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Experience The Gypsy Nurse’s most award-winning agency -as voted by over 1,054 real travelers like you

Celebrate our 25th anniversary with bonuses and over $100,000 in prizes.

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Clinical and quality assurance sets you up for success.

Travel with best-in-class benefits.

Starts accruing sick leave from day one.

The plan offers a match along with 100% vesting for eligible travelers through payroll deduction.

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We cover licensure fees before you travel.

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Your Dream Career Begins Here

We staff the top prn, allied health, & travel rn, lpn, & cna jobs.

MSS, LLC is now a TotalMed company. As a top ten travel nursing and healthcare staffing agency, our ability to place expert travel nurses and specialty clinicians in short-staffed healthcare facilities leads to more compassionate, effective care — and that’s good for everyone. Get started today!

TRAVEL RN/CNA/LPN JOBS    |    PRN JOBS    |    GOVERNMENT JOBS

We were built by nurses for healthcare professionals, so we understand what matters. We offer travel nursing jobs and local jobs in all specialties.

Have you found your purpose? We staff across the nation, so no matter where you live or where you desire to travel, your purpose awaits.

Our shared expertise allows you to soar to your highest potential and focus on what matters most—your growth, patient wellbeing, and better healthcare.

Ready to Travel?

We take the confusion out of travel healthcare. Wether you’re looking for travel nursing jobs, allied jobs, or local assignments, simply fill out our short application and we’ll pair you up with an expert recruiter. Your recruiter will help you find the perfect assignment based on your skills and qualifications, and you’ll be well on your way to finding your purpose.

Apply Online

Find a Match

Find Your Purpose

Destination spotlights.

We can send you anywhere in the United States. Here are some of our favorite destinations. Apply today and find your purpose in travel nursing!

North Carolina

Travel Nurse Stories

Check out these testimonials from two amazing travel nurses making waves in Maui. Lillian and Lori found their purpose travel nursing with MSS, LLC, a TotalMed company.

LILLIAN’S STORY

LORI’S STORY

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The latest in travel nursing.

Latest Posts

Your source for clinician stories, tips and tricks, travel nursing destinations, and life at Medical Staffing Solutions, LLC. Join in on the fun!

Medical Staffing Solutions Makes Highway Hypodermics Top Ten List 5 Years in a Row

January 26, 2021. Medical Staffing Solutions announced Top Ten Status with Highway Hypodermics 2021 Top Ten Travel Companies Award.

Tell Us Your COVID-19 Story: Jessica

To support our brave healthcare warriors serving on the front lines of the nationwide pandemic, we are shining the spotlight of our very own

Tell Us Your COVID-19 Story: Stephen

Tell us your covid-19 story: bianca, tell us your covid-19 story: kim, standing for diversity & inclusion.

Diversity and inclusion continues to be top of mind across the nation. This applies to the healthcare industry and to Medical Staffing Solut

Join our elite team of nurses, clinicians, and recruiters.

Travel Nursing, Allied & Per Diem Jobs

Plus permanent, float pool and in-house agency jobs directly from leading healthcare systems

Cheyenne B., PCU RN

The largest digital platform directly connecting you with leading healthcare facilities.

Whether your goal is to explore new places, boost your resume or make an impact where you’re needed most, we’ll help you find the right match.

Featured Locations

St. Louis, MO

Atlanta, GA

Seattle, WA

New York, NY

How it Works

Interested in traveling with aya just click & go..

As America's largest travel nursing agency, and a leading allied and locums agency , we make things simple. We provide you with the opportunities, resources, technology and support you need to grow your career. Traveling with Aya is as easy as 1-2-3.

• Register now and complete your profile. Be as detailed as possible.
• Log in to search jobs, view pay packages and review facility information.
• Click “I’m Interested” to let your recruiter know.

The largest travel nursing agency and healthcare staffing company

Ranked #1 by travel nurses across the nation.

Here are some of the reasons clinicians choose Aya Healthcare.

Aya has been fabulous. Their staff is timely, professional, courteous and attentive — and their pay, benefits and locations are the best. Thanks, Aya!

Ultrasound Tech

Aya's website has been the easiest for me to use and they consistently offer more competitive pay rates than other agencies for the same position.

