, certification(s) may be required. Examples include:

• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS) may be required
• Stroke care certification
• Telemetry certification
• Advanced Cardiac Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Critical care nursing (adults, pediatric, neonatal)
• Pediatric Advanced Life Support (PALS) may be required
• Neonatal Resuscitation Program (NRP) certification
• Neonatal Resuscitation Program (NRP)
• Trauma Nurse Core Course (TNCC) certification

Additional specific requirements may be necessary for international travel nurses. These include:

• Acquiring a passport and work visa (usually handled by the agency)
• Additional immunizations
• Learning a new language
• Learning about diseases unique to the area

How Can a Travel Nurse Receive a Tax-Free Housing Stipend?

Housing is one of the most significant concerns for a travel nurse. There are a few options available, and it depends on the travel nurse agency/company regarding how accommodations are set up. Some companies provide housing (i.e., apartment, duplex, etc.). Some companies offer a housing stipend, or a fixed amount of money each month to apply towards housing.

First, nurses need to be aware of where their “tax home” is, as stipends are tax-free if working away from the tax home. Having a tax home is necessary to receive tax-free housing. A "tax home" is defined as the general vicinity of an individual's primary place of work (regardless of where the primary residence is). Generally, the IRS considers someone traveling away from home (i.e., their "tax home") if it exceeds one workday.

Different travel nurse agencies offer different stipends - it’s important to research what the living expenses are in a specific area to ensure housing is adequately covered. The General Services Administration (GSA) lists the maximum daily amount for lodging, meals, and incidentals with regards to travel expenses . The key word is MAXIMUM. It's not required that a company pay employees the listed stipend. In fact, some travel nurse agencies offer higher hourly wages instead of housing stipends. Additionally, the GSA rates are based on short-term travel - usually less than a month. Travel nurse contracts can last three months or more.

Are Nursing Licenses Valid When Traveling and Working in Other States?

Those interested in travel nursing may have questions about licensing; specifically, how are licenses recognized if practicing in another state.

Depending on the state, new licensure is not necessary. The National Council of State Boards of Nursing (NCSBN) developed the Nurse Licensure Compact which is an agreement between specific states to recognize nursing licenses without having to apply separately for licensure in another state. In other words, a nurse living in a "compact state" (one which is part of this agreement) can practice in another compact state without having to obtain additional licenses. There are now uniform licensure requirements that must be met when seeking a multistate license under the compact agreement. States that participate in the compact agreement can be found on the NCSBN website .

If not part of the compact agreement, some states allow nurses to obtain temporary licenses by endorsement. These are valid for specific lengths of time, so nurses must visit each state’s Board of Nursing website to determine specific temporary license requirements. If extending the assignment past the temporary license time frame, nurses must apply for a permanent license. Permanent licenses are also required for states that don't grant licensure by endorsement and don't participate in the NLC.

Travel nurses have a broad range of responsibilities and duties, and specific tasks depend on the specialty in which the nurse is trained. General nursing responsibilities and duties include:

• Using the nursing process of assessing, diagnosing, planning, implementing, and evaluating to care for patients in a variety of healthcare settings
• Administering medications, and fluids, assisting with activities of daily living and patient mobility
• Reviewing and interpreting diagnostic tests such as lab work and imaging
• Provide monitoring and oversight in all aspects of patient care
• Collaborating with physicians in developing a plan of care
• Assessing the psychosocial needs of patients and families
• Recognizing and intervening in clinically unstable patients
• Providing resources for patients and referring as necessary
• Educating patients and families in all areas of healthcare maintenance and prevention
• Working in assignments anywhere from eight to thirteen weeks (on average) in the U.S., one to two years if outside the U.S.
• Learning various patient care systems/documentation
• Providing immediate medical care and aid for large populations during times of war or disaster

Domestic and international travel nurses also have different characteristics specific to their roles.

Domestic Travel Nurses

• Work within the U.S.
• Typically work assignments that range from eight to thirteen weeks
• Can respond to areas of the U.S that experience natural disasters or disease outbreaks

International Travel Nurses

International travel nurses should have excellent communication skills, should be open to new experiences and challenges, and should have a strong desire to learn. These nurses are responsible for performing a wide array of duties. As stated previously, the tasks an international nurse will have to perform depend entirely upon their medical specialty. Some of the more general or everyday tasks that international travel nurses will perform include administering medication, wound care, and providing emergency medical services and care. Since there are often nursing shortages in many of the regions that international nurses travel to, another general role of these nurses is to educate family members and caretakers about the appropriate patient and medical care. In summary, international travel nurses:

• Work outside the U.S.
• Typically work assignments that range from one to two years
• Respond to areas that experience natural disasters or disease outbreaks, such as the Ebola outbreak in West Africa
• Provide medical care and aid to underserved, rural , and remote populations
• Usually, must wait for document processing before traveling

Travel Nurse Working Conditions

As with any career, there are positive and negative aspects to working as a travel nurse. Nurses can suffer from stress as they may carry a heavy patient load and have many critical decisions to make. Additionally, travel nurses may suffer from feelings of isolation since they tend to relocate often. Having a strong sense of independence and a support system available, even remotely, can help.

Additionally, nurses may work in high-risk areas that may expose them to workplace violence, blood-borne pathogens, and chemicals. Travel nurses must always familiarize themselves with and adhere to safety standards set by the organization.

International travel nurses can face different challenges. Travel nurses must be familiar with the country's laws, and geographic-specific diseases, and always keep their overall safety as a priority.

Despite these considerations, travel nursing can be immensely rewarding. Many organizations and staff nurses appreciate the help travel nurses offer. Travel nurses help relieve staff nurses from burnout, as can happen when working short-staffed.

International travel nurses are also highly appreciated. They provide medical care and assistance to many patients in remote settings who otherwise would have no access to healthcare. They help with relief efforts in war zones or after disaster events, which can be both rewarding and enriching.

According to the American Nurses Association, as of 2015 fourteen states had mandatory nurse-patient ratios . Nurses are pushing for federal legislation supporting safe staffing and because of this, if more states pass safe-staffing laws, nurses will be in even more demand. Travel nurses will help mend the current and projected nursing shortage. The Bureau of Labor Statistics projects a 16% overall growth for nurses until 2024, which is much faster-than-average growth for all occupations.

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Travel nursing has many incentives for nurses regarding pay and benefits including:

• Travel reimbursement
• Free housing
• Medical, dental, and vision coverage
• Retirement plans
• Assistance in obtaining passports/work visas
• Choice of location
• Selection of hours/shifts worked
• Competitive pay
• Higher-than-average pay for RNs

According to Indeed, the average yearly salary for a travel nurse is $75,109. However, since pay is competitive in travel nursing, some companies are offering salaries of around $100,00 annually for domestic travel nurses.

International travel nurses tend to have lower salaries than domestic, except for assignments in some middle eastern countries. This is because, for the most part, nurses tend to make less outside of the U.S.

Salary is dependent on the agency, and nurses should research each company to find the right salary and benefits that best fit their needs.

• International Council of Nurses
• Professional Association of Nurse Travelers
• National Association of Travel Healthcare Organizations
• American Travel Health Nurses Association

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2024 Travel Nurse Salary + Job Outlook

Travel nurses work in specific locations for limited and usually predetermined timeframes of anywhere from 13 to 16 weeks. Though they may work in any type of facility – hospitals, doctors’ offices, and long-term care facilities – they get to choose where they work, which helps prevent boredom. Travel nurses also earn handsome salaries that rival the average salaries of BSN-educated registered nurses (RNs). Here, you will learn more about the average travel nurse salary and what you can expect if you choose this exciting career path.

How Much Does a Travel Nurse Make?

Salary for different types of travel nurses, what other benefits will you receive as a travel nurse, how to boost your travel nurse salary, 10 best states to work for travel nurses + salary, travel nurse salary by state – highest to lowest, travel nurse salary by city, what are the 10 best travel nursing agencies to work for in the united states, what does the future look like for travel nursing jobs.

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What Is a Travel Nurse? Job Description and Salary

When healthcare organizations face staffing shortages, they call on travel nurses. What is a travel nurse? As skilled professionals, travel nurses take temporary nursing positions in high-need areas. They jump into hospitals, clinics, and other facilities, giving patients across the country quality care.

The COVID-19 pandemic created a nationwide staffing crisis and, as a result, a surge in demand for travel nurses. Health leaders attribute this change to two main factors: First, as CNN reports, staff nurses, demoralized and exhausted, have been quitting and retiring at a faster rate than facilities can hire new ones. Second, many nurses are leaving their stable jobs for well-paying temporary jobs, netting $5,000 or more per week working through travel-nurse agencies, according to AP News.

Students and professionals interested in this career path can benefit from exploring the roles and responsibilities of travel nurses, reading travel nursing tips, and learning about the travel nurse salary and job outlook. 

History of the Travel Nurse

The travel nurse industry emerged in the 1970s in response to high-census healthcare contexts. 

• High census is when the patient population in a healthcare facility becomes higher than the current staff can appropriately care for. In effect, high census means that a facility is understaffed. 
• Low census is when the patient population in a healthcare facility becomes too low for the facility to use its entire nursing staff. In essence, low census means a facility is overstaffed for a period of time. 

In the 1970s, persistent nursing shortages in warmer southern states, such as Florida, drew nurses from northern states over the winter. These nurses followed the seasonal influx of so-called snowbirds — people who move for part of the year to get away from harsh northern winters. 

At first, these nursing work arrangements were informal. Nurses would travel to meet demand but were hired as regular permanent employees who would leave when the season ended. Because these nurses had no special contract with their hospitals and clinics, these healthcare organizations also did not provide housing or extra wages. This worked well for facilities in warmer states that could not afford to hire so many staff members year-round. 

Today, professionals fit a similar travel nurse description . Travel nurses often work for healthcare staffing agencies that specialize in placing temporary contractors across the country. Agencies take a cut of what a hospital might pay a travel nurse, and in exchange, they advocate for secure housing, competitive travel nurse salaries , and all-expense-paid transportation to new assignments for their travel nurses.  

Culture Fit: What to Expect as a Travel Nurse

What does a travel nurse do? Travel nurses routinely jump into roles at understaffed healthcare settings. Facilities expect them to perform all the duties of a traditional nurse with little to no context for care. Because of this, travel nurses must become comfortable with working in extremely fast-paced, chaotic environments.

For example, a travel nurse may take an assignment at a severely understaffed neonatal intensive care unit. The nurses on staff may not have the time or bandwidth to explain all aspects of the hospital charting system or details about specific patients; travel nurses may need to pick these details up as they go.

Travel nurses sign a contract to fill a temporary position. This can last several days, weeks, or months — or longer. When contracts end, travel nurses either extend their stay at the same location or move on to a new destination and opportunity. The length of their contracts can vary, although most placements are between eight and 26 weeks. Some travel nurses find a temporary assignment they enjoy and work to secure a full-time position, but many continue to travel and keep flexible working hours. 

Working as a travel nurse has many perks. Here are some of the benefits of travel nursing:

• Assistance in obtaining passports/work visas (if working internationally)
• Choice of location
• Competitive pay
• Free housing
• Higher-than-average pay for RNs
• Medical, dental, and vision coverage
• Retirement plans
• Selection of hours/shifts worked
• Travel reimbursement

Travel Nursing Tips and Personal Characteristics

Travel nurses need to cultivate the skills of learning new systems quickly, taking criticism in stride, and adapting easily to change.

Some personal characteristics that serve travel nurses on the job include:

• Ability to learn quickly. Travel nurses all have experience working in a traditional nursing context, but they need to be able to draw upon their broad knowledge bases as they adapt to new healthcare facilities. Some healthcare settings have different standards of practice and different technologies to learn. Travel nurses need to adopt new practices and technologies quickly. 
• Resilience to persevere in challenging contexts. The combination of moving to different states, being the “new nurse” constantly, and taking care of difficult patients comes with many challenges. Travel nurses need to be able to withstand these challenges. 
• Flexibility. Travel nurses have the freedom to create their own schedules with the agencies they work for. For example, travel nurses might work for nine intense weeks on the other side of the country and then take a month off. 
• Comfort with working in new environments. Travel nurses need to adapt to different organizations and care teams, often when those organizations and teams lack the adequate resources to run properly. 
• A strong support network. Travel nurses may need to leave their families and friends for long periods of time to take temporary jobs. Having a supportive person or group of people who act as an emotional sounding board can be crucial for working long-term in the chaotic assignments of a travel nurse.

Navigating Crises as a Travel Nurse: Pandemic Pressure

The demand for travel nurses has accelerated over the course of the pandemic. Rising clinician burnout continues to be a challenging issue in the healthcare field.

A recent National Academy of Medicine report suggests that between 35% and 54% of U.S. nurses and physicians have symptoms of burnout due to pandemic pressures. These burnout symptoms include:

• High emotional exhaustion
• High depersonalization (expressed in cynicism about the healthcare system or healthcare in general)
• A low sense of personal accomplishment from work

Even in more normal times, the American Nurses Association’s Healthy Nurse, Healthy Nation project found that at least 69% of U.S. nurses said they agreed or strongly agreed that they put their patients’ health and safety before their own.