I'm a single mom and was able to take care of my family on my own, which is awesome. I've also gained some great experiences and wonderful friends.

Privacy Overview

We are an Award-Winning Travel Nurse Staffing Agency

Driven by a passion for service, our team is dedicated to finding the perfect fit for both travel nurses and facilities.

Our Mission:

We’re redefining the healthcare staffing industry - harnessing the power of people and technology to create exceptional experiences for everyone involved. We place people first.

Find Jobs. Compare Pay. Get To Work.

Create A Profile

Upload your credentials, set your preferred job filters, and start applying to jobs right away!

Get Assigned A Dream Team

You’ll get matched with your own dedicated support team that includes clinical support, payroll and compliance experts, with ongoing assignment advocacy.

You’re Part Of The Family

You’ll have full access to your team and our job board, fully empowered in your career.

Explore 1000+ Hot Jobs

Browse travel nursing positions based on your preferred location, specialty, and more!

RN - Anesthesiology

$5,560 / Wk

RN - OB/GYN

$3,778 / Wk

$3,745 / Wk

Rochester, NY

$3,530 / Wk

$3,390 / Wk

Get Started Now!

Why travel with trusted.

When you work with Trusted, you’ll get access to our leading comprehensive benefits package . We provide:

• Competitive pay with tons of bonus opportunities (including sign-on, completion, and referrals)
• License, certification, and CEU reimbursement
• Retirement and insurance plans
• Comprehensive healthcare benefits to help you live a healthier life – on the road and at home.

Do What You Love with Travel Nursing

A career in travel nursing means you have more time to do whatever it is you love.

Don’t Just Take Our Word For It. Here’s What Our Nurses Say...

Earn up to $1,500* when you refer a friend.

Get $1,500 When You Refer A Friend!

Our biggest asset is our network of talented and qualified healthcare professionals.

If you know someone who is in the market for a new travel position, you can get paid for referring them to us!

*Eligibility based on profession, terms and conditions apply

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The care you need. The career you deserve.

Search Nursing Jobs

My experience with JNP has been nothing but positive. It is always easy to get a quick response from my recruiter on any issue I have had while working. — Harper, RN, 2023

The best agency referral program out there! Extra dollars continually earned and an agency I actually want to refer my friends to! — Lisa, RN, 2023

Excellent recruiters who are friendly and truthful. I learned from them by listening to a phone conversation one recruiter was having with a nurse I was working with. I liked the qualities before speaking with her! — Daniel, RN, 2023

Everything was made easy, all questions answered, and I felt that the entire team helped me with any issue that came up. — Gregory, RN, 2023

True to their word…money was always right…no payroll issues…always reasonable and fair. — Laverne, RN, 2023

My recruiter is awesome! She is always very responsive and willing to go the extra mile to help me! Top notch travel agency!! — Marsha, RN, 2023

The ability to always have access to my initial/original recruiter. They have made my journey seamless and whenever I need something they always respond. Great feeling knowing your recruiter has your back. — Nigelle, RN, 2023

My recruiter was amazing and quick to respond. The on-board process was easy. Pay on time every week. — Renata, RN, 2023

JNP was my very first travel assignment. My recruiter was wonderful at helping me make the transition. It was a wonderful experience. — Sherry, RN, 2023

My recruiter is a gem to work with! She has made every experience go smoothly. — Sully, RN, 2023

My recruiter is excellent. She works to get me the type of position I ask for and she follows up often to make sure I’m okay once I get started with an assignment. — Susan S, RN, 2023

Such an easy referral process! I downloaded JNP Pulse and referred friends right from there – haven't looked back! — Kayla, RN, 2023

Log in  and complete your profile.

Search  jobs by location, pay, and specialty.

Apply  to jobs with just one click.

How it works

Travel nursing is financially rewarding, but aspects of it can be a hassle and we’re here to take care of all the details. We’ll seek to understand your career goals and preferences. We’ll work to find the assignments that align and provide you with options. We’ll keep you informed , and we’ll have your back .

Because it’s what you deserve.

Traveling with JNP is as easy as 1-2-3.