Given the added stressors of the pandemic — including abnormally high patient mortality rates, the lack of personal protective equipment, political decisiveness surrounding pandemic precautions, and polarized public responses to the vaccine rollout — nurses have clearly borne the brunt of the pandemic chaos.

In the wake of so much nursing burnout, hospitals and health systems have relied on travel nurses to pick up the slack. As a result of severe staffing shortages, healthcare organizations are paying steep rates for much-needed staff.

How to Become a Travel Nurse

After determining what a travel nurse is and what a travel nurse does, current and future nurses may want to know how to become a travel nurse.

The steps involved in becoming a travel nurse include:

• Earning an ASN or BSN degree
• Passing the NCLEX to become a registered nurse (RN)
• Gaining experience on the job
• Getting licensed
• Signing with a travel nurse staffing agency

Earn a Nursing Degree

Any nurse who has completed an associate or bachelor’s degree from an accredited nursing program is eligible to be a travel nurse. Several paths lead to meeting this education requirement:

• Bachelor of Science in Nursing (BSN) degree
• Associate of Science in Nursing (ASN) degree for entry-level RNs
• LPN to BSN bridge program for licensed practical or vocational nurses or licensed paramedics
• LPN to ASN degree for licensed practical nurses

Pass the NCLEX to Become a Registered Nurse

After graduating with an associate or bachelor’s degree in nursing, the next step to becoming a travel nurse is passing the National Council Licensure Examination, also known as the NCLEX-RN exam.

Once they have passed the NCLEX exam and met the state board of nursing requirement, candidates will be eligible to become a registered nurse. From there, they need to start gaining enough experience in a nursing specialty to pursue opportunities as a travel nurse.

Gain Experience in a Specialty

Nursing professionals interested in travel nursing should look ahead and gain experience in the specialties they desire while still working full time as a regularly scheduled nurse so that they can work in specialized care environments as a travel nurse.

For example, a travel nurse with no experience working in a neonatal intensive care unit will not be competitive for NICU jobs. This is true for all specialties. 

Attain Licensure

To be a registered nurse, a professional must be licensed in the state where they work. The Nursing Licensure Compact (NLC) allows RNs to hold a single nursing license valid in several states.

The National Council of State Boards of Nursing keeps track of the states that have implemented the NLC. For professionals who live in a state that participates in the NLC, additional licensing may not be required to work as a travel nurse. However, travel nurses seeking to work outside of the NLC will need to get an additional license in the state(s) they seek to work in. 

Work With a Travel Nursing Agency

The last step to becoming a travel nurse involves signing with a travel nursing agency.

The benefits offered by each staffing agency will vary, along with the alliances they may have with specific hospital or healthcare networks, specific geographic areas, or even specific nursing specializations.

Travel Nurse Salary and Job Outlook

The U.S. Bureau of Labor Statistics (BLS) projects the nursing profession to grow at a rate of 16% between 2014 and 2024. Due to the current nursing shortage, the job outlook for travel nursing is even greater. The BLS predicts a 19% growth for travel nurse jobs by 2022.

Skilled RNs will have opportunities to fill open positions in travel nursing. The BLS predicts a 9% increase in the employment of RNs from 2020 to 2030 due to the aging general population of the United States and a large number of older nurses retiring in the workforce. According to the National Council of State Boards of Nursing (NCSBN), 55% of today’s nursing workforce is 50 years or older. That means there will likely be even greater need for travel nurses in the future as older nurses retire.

See the Country as a Skilled Travel Nurse

Traveling to provide patient services opens doors for travel nurses. They work for independent staffing companies that recruit RNs to fill positions throughout the United States and abroad. A lucrative career awaits nurses who are willing to take the leap, leave their traditional nursing jobs, and work in high-need areas across the country.

The ongoing shortage of nurses makes it challenging for hospitals and clinics to maintain their staffing needs. Travel nurses can help with persistent staffing issues, and they can also fill in temporary gaps when nurses go on leave. Travel nurses don’t always need to work in different states ; s ome serve at local understaffed hospitals.

For current and aspiring nurses with a desire for new experiences, an interest in meeting new people and visiting new areas, and a drive to develop an understanding of healthcare in other communities, becoming a travel nurse can be an exciting career move.

Learn more about opportunities for nursing pre-professionals with St. Catherine University’s accredited nursing degree program . Through comprehensive nursing instruction, St. Kate’s equips students with the technical skills to succeed on the job. 

Sources: American Traveler , “Travel Nurse Salary” AP News, “US Hospitals Hit With Nurse Staffing Crisis Amid COVID” CNN , “ Traumatized and Tired, Nurses Are Quitting Due to the Pandemic” Forbes, “What It's Like to Be a Travel Nurse During a Pandemic” Professional Association for Nurse Travelers , “History” Travel Nurse Across America, “New Grad Nursing & How to Start Travel Nursing” Travel Nurse Across America, “ Travel Nursing Basics: Agencies, Requirements & More” TravelNursing.com, “Which Travel Nursing Specialties Are in Demand?” U.S. Bureau of Labor Statistics, Occupational Employment and Wages, May 2020 - Registered Nurses The Wall Street Journal , “High Pay for Covid-19 Nurses Leads to Shortages at Some Hospitals” 

Travel Nursing from Canada!

Your international travel nursing ticket to the usa.

Want to join fellow Canadian nurses working in the USA?

Travel nursing from Canada to the US is easier than you might think. At Aya Healthcare, we handle the paperwork so you can focus on what you do best: taking care of patients. We’ll take care of everything else.

And we mean EVERYTHING! We don’t think coming to the USA should cost you a lot of time or money. That’s why we offer this concierge service to make things as easy as possible.

Become a Canadian Nurse Working in the USA

International travel nursing can be intimidating. That’s why we walk you through each step of the process.

What’s the timeline for travel nursing from Canada? The short answer is around six months (with Aya). That’s around half the time it would take you to do it on your own or go through other Canadian travel nursing agencies. Our experts walk you through the process and review your paperwork for errors before you submit. We get you there faster by removing the barriers that slow your application.

As a Canadian nurse moving to the USA, here’s what you’ll need:

VisaScreen certification through CGFNS

CGFNS evaluates your education/credentials and verifies that you can work in the US by granting the VisaScreen certification. If you qualify for our licensure project (see right) we'll reimburse your $540 application fee once you start working. And more good news ... we can take care of the following requirements simultaneously. Again, the ENTIRE process should only take six months.

US State License

You’ve applied for VisaScreen certification. Great job! Now you need a US state license (we’ll pay for this too if you qualify). This can take anywhere from 4-12 weeks to be issued. Again, we can work on your license while you’re waiting for your VisaScreen certification.

Book a travel nursing job!

Now, you’re ready to go. Because you’re smart, you’re working with an experienced Canadian travel nursing agency. As we say in the US, “this isn’t our first rodeo.” We have deep relationships with facilities across the country. We know which healthcare facilities will book you with some of the paperwork pending.

Border crossing documentation

Congrats! You got a job and it’s time to join your fellow Canadian travel nurses in the USA! We’ll walk you through what you need to bring. Gather that documentation and cross the border within 10 days of your contract start date. Request TN Status (AKA the TN Visa for Canadian nurses) at the border. Again, we’ll help with this!

Apply for a US Social Security Number

Once you’re in the US, it’s time to apply for your social security number. This number allows you to work in any state. You should get your social security card in the mail in 4-8 weeks. This won’t affect your timeline. You can work at certain facilities while waiting for your social security card.

(Offices are currently closed due to COVID-19. This doesn't affect your ability to work.)

If any of this sounds complicated, don’t worry! We send you detailed instructions for each step of the process, track the status of your application and provide updates along the way. We have an expert licensing team dedicated to Canadian nurses. They can answer questions and provide guidance. Contact them anytime!

Start Travel Nursing in the US Today!

Here’s what it takes to qualify for Aya’s licensing project:

• RN degree from a Canadian nursing program
• At least 2 years of experience in your specialty
• Proof you passed the NCLEX

If you don't fit these criteria, don't be discouraged. Get in touch with us, we're still happy to help any way we can.

Meet travel nurses in the USA

Aya Healthcare is the preferred supplier at multiple facilities in North Carolina, New York, Minnesota, Washington and Texas. We can get you licensed quickly in those states. While you’re working your first contract (which will likely last 13 weeks or longer) we’ll help you get licensed in any state of your choosing!

We have a deep understanding of the units we staff and of fluctuations in census across the country. Essentially, we know when facilities will need RNs. We can book you assignments months in advance and ensure the units you choose are a good fit for your skill set and personality. These career planning services are just part of the package you get with Aya Healthcare.

Aya is your travel insurance policy.

International travel nursing opens the door to many wonderful experiences, but anytime you travel you may encounter bumps in the road. Things happen. When they do, we’ll be there.

We have 9,000+ open RN assignments across the country. (If you ever have an assignment cancelled, we’ll find you another #JobSecurity!) If you miss your flight and get stranded at the airport, if you have a clinical issue on the job, if you’re sick and can’t make a shift … never fear. We’ll be here. 24/7. We’ll send you an emergency contact number so you can reach us at all hours of the day or night.

Don’t want to go it alone? No problem. Bring a friend (or friends). If you ever get lonely as a Canadian nurse working in the USA, refer someone! With our smooth, easy process for getting you ready to work stateside, feel free to entice as many Canadian RNs as you’d like to join you on your journey.

Frequently Asked Questions

If you skipped the top of this page you may not know, so we’ll say it again … absolutely! Apply now and we’ll help get you started.

Pretty easy if you stick with us. We’ll walk you through the process and make sure everything goes smoothly. We have an expert team who’ve helped hundreds of Canadian nurses working in the USA. They can help you too.

In general, you’ll make more as a travel nurse in the United States than as a permanent nurse in Canada. Pay depends on where you go: states and specialties pay differently. Your recruiter (we’ll assign you one when you apply) can help you maximize your pay!

Good question! That’s up to you. You can either choose housing that we provide or take a housing stipend and find a place on your own. If you prefer the stipend, our housing team can provide you with resources that should make your search easy and, dare we say, enjoyable?

We’d love to! We bet we’ve answered a lot of your questions higher up on this page. But, if you have a question that isn’t answered on this page or would just like to talk things through, contact us and we’ll be in touch.

Aya Healthcare will provide your TN letter if you book an assignment with us. Travel nursing in the US here you come!

We might be biased, but we think you’ve found us. 😊 Check out our reviews if you’re looking for external corroboration that we’re one of the best travel nursing agencies for Canadian nurses.

You’ll have an entire Aya support team to help with each step of your journey. Your recruiter is your first point of contact (he or she is your guru, your guide.) We’ll also assign you housing , payroll and licensing experts — plus a travel experience specialist to make sure you’re happy with everything, down to the tiniest details of your assignment.

There are many reasons Canadian nurses work in the USA. Some are looking to expand their clinical skill set by working in new facilities, others want to travel to new and exciting places and some are looking to make great money. Some want all the above! Whatever your reasons for international travel nursing, we’re more than happy to help.

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How To Become A Travel Nurse | 6 Requirements 2023 UPDATE

Written by Chaunie Brusie with expert review by Kathleen Gaines 

What Is a Travel Nurse?

Your immediate vision of travel nursing may be exploring exotic destinations, but that’s not necessarily true. Being a travel nurse simply means that you are employed by an independent nursing staffing agency instead of by a single hospital.

This means you could travel as far as a different country, or you could work at a hospital near you in need of temporary nurses. The choice is up to you on when and where you work, but travel nursing doesn’t necessarily mean faraway travel.

Looking for open travel nurse assignments? Speak with a recruiter today!

Travel Nurse Requirements

All travel nurses will have to meet several requirements before applying for contracts. These include licensure, degree, certifications, and experience.

Nursing License Requirements

Travel nurses are required to have an RN license in the state they are contracted. Now, if your permanent residence is one of the states that are currently part of the Enhanced Nursing Licensure Compact (eNLC), then consider yourself lucky. You will not need an individual state license if you are contracted to work in another eNLC state. However, if your home base is not an eNLC state – you will be required to apply for an individual state license. This must be granted prior to the start of your contract.

Nursing Degree Requirements

Most travel nurses can expect to be required to have a BSN. The minimum requirement for travel nursing is an Associate Degree in Nursing (ADN). However, depending on the hospital or facility, a BSN may be preferred. For this reason, some travel nurse agencies will only work with nurses that have completed a BSN degree.

More specifically, most large healthcare systems will require a BSN, especially those with Magnet designation.

Magnet is awarded by the American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), and is awarded to individual hospitals that have been recognized for achieving the “gold standard” of nursing care. According to the ANCC and ANA, nurses that have earned a BSN have a higher level of skill and abilities.

Find available, high-paying travel nurse opportunities.