Get Started

Choose Your Recruiter

Jen Barrass

Wade Burton

Quianna Stokes-Washington

Kayla Costello

Jorge Magluta

Dani Hernandez

Shenan Moore

Jessica Williams

Daniel Rodriguez

See All Recruiters

Referral Rewards

Continuous Referral $$$

As a thank you to our JNP nurses you can earn an extra one dollar per hour ($1.00) for every regular hour your referral works.

Our referring nurses typically make an additional $350-$750 per month just on referrals!

No end date, no earning cap!

Featured Job Locations

North Carolina

Find your place

Download the app

• Easily  search, book, and manage  your travel assignments
• Personalized  job matching
• Quickly build your profile and  skills checklists
• Upload and  manage timesheets
• Stay up-to-date on your  referral  income
• Easily  extend your assignments
• Save job alerts  based on your favorite locations

Latest Nursing News

Subscribe to our Blog to get the latest industry news, meet Jackson Travelers, and get an inside look at our team.

Visit the Blog

Navigating the Shifting Tides of Travel Nursing Pay

Mastering the Clock: 10 Time Management Tips for Travel Nurses

Mastering the Art of Charting: SOAPI Method

Follow us on instagram, exclusive nurse discounts.

Hotels, Scrubs, Equipment, Rental Cars and more!

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TRS Healthcare

With industry-leading tools and our dedicated team, we're here to help simplify your entire process. Our advanced search-and-match technology helps ensure quicker placements, smoother transitions, and a loyal support system anywhere you travel.

Create Your Profile

Thanks for your interest in becoming part of the TRS Healthcare nursing family. To get started on your journey, just tell us a few things about yourself, and we'll take it from there!

A Perfect Match

We're here to help you find the right position for success. Check out some of our current travel nursing opportunities.

Always a Nurse, Not a Number

We empower nurses at every step of the process. TRS nurses experience the best of both worlds – the adventure of travel with the security of steady pay, health insurance and a nurse advocate to ensure a smooth transition anywhere in the US.

Find The Job That's Perfect For You

Across the country, we help healthcare professionals find career opportunities and their next adventure.

 ALLIED  H EALTH

Uncover a world of growth and exploration with our healthcare assignments at TLC. Engage significantly with healthcare communities while broadening your professional and geographical horizons. Each assignment is a gateway to new experiences.

Embark on a rewarding adventure with our premier travel nursing job opportunities. Merge your healthcare passion with your love for exploration, and enrich your professional experience in diverse healthcare settings nationwide, creating lasting memories along the way

TRAVEL NURSING

Dive into an enriching adventure with our top-tier travel nursing opportunities. Combine your healthcare enthusiasm with wanderlust, enhancing your professional journey in diverse settings nationwide, creating cherished memories.

Journey into a realm where compassion meets exploration. Our temporary assignments offer a chance to immerse in diverse cultures, explore fresh horizons, and form meaningful connections, while delivering heartfelt care.

OPERATING ROOM

Step into an enriching realm with our temporary Operating Room assignments at TLC Travel Staff. Venture where your expertise meets endless adventure, within the operating room and beyond.

Seize the Day with Per Diem Opportunities at TLC Travel Staff: Explore dynamic healthcare roles that promise flexibility, diversity, and a perfect balance between your profession and lifestyle.

 THERAPY

Venture into a fulfilling odyssey with our temporary healthcare assignments. Explore diverse locales, network with like-minded professionals, and impact lives significantly. Our platform ensures a smooth transition into transformative therapist opportunities. Begin your adventure now!

MEDICAL LAB

Embark on a Journey of Discovery: Delve into the captivating world of Medical Laboratory careers with TLC Travel Staff. Uncover the mysteries of the human body while exploring exotic locations on temporary healthcare assignments. Our platform opens doors to a realm of opportunities, letting you experience the adventure of travel as you advance in your profession.

It's easy to get started in

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Exotic Urbanism

Founded by nurses, 50 years of experience, "day one" benefits, an agency built with you in mind.

"Absolutely amazing company to work for!"

"I don’t think there’s a better company or agency."

Natasha, RN

"I can call day or night and they call right away. They have become my family."

"one of those recruiters that doesn’t bail on you after a contract is signed."

Angela, CNA

"TLC found work for me within ten minutes of my home."

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Years of Experience  Through These Trusted Brands

active travelers

Trusted hospitals, average weekly pay, (36-40hrs/week).