Nursing Certification Requirements

Certifications will depend on the unit and the specific job requirements. All nurses are required to have a Basic Life Support (BLS) certification, and most will have either a Pediatric Advanced Life Support (PALS) or Advanced Cardiovascular Life Support (ACLS).

Travel nurses will be expected to have and maintain these certifications prior to signing on with a travel nurse company. Additionally, some travel nurse agencies will assist their nurses with certification and recertification. It’s important to speak with the nursing agency recruiter to determine eligibility. If the travel agency does not assist with recertification, some hospitals will allow travel nurses to attend in-hospital classes. The other viable option is through a certification agency.

Any other job-specific certifications will be discussed in the contract. Earning additional certifications will increase your job opportunities and earning potential. Specific specialty certifications such as CCRN or CWON are not required for most travel nursing positions. However, those certifications will move your application to the top of the pile. Especially, in the current, highly competitive travel nursing industry.

These are the three most common certifications for travel nurses:

CPN (Certified Pediatric Nurse)

Ccrn (certified critical care nurse), cen (certified emergency nurse).

See below for additional information about these certifications.

The Board of Certification of Emergency Nursing offers the Certified Emergency Nurse (CEN) for nurses specializing in emergency medicine. In comparison to other certifications, the CEN examination has fewer eligibility requirements. There are currently more than 34,000 Certified Emergency Nurses.

According to their website, to be eligible to sit for the CEN examination, candidates must meet the following requirements:

• An unencumbered nursing license in the United States
• Two years of ER experience is recommended but not required

The exam is offered at computer testing sites throughout the country and the certification is valid for four years. The fee for the exam is $230.

The American Association of Critical Care Nurses (ANCC) offers the Critical Care Registered Nurse (CCRN) national certification. Three exams are offered:

All exams follow similar eligibility criteria and examination guidelines. The difference is in the exam material.

In order to sit for the examination, the individual must meet the following criteria:

• Current, unencumbered U.S. RN or APRN license
• Practice as an RN or APRN for 1,750 hours in direct care of acutely/critically ill adult patients during the previous two years, with 875 of those hours accrued in the most recent year preceding application, or
• Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct care of acutely/critically ill adult patients, with 144 of those hours accrued in the most recent year preceding application

The above is for those applying for adult certification. Individuals interested in pediatrics or neonatal certifications will need to have direct care time in those fields.

AACN members will pay $235 for the exam while non-members will pay $340. Recertification is done by either examination or CERPs and a nominal fee.

The Pediatric Nursing Certification Board (PNCB) offers the Certified Pediatric Nursing (CPN) certification. According to their website, more than 25,000 nurses currently hold a CPN certification. In order to apply, individuals must meet the following criteria:

• Current, valid, unrestricted, and unencumbered Registered Nurse license
• A minimum of 1800 hours of pediatric clinical experience completed within the past 24 months as an RN, or
• A minimum of 5 years as an RN in pediatric nursing and 3,000 hours in pediatric nursing within the last 5 years with a minimum of 1000 hours within the past 24 months

The cost of the examination is $295 with a $100 non-refundable registration fee. In order to recertify, individuals must maintain 15 PNCB-approved contact hours.

How Long Does It Take To Become a Travel Nurse?

Years of experience.

Most travel nursing agencies will require a minimum of two years of relevant bedside experience. This is usually required because the hospital or healthcare facility will also want an experienced nurse.

Travel nurses get very few orientation shifts, so they must have the skills and knowledge to jump right into any assignment or situation. New nurses may not be able to do this. In fact, agencies will very specifically list the amount of experience needed prior to applying. Additionally, some hospital contracts will require other experience.

For example, while the travel agency may only require 2 years of ICU experience, a level 1 trauma center with a high acuity ICU might want a nurse with a minimum of 5 years.

Remember, if you do not meet the level of experience requirements, do not apply. Your application will not be considered. The more experience you have, the more desirable you are.

6 Steps to Becoming a Travel Nurse

The moment you’ve all been waiting for…how to become a travel nurse.

Travel nursing has become increasing popular since the pandemic when travel and COVID pay rates were making travel nursing highly desirable. But now that we are getting back to more traditional times, travel nursing is getting back to its basics with the desires being freedom, flexibility, and travel.

So how do you become a travel nurse? Becoming a travel nurse can be easy if you follow these six steps:

1. Earn your BSN and pass the NCLEX to become a Registered Nurse.

Though there are several paths to becoming a Registered Nurse, the one that will provide you with the greatest opportunity and the educational background to become a travel nurse is the Bachelor of Science in Nursing (BSN). In fact, it is becoming the standard.

This four-year degree provides you with foundational knowledge in a wide variety of topics. BSN programs incorporate clinical rotations through the various care departments in hospitals and clinics, exposing you to a wide range of patients and colleagues to give you a well-rounded nursing education.

This test, called the NCLEX-RN, or National Council Licensure Examination for Registered Nurses, is administered by the National Council of State Boards of Nursing (NCSBN). Every state has its own requirements for licensure and process for exam registration, so make sure that you are familiar with the requirements as they apply to you and your locale.

2. Get at least two years of bedside experience

You will want to get a job in the specialty you are interested in. This is the experience you will need in order to gain a travel nursing position. Remember that you can only work as a travel nurse in the field in which you have experience. Once you have a position, it is possible that you may float within the hospital, but you will not be expected to work outside of your skill level.

3. Find a travel nursing agency and recruiter to work with

There are countless travel nursing agencies, and each one has dozens of recruiters. There are big and small companies, and each company has pros and cons. Most travel nurses work with several different agencies.

Why? Well, some healthcare companies have contracts with only one specific agency.

So, what does that mean? If you want to work at a specific hospital that only works with one agency then you will need to work with that particular agency.

While picking the right agency is important, picking the right travel nurse recruiter is even more important. Travel nurse recruiters act as liaisons between the travel nurse and the hospital. A great travel nurse recruiter will work hard to make sure you are paid your worth. They will be experienced and honest when working with you.

4. Get the proper state license and certifications

If you do not have an eNLC license or maintain residency in an eNLC state then you will need to plan ahead. Also, even if you do have an eNLC license but are interested in traveling to a state that is not part of the compact license, then you will need to plan ahead.

For example, Alaska and California are not part of the eNLC. California has been reported to take a very long time to gain licensure and is very specific in its requirements, so you’ll want to plan ahead if California is on your list of destinations.

Remember to plan ahead, and consider ahead of time where you wish to travel.

5. Pick an assignment and sign a contract

This can be one of the harder decisions because everything must be in your contract and is negotiated between the travel nurse recruiter and the hospital.