We’re Nurse First, a travel nurse agency. Founded by a former travel nurse, we know what it’s like to be a nurse in an unfamiliar hospital. That’s why we want to give nurses everything they need on travel nurse assignments to set themselves up for success to be happy in their life and careers.

FEATURED TRAVEL NURSING JOBS

$2,366.52 / week, cardiac stepdown, rn, hilo medical center, shift: variable (discussed in interview), start date: july 11, 2022, jacksonville, fl, $3,228.60 / week, cath lab, rn, baptist medical center - jacksonville, shift: 7a-5p, start date: june 20, 2022, top travel nurse locations.

View our top cities for travel nurses in the U.S. based on job availability.

Top Travel Nurse Specialities

Search through our list of top travel nurse specialties.

Our Advocates are on your side, every step of the way.

Instead of recruiters, we work with Advocates to make sure you’re placed in the best work environment possible. Our travel nurse job board discloses all of the information you need to make sure you’re making the right decision for you. No matter what, we’re here to help.

Travel Nurse Testimonials

Ángel santos, rn, ms/tele.

My experience with the company has been amazing. This is my first assignment, and from day one, Nicole Jackson and Daisy Soto were excellent. They guided me through the process and were always aware that I had the necessary tools to complete the requirements to get started with my assignment. 

In my case, I applied for an assignment, and unfortunately, it was not available. Still, Nicole was constantly in contact with me, and she immediately offered me other contracts that met what I wanted. That is the reason I am here now. When I applied with other companies, I was never told when an assignment was unavailable and had to go back to the beginning again. For this reason, I recommend Nurse First Travel Agency to start your new adventure!

Shannon, RN Endoscopy

Nurse First is a great medical staffing agency. My nurse advocate, Lauren, is always timely with responses to my questions. She checks in with me regularly but isn't bothersome or pushy like some recruiters can be. Cheryl, in payroll, is also wonderful and has been so helpful throughout my contract. I appreciate that I have been paid on time every week, and there have been no discrepancies with my pay that I had to address. 

The job board for Nurse First breaks down the location, hours, and pay of available assignments, and their rates are incredibly competitive with top agencies. The company is transparent with their rates before you even show interest in a job, and you simply won't get that with some of the other agencies out there. I am very glad I found a position through Nurse First, and I look forward to continuing to work with the company in the future.

Rachel Masterson, CST

I’ve been with Nurse First for two assignments now. My first assignment with Nurse First was a six-month-long contract with Health Trust. I was skeptical about taking such a different assignment at first. I was told I would be a market float for the whole West division of HCA hospitals. Of course, in the be beginning, we had some ups and downs. But my recruiter, Lauren, worked vigorously to resolve these issues. She made it such a wonderful experience that I signed another six-month contract with this company right after. I would recommend Nurse First to my friends and colleagues because working with them is more like working with family. I feel like a person and not a number. What I enjoy most about this company is its transparency and commitment to its workers. Lauren is always prompt when getting back to me, and she always keeps it real. I can’t imagine going back and working with any other company.

Eli White, Surgical Tech

If you are looking for a company that will be straightforward, transparent, and honest with you, then you should check out Nurse First. I have been in healthcare for 20-plus years, and I can uniquely say that Nurse First is probably the most transparent company out there; it is something I’ve always looked for in an agency. The application process was relatively smooth, and while I always consider my options, I will probably stick with Nurse First for my next contract. 

Alexa Coyne, RN

I had the pleasure of working with Nurse First to obtain my travel contract in NC. I have worked with many agencies, and this one was by far the easiest and fastest at helping me get the job I wanted. 

My recruiter, Nicole, was friendly, easy to get ahold of, and kept an open line of communication throughout the whole process. Although there is no bargaining power, the pay seems to be the best—and there’s no hassle. The onboarding process was easy, and everyone I worked with was able to communicate easily through text and at hours that even a night shifter can appreciate. I am glad I was able to work with Nurse First!

Olivia Hale, RN, BSN

I've used a different agency for each of my travel contracts thus far. It can be exhausting having recruiters constantly pressure you to choose their company, but I never felt that way with Nurse First. Their onboarding process was simple, and any issues/questions I've had have been dealt with in a timely, professional manner. What also appealed to me about working with Nurse First was the transparency they provided about pay packages—and the overall take-home amount was much higher than other agencies I've worked with.

Chauner Jones, BSN

My experience with Nurse First has been a great one. I thank my traveler advocate, Trey Ringer, for assisting me with finding my next assignment. Trey has the best personality, responds quickly, and gets the job done. He gets five stars in communication, customer service, support, responsiveness, integrity, and work ethic from me. I look forward to a long-lasting work relationship with Trey and Nurse First.

Kendralyn Grant

I just wanted to take a moment to highlight one of Nurse First’s employees, Trey, the absolute best. Thanks for being awesome. He is kind, informative, knowledgeable, and, most importantly, I never felt like I was being brushed off. As I recall calling him the first time, I look back and feel like he’s been my recruiter for years. I’ve texted him several times, and not once have I had to wait on a response. In this travel nursing life, I’ve spoken to a few individuals—and he is by far the most professional one. I’m so happy to begin this journey with Nurse First, and mostly I’m glad I was lucky enough that Trey answered the day I first contacted Nurse First—and that I gained him as a recruiter. I’m very big on expressing my gratitude, and he definitely deserves kudos. I pray the world delivers a few more like him in my path in this lifetime. 

Trey rocks—and I mean that wholeheartedly.

Kathleen Tillman, RN

I have traveled for seven years and have used several different travel companies. I have repeatedly tried to find one that meets all my needs, but I always have had to compromise in one area or another. Nurse First finally ticked all the boxes on my needs list... 

(1) lots of jobs in my specialty (2) variety of locations all around the country (3) pay details listed on the website (4) day one insurance (5) a company representative that doesn't harass me like a used car salesman.

Most importantly, my paychecks are always on time and correct and include reimbursements as promised. My traveler advocate Lauren is always available and was helpful and understanding when I missed some work due to my sister passing away. Every member of the company that I have dealt with has been fantastic and responds to any questions I have quickly and professionally. It's been a great experience with Nurse First so far, and I expect to continue with them for the foreseeable future.

Melissa Marsh, RN, BSN

They have a great staff that you get to know over time and see that they value the work that you’re doing. The Nurse First team is easy to communicate with and has been able to work with me to secure jobs that fit my special needs.

Setting up a profile with them is easy! They feature the usual application skills checklist and certifications upload, but they also have a profile specialist that makes yours look perfect when you finally decide to hit submit to your desired assignment.

Ready to get started? Let’s chat!

Contact information..

• 919.887.6100

Recent Posts

5 Trends Shaping Travel Nurse Jobs in 2024

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Top Benefits of Taking Contract Nurse Jobs with a Travel Nursing Agency

Introduction to Contract Nurse Jobs and Travel Nursing Agencies Ready for a change in your nursing career? Enter the realm of contract nurse jobs with a travel nursing agency. This is no ordinary path. As a contract nurse, you swap

The Future of Healthcare: The Rising Demand for Travel Surg Techs in Modern Medicine

Overview of the Evolving Healthcare Landscape The healthcare industry is rapidly evolving, and one undeniable trend is the increasing demand for Travel Surg Techs. These specialized professionals are like the Swiss Army knives of the operating room—they’re trained to adapt

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Empowering top healthcare professionals

Gifted Healthcare offers Travel Nursing, Per Diem, Allied Health, and School-Based jobs for talented clinicians like you.

Choose Your Destination

Work at quality healthcare facilities that maintain high standards for their clinical and cultural environments.

Make a Perfect Match

Find the right job opportunity among thousands of travel, local, and per diem contracts across the country.

Trust Your Team

Gifted Healthcare stays completely focused on your career needs and provides the high-quality service you deserve.

Start Your Job Search with Gifted Healthcare

Gifted Healthcare is an award-winning healthcare career concierge specializing in travel nursing, local nursing, per diem nursing, allied health, and school-based job opportunities. Our agency has won many accolades for our best-in-class service as an organization created by nurses for clinicians. Our knowledgeable and responsive team is here to answer your questions and quickly find your next assignment. Getting started is easy; choose where you want to go, and we will take care of the rest.

Travel Nursing

Local nursing, prn nursing, allied health, school- based, how to work with gifted healthcare.