• Weekend time
• Shift requests

These all MUST be in the contract. If the information is not in the contract then the hospital does not have to honor it.

Picking an assignment location can be stressful. You have to determine whether you are traveling for money, location, experiences, or to be close to someone. For example, Hawaii pays travel nurses very well, but the cost of living is also very high. So, if you are interested in traveling for money, Hawaii may not be the best location.

6. Land housing and begin your adventure

There are several housing options available to travel nurses. First, all travel nurse agencies will offer either a stipend for housing or company-provided housing. If you take the stipend, then you will be responsible to find your own housing. The stipend may not be enough to cover your housing costs, and you will be responsible for the additional costs.

Travel nurses can find their own housing via Facebook, Airbnb, long-term stay hotels, or even Furnished Finders.

What are Travel Nurse Agencies Looking For?

Travel nurses are looking for nurses ready to take off on their next adventure! Contracts typically move pretty quickly, especially in popular locations such as California , Hawaii, and Alaska . While you can reach out to a recruiter if you are ready to take the next step toward travel nursing – know that most recruiters want to work with you once you are fully committed to submitting a contract offer.

Generally, travel nursing agencies are looking for nurses who meet the following criteria:

• Have a minimum of two years of relevant bedside experience
• BSN prepared
• BLS, ACLS, and PALS certifications (as required for the position)
• Ready for an adventure

Travel Nurse Salary

Everyone wants to know “ how much does a travel nurse make? ” And to be honest, travel nurse salaries can be confusing.

It’s important to figure out your weekly take-home pay, because it might be significantly smaller than what is advertised. Here’s how you can calculate your pay:

• Start with your total weekly pay
• Subtract the estimated weekly taxes from the weekly taxable wage
• Add the remainder to the total weekly tax-free stipends
• This will show you the weekly net pay for a contract

According to ZipRecruiter.com , the national average for travel nurses is $102,625 per year, or $49.00 per hour. Travel nurse pay, just like staff nurse pay, varies greatly by location and healthcare system. Nurses in California earn some of the highest wages in the country, and travel nurses are compensated equally.

The national average for travel nurses is $102,625 per year.

In more desirable locations, like Hawaii, the pay is often not as high.

Additionally, travel nurse pay will also include housing stipends and other miscellaneous things. That is not factored into the hourly wage. Therefore, when looking at travel nurse pay it’s important to look at all aspects of the contract.

Travel Nurse Taxes

Travel nursing recruitment often focuses on the benefits and perks, such as housing stipends or sign-on bonuses, but it’s also important not to overlook the tax implications that come with travel nursing.

In order to become a travel nurse, you will need to have what’s called a “ tax home ” in the eyes of the IRS. That simply means you have to prove that you have a full-time residence when you’re not working as a travel nurse.

If you don’t have a full-time residence that you maintain and pay for when you’re not working as a travel nurse, don’t worry — you can still work, but you will have a tax status as an itinerant worker, which means you have to pay taxes on all of your income, including any stipends or reimbursements.

For non-itinerant nurses who do have a tax home, your base wage pay is taxable income, while all “extras,” including meals, housing allotments, or travel reimbursement is non-taxable.

That means that you will save on paying taxes on that income, but it also means your adjusted income will not be as high in the eyes of say, a loan officer or for Social Security purposes. If you anticipate needing a loan soon or are approaching retirement, it may be more advantageous to you to have a higher taxable income reflected on your paycheck.

Read more in our Comprehensive Guide to Travel Nurse Taxes

How to Find Travel Nursing Jobs

To find a travel nursing job, a nurse must work with a travel nursing agency that will help secure their contract and negotiate with the hiring hospital or healthcare facility. It’s important to work with a recruiter and staffing agency that understands your needs and the contracts you’re interested in.

Working with a recruiter will also make sure that your contract has must have such as:

• Specific days off
• Vacation time
• Sick time/pay
• Cancellation policy
• Desired shifts

Click here for available high-paying travel nurse opportunities!

Maintaining Your Nursing License as a Travel Nurse

For nurses with a compact license, maintaining your license as a travel nurse is no different than meeting the requirements of the home state where you received your original license. Once you renew your home state license, your license for the new location is considered updated, too.

If you had to obtain an additional state license, however, you will have to renew your home state license (if you want to keep it, that is) and meet the requirements for license renewal in the state you are working in as well.

Certain states, such as Florida and Washington, also require all nurses to obtain Continued Education Units (CEUs) in the specific areas of pain management and HIV awareness, so you will need to make sure you fulfill the CEUs for your home state and/or work state as well.

All travel nurses are required to maintain an active RN license. Most continue to maintain all active licenses in case they want to work in the state again. Examples of continuing education requirements for RNs are as follows:

• Arkansas – 15 contact hours every 2 years
• Illinois – 20 contact hours every 2 years
• Florida – 24 contact hours every 2 years
• Iowa – 36 hours every 2 years
• Pennsylvania – 30 contact hours every 2 years

Some states do not require CEUs to maintain an RN license. Examples include Arizona, Colorado, Connecticut, Indiana, Maine, and Maryland. Several states also require HIV/AIDS education such as New York , Minnesota, and Kentucky. It is important for nurses to check their state’s RN credentialing body for exact CEU requirements.

In general, while it’s also good to prepare yourself as much as possible, becoming a travel nurse can be a pretty straightforward process.

Once you’re a nurse with an active license, have at least one to two years of bedside experience under your belt, and are ready to take on the challenge of a new location and work environment, you can take on the adventure of being a travel nurse.

If you’re interested in becoming a travel nurse, you can take the next step by learning more about travel nursing here .

Tips for Your First Travel Nursing Assignment

Accepting your first travel nurse assignment can be scary and overwhelming, but also exciting!

It’s important to remember, travel assignments are short-term, and if the location, hospital, and situation are not a good fit, you can always try somewhere new for the next assignment. If the assignment is not a good fit, speak to your recruiter about possibilities for future assignments.

Here are the top tips for first-time travel nurses to make the transition a little easier:

• Triple-check your contract
• Embrace the unknown of this new adventure
• Get organized
• Make copies of ALL of your licenses and certifications
• Open a checking and savings account at a national bank (ex. Wells Fargo, Chase, Bank of America, PNC)
• Downsize your belongings, especially clothes and shoes
• Join local Facebook groups for an easier transition to a new location
• Don’t be afraid to take your first assignment closer to family and friends
• Arrive at your new location ahead of the start date so you can get settled before your first day and orientation
• Make friends with co-workers at your assignment
• If you have a pet, prepare to take them with you by setting up dog walking services, doggie daycare options, and a new veterinary practice
• Make sure your vaccinations and health screenings are up to date
• If you own a home, prepare to rent or sell — depending on your situation
• Don’t be afraid to explore on your own
• Be patient with your coworkers and new work environment
• Go in with an open mind!

Find travel nursing assignments by speaking with a recruiter today!

Benefits of Travel Nursing

There are many benefits to travel nursing, but at the top are

• Getting to see and experience new parts of the country
• Getting paid a higher wage

Travel nurses have the opportunity to garner top wages in some of the top hospitals in the country. Typically, the demand is so high for nurses in a specific location and/or unit, the contracted wage will be significantly higher than a full-time staff nurse.

Travel nurses also have other compensated benefits such as housing, meals, incidentals, and travel reimbursement. These additional stipends make the earned wage some of the highest for nurses.

Other benefits include:

• Traveling the country
• Building your skill set
• Job security
• Personal growth
• Flexibility
• Networking with healthcare professionals around the country
• Opportunity to make new friends and experience new places
• Minimizing exposure to hospital politics
• Dependence on hospital to approve PTO

Travel nurse requirement FAQ

Starting a career as a travel nurse can be scary and overwhelming, especially leaving friends and family behind, but it can be a very rewarding and exciting career. There are six easy steps to becoming a travel nurse: 1. Become an RN 2. Get at least 2 years of experience under your belt 3. Find a travel nursing company to work with 4. Get all the proper state license and certifications 5. Pick an assignment and sign a contract 6. Find housing

It’s not hard to become a travel nurse because there currently is a nationwide nursing shortage. More and more nurses are leaving the bedside for other types of nursing jobs or to become travel nurses. Actually working as a travel nurse can take some adjustments, especially for those that have ever worked as a staff nurse. But it is a fun and exciting opportunity for many.

Travel nurses need to have a different set of skills than staff nurses. Why? Because they are constantly changing hospitals and always are the first to be floated to another unit. For that reason, travel nurses must be flexible and adaptable more than anything. They also should have a solid nursing foundation, critical thinking skills, strong communication skills, a love of travel and be personable.

Most travel nurse agencies do require the COVID-19 vaccine because the healthcare institutions they work with require it. In cases where there isn’t a requirement, travel nurse companies may still not want to work with you since it’s more difficult to place a non-vaccinated travel nurse.

The requirements vary from agency to agency and contract to contract. Generally speaking, you will need a minimum of two years of bedside nursing experience. Most will also require a BSN as well as certifications in CPR, PALS, ACLS, etc. The final requirement will be either a compact nursing license or an individual state license.

Nurses are not required to travel. Travel nursing is a unique aspect of nursing that allows individuals to take short contracts at different hospitals around the country.

To be a travel nurse, first and foremost you must be ready for an adventure! You will also need a minimum of two years of bedside experience. Now, not every travel agency or position will require this, but with minimal orientation to a unit, more experience is always better. You will also need a license in the state you are applying to (unless you have a compact nursing license). Most recruiters and agencies will assist with the paperwork in obtaining a new state license.

Of course! In fact, many travel nurses are accompanied by their families and pets. Travel nursing can be a family affair if you travel with a spouse who’s also a travel nurse or plan to bring your children . If you are traveling with pets – it’s important to make sure your housing accommodations allow for animals and that your schedule allows time to take care of a pet. At times and in certain locations it may be more difficult to find reasonable housing but with planning, it is possible.

Travel nurses generally can obtain health insurance and retirement benefits such as 401Ks through their travel nursing agency. However, it is important to note that not all agencies will offer benefits starting on day one of a contract, and others will terminate health benefits in-between contracts.

There are several differences between travel nurses and per diem nurses. The main difference is that, unlike per diem nurses, travel nursing hours are guaranteed. Generally speaking, they are not canceled and if they are, most are still paid their contracted rate. Per diem nurses are used on an as-needed basis and can be canceled whenever they are not needed and without pay. Travel nursing holds a lot of appeal for many people interested in the healthcare field because it offers perks like the chance to visit new places, competitive pay, and career flexibility. It’s also the perfect opportunity to gain valuable skills, get out of your comfort zone, and of course, make a difference in the lives of your patients.

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How to Become an International Travel Nurse

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Explore our full list of Integrity Network members.

• What Is an International Travel Nurse
• Steps to Become

Choosing a Specialization

• Credentials

Great pay and boundless opportunities are just some reasons why nurses choose travel nursing. The job options are a good fit for nurses who love to travel, discover new places, and want to broaden their skill set.

Travel nurses help temporarily fill shortages. In the U.S., assignments may range from 13-26 weeks, but international assignments are often at least one year.

European countries offer some of the highest-paying jobs. Benefits can include a housing stipend, travel costs, and partially covering food and other living expenses.

Travel nursing jobs within the U.S. are simple to arrange. Travel nursing internationally, however, has a few added prerequisites.

Discover how to become an international travel nurse, types of assignments available, and the required certifications.

How Long to Become: 4-6 years

Degree Required: ADN, BSN, or MSN

Job Outlook: 6% growth, 2021-2031 Source: U.S. Bureau of Labor Statistics (BLS)

What Is an International Travel Nurse?

There is a global nursing shortage . Countries with shortages need to increase nurse graduates by an average of 8% annually. One out of every eight nurses works in a country where they were not born or trained. This is what international travel nursing looks like.

Travel nursing is available domestically. But you can also choose to travel and work internationally.

Nursing shortages have hit countries across the world and they require medical personnel to fill their needs. This offers travel nurses an opportunity to expand their skills and learn new medical techniques.

Many countries need to fill positions in nursing specialties . Hospitals, doctors’ offices, and outpatient care clinics are just some of the settings in need of international travel nurses.

The most sought-after nurses often have experience in emergency rooms (ERs)/ emergency departments (EDs) as an ER nurse , intensive care, and cardiac care. Nurses with experience as a labor and delivery nurse and in neonatal nurse care are also desirable.

Steps to Becoming an International Travel Nurse

Becoming an international travel nurse is much like working as a domestic travel nurse. However, there may be additional requirements depending on your destination.

A nurse must hold licensure from the state board of nursing , which confers the registered nurse (RN) credential.

Earning this requires passing the National Council Licensure Examination for RNs (NCLEX-RN). Some states have additional requirements.

To start your journey as an international travel nurse, take the following steps:

Earn a bachelor of science in nursing (BSN) degree.

International travel nursing demands high-level nursing skills in your specialization. This starts with earning a four-year bachelor of science in nursing degree from an accredited school.