Submit your quick application in two minutes.

Meet Your Recruiter

A Gifted Healthcare Recruiter will contact you to discuss your career goals and help build your profile.

Complete Your Profile

After completing your profile, we start matching your preferences with our open job opportunities.

Start Your Assignment

Start your assignment with full onboarding details and day-one benefits.

"My recruiter is friendly and is always available when needed and is good about getting a contract fast." 

- Lani R., COTA

“I love how my recruiter always makes sure I am ok, and makes sure my assignment is going well."

- Christy B., RN

"My recruiter is always so helpful and continues to work so hard to find the best contracts for my needs as a traveling nurse who is also a mother of two."

- Destin J., RN

Get started with gifted healthcare today.

Gifted Healthcare Recruiters operate across the country for travel nursing, allied health, per diem nursing, and education-based job opportunities. Just choose the state you want to go to, apply, and we will take care of the rest.

Privacy Overview

Travel Nurse Tax Guide 2023

Navigating travel nurse taxes can be a challenge, especially because travel nurse tax amounts can be a bit different depending on what state or states you worked in. In general, however, taxes are very different for travel nurses compared to traditional staff nurses. From choosing a tax home to keeping your receipts to knowing exactly how your income will affect your long-term financial goals, here is the information you need to know about travel nurse taxes.

RN’s can earn up to $2,300 per week as a travel nurse. Speak to a recruiter today!

Travel Nurse Taxes + Income Breakdown

Travel nurses are paid differently than staff nurses because they receive both a base hourly pay that is taxed and additional “payments” that are non-taxed to make up their “total” pay. When you sign up to commit to a travel nurse position you’ll receive a pay package that will detail all of the different aspects of what will make up your actual compensation.

Essentially it’s in the travel nursing agency’s best interest to keep the base rate of a travel nurse’s pay package low, so many travel nurses have a modest base pay but will receive additional stipends. In a technical and legal sense, those additional stipends — which typically cover things like meals, housing , and work-related expenses — are expense reimbursements for doing your job as a travel nurse, which is why they aren’t considered income and are non-taxable.

Travel agencies offer “standardized” bill rates. This means that there is one rate for all workers with any given license covered by the contract. For example, all Registered Nurses have the same bill rate, all Physical Therapists have the same bill rate, and so on. It’s also possible for the licenses to be broken down by specialty and every so often by level of experience. For example, Medical Surgical and Telemetry Registered Nurses have one rate while all other Registered Nurses have another. Registered Nurses with 1-3 years of experience get one rate, while those with more than 3 years of experience get a slightly higher rate. The important thing to understand is that standardized bill rates are set in stone by the contract for all intents and purposes. There is no possibility of negotiating a higher bill rate based on a particular travel nurse’s salary history or work experience.

Joseph Smith, EA/MS Tax, an international “taxation master” and founder of Travel Tax , explains that in addition to their base pay, most travel nurses can reasonably expect to see $20,000-$30,000 of non-tax reimbursement payments in a typical year working as a travel nurse.

Find travel nurse credit cards to earn points or miles while traveling.

Qualifying For Non-Taxable Income

In order to avoid being taxed on those reimbursement payments, however, you need to clearly prove that you have what’s called a “tax home” to the IRS. The IRS defines a tax home as “the entire city or general area where your main place of business or work is located, regardless of where you maintain your family home.”

Smith explains that you can qualify for a tax home in two main ways:

• If your primary area of residence is also your main area of income, which typically does not apply to travel nurses.
• You visit your primary residence at least once every 12 months and can prove that you are paying for expenses to maintain your primary home.

If you can’t prove that you have a tax home, or don’t meet the qualifications for having a tax home, you will be taxed on the stipend payments you receive as part of your travel nurse pay package. Additionally, Smith cautions that most travel nursing agencies will not verify that you qualify for a tax home, so it’s up to you, the travel nurse, to ensure that you are meeting all requirements for establishing a tax home in order to collect your non-taxable stipends.

Joseph Smith, EA/MS Tax, an international “taxation master” and founder of Travel Tax, explains that in addition to their base pay, most travel nurses can reasonably expect to see $20,000-$30,000 of non-tax reimbursement payments in a typical year working as a travel nurse.