A bachelor of science in nursing (BSN) improves patient care and prepares you for leadership and management positions.

Nurses with an associate degree in nursing (ADN) may enroll in an RN-to-BSN degree bridge program to complete their BSN. If you are entering a BSN program with a bachelor’s in another field, consider accelerated nursing programs .

Pass the NCLEX-RN exam.

The National Council of State Boards of Nursing offers the NCLEX exam . It is a national exam all U.S states accept. The test demonstrates your clinical competency in nursing and decides if your state will issue you a nursing license.

To take the exam, you must hold either an ADN or BSN, which can also help you develop a NCLEX study plan . You are tested on care management, pharmacology, and safety and infection control, among other areas. NCLEX practice questions are available through various study sites.

Gain experience.

To work and travel domestically, the best travel nursing agencies may want you to have at least one year of experience in your specialty. However, international travel nursing positions may require even more experience or nursing certifications . This depends on the country and the facility you’ll work from.

Earn proper credentials.

Domestic travel nursing requires that you have a nursing license in the state where you will be working. For international travel nursing, your destination country may have a longer list of requirements.

This list can include a valid passport, visa to work in the country, and vaccinations needed before traveling . Some facilities may require special certifications. Others may require a language test to demonstrate proficiency before travel.

Find employment.

International travel nurses may work in hospitals, doctors’ offices, or outpatient clinics. While it’s not necessary to work with a travel nursing agency, it can help you look for work, finalize your contract, and move.

Note the length of your contract as you decide on your location. Domestic travel nurses often work 13-26 weeks. International nurses may be offered one- or two-year contracts.

International Travel Nurse Schooling

As you consider your options as a travel nurse, know the educational and skill requirements you may need. Most organizations prefer a BSN degree.

To work internationally, you need an undergraduate degree in nursing from a four-year program, such as an in-person or online BSN program . To apply for a graduate-level program, students often must hold a BSN.

Admission Requirements

Program curriculum, time to complete, skills learned.

Whether choosing to work in a nursing specialization or advancing your career through a graduate program , nursing offers the opportunity to specialize. Nurses graduating from a BSN program can choose to become certified in a specialty, which demonstrates their advanced knowledge.

For example, nurses may choose certification as a rehabilitation nurse , a pain management nurse , or in cardiac care.

Advanced practice registered nurses (APRNs) can choose to practice as a family nurse practitioner, pediatric nurse practitioner, adult-gerontology nurse practitioner , acute care nurse practitioner, psychiatric mental health nurse practitioner, nurse midwife, certified registered nurse anesthetis t, and more.

The specialty you choose will help determine your opportunities as an international travel nurse.

International Travel Nurse Credentials

International travel nurses need a nursing license in the U.S. An APRN needs to take the certification exam in their specialty. After these two requirements, you will need a passport, visa, work permit, and any sponsorship for your destination country.

Each country may have its own list of necessary documentation. This can include professional references, birth certificates, immunization records, and proof that you can speak the language.

Certifications

APRNs need certification in their specialty field. For example, those who want to become a family nurse practitioner (FNP) must pass the FNP certification exam. This is a valid, reliable demonstration of your competency in the field.

An RN may choose to have certifications that demonstrate advanced knowledge in rehabilitation nursing, pain management, or other specialty areas. Professional associations offer certifications that have specific requirements to maintain the credential.

Nursing requires state licensure that confers the credential of RN on the nursing candidate. To get the license, nurses must pass the NCLEX-RN.

Additional requirements depend on the state, including background and fingerprint checks, or school transcripts. Each state board of nursing has requirements to maintain licensure, including continuing education .

Working as an International Travel Nurse

Nursing gives you a unique opportunity to work and travel the world. The severe global nursing shortage has opened up opportunities for nurses who work in operating and emergency rooms, cardiac and neonatal units, and other specialties.

Countries with the highest salaries for travel nurses are Luxembourg, Switzerland, and the United States. However, they also have the highest cost of living. The average salary is $115,020 per year according to ZipRecruiter as of January 2023, or about $2,210 per week.

The simplest way to get into international travel nursing is to sign up with an agency that works with international organizations. They help refine your travel search based on your skills and past work experience.

Consider testing the waters as a travel nurse within the U.S. before exploring long-term contracts overseas.

Another option is working with the U.S. Department of Defense (DoD, which has international jobs for nurses. The DoD works with you to ensure you have the necessary documentation to work overseas. You can receive job alerts for their international postings.

Beyond documentation, you need skills. Nurses should have communication, conflict resolution, and team player skills. Without a strong command of the local language, it is impossible to be successful.

The following are some common workplace settings for international travel nurses. Note that your specializations and certifications will help determine the positions available to you.

Organizations seek nurses who have specialty skills in the intensive care unit, emergency room, telemetry, or the operating room. These areas require critical thinking for nurses , initiative, and leadership.

Outpatient Care Clinics

In an outpatient setting, nurses must be proficient at triage, assessment, educating patients, starting IVs, and RN case management .

Doctors’ Offices

In a doctor’s office, a nurse needs mastery of communication, assessment, medication administration, wound management, and minor medical procedures.

Becoming an International Travel Nurse: FAQs

Do travel nurses go internationally.

Travel nurses can choose to travel domestically or internationally. To travel and work overseas, you need a license and certification in your specialty, passport, and work visa. You may also need to take a language test to prove proficiency and provide reference letters. While domestic travel assignments can last up to 26 weeks, international ones can last up to two years.

How much do international travel nurses make?

Travel nurses are well paid to offset the stress of living and working away from home. Travel nurse salaries depend on your nursing specialty and country placement. Your compensation package includes an hourly salary, housing stipend, and travel expenses. It may also cover food and other living expenses.

How do I become an international nurse?

The first step is to earn your BSN from an accredited school. After graduation, you must pass the NCLEX-RN and apply for a license in your state. Most travel agencies want new nurses to have at least one year of bedside experience. Many recommend two years to gain proficiency in a specialty to practice internationally.

Once accepted by an agency, it can take up to one year to gather the necessary documents required by the country if you do not already have them. This can include a passport, work visa, recommendation letters, and testing in the language. Some countries may also require sponsorship.

Where is the best place to work as an international travel nurse?

International travel nursing is an opportunity to travel overseas while working. The best place depends on your goals. For example, Luxembourg is one of the highest-paying countries, but they also have a high cost of living. Canada, the United Kingdom, and Australia do not require learning a new language. The Dominican Republic, Ethiopia, and Bolivia can offer a chance to make a real difference in people’s lives.

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Page last reviewed January 23, 2023