While many people commonly believe that you must have your tax home at least 50 miles away from where you work as a travel nurse, there’s actually no specific distance requirement . The only real requirement is that you must prove that it’s farther away than a reasonable commute and requires rest and sleep before going back and forth.

You should always check with a tax professional, but in general, travel nurses can take the following steps to help ensure that they qualify for a tax home in the eyes of the IRS:

• Keep proof of any payments you are making to show that someone else is maintaining your primary residence, such as receipts for a house sitter, mortgage, rent, utilities, or home maintenance expenses.
• Maintain your driver’s license and voter registration in your home state.
• Keep your car registered in your home state.
• Keep a per-diem position, if possible, in your home state.
• Return to your permanent home at least once every 13 months.
• File a Residence Tax Return with your home state.

To file taxes correctly, it’s very important to maintain your tax home and prove that you have to actually pay for “double” of everything—for both your tax home and your new living situation as a travel nurse. That means that if you rent out your home temporarily while you’re gone, you no longer can classify it as a tax home.

What About State Taxes?

Travel nurses should plan on filing their taxes by the April 15th deadline, just like everyone else in the United States, although there may be a little wiggle room for extensions due to the nature of being a multi-state professional as a travel nurse, according to Smith. Every state has different laws for filing taxes, but travel nurses may need to file a non-resident tax return in every state they have worked in, as well as the state that they consider their permanent tax home.

Travel Nurse Tax Tips

Smith advises travel nurses to keep a receipt book to help them make tax preparation a little easier by having all of their paperwork in one place. Although digital receipts may be more convenient or “modern” for younger nurses, keeping paper copies as a backup is always recommended. Your receipts can include things like:

• Housing and lodging expenses while traveling
• Mileage travel
• Uniform and scrub expenses
• Work-related expenses, such as continuing education courses or certifications you must maintain to keep your position
• Costs for Internet and phone providers

The 2022 tax reform laws did away with many job expenses at the federal level , which means that travel nurses can’t deduct certain travel-related expenses such as food, mileage, and gas on their federal return. You can still get a stipend or reimbursement from your travel agency for those expenses, but they may not count as deductions.

That being said, a handful of states still allow job expense deductions on your state tax return, such as New York , California , Alabama, Hawaii , and Arkansas, so there may be additional tax deductions you can make if you’ve worked in a qualifying state.

Smith also adds to be careful when filling out residency on your tax return, as he sees many travel nurses make the mistake that working a travel assignment means they have moved. However, working a temporary (under 12 months) travel nursing position does not qualify as a move of your permanent residence — instead, they are just away from home temporarily and that’s an important distinction to make come tax time.

Keep your tax home as a permanent residence address, and don’t change it unless you actually move permanently!

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Can You Get Audited As A Travel Nurse?

The travel nursing industry as a whole does tend to be scrutinized closely, says Smith. As a travel nurse, you may be more at risk for an audit if you’re displaying high expenses and low income. For instance, if your mortgage is $10,000 a month, but your overall income with your base pay as a travel nurse is only $20,000 annually, the IRS may be puzzled as to how you’re actually affording your lifestyle.

You can reduce your risk of an audit, or increase your risk of getting through an audit favorably by always making sure to work with a certified tax professional who is familiar with traveling healthcare professionals and not solely relying on your nurse recruiter or travel staffing agency for tax advice.

Lower Taxable Income Considerations

One of the appeals of travel nursing is that you have the potential to make a high income, especially through non-taxed stipends. And although at first glance, having non-tax stipends for things like housing may sound like a great deal for you as a travel nurse, it does come with a catch: because the additional stipends you receive as a travel nurse are not taxed, they are not considered income, and as such, will not be reflected in your annual income.

That may not sound like that big of a deal unless you find yourself in need of a loan, mortgage, or disability payment, or are nearing the age to collect Social Security. All of the aforementioned items are calculated based on your income. The lower your income, the lower the loan amount you will qualify for, and the less you are contributing to Social Security and therefore will be eligible to collect when you’re ready for retirement.

If you know that you will be needing a loan or a mortgage in the near future, Smith suggests talking to your lender as far in advance as possible to explain your situation and plan ahead. Working with a lender who is familiar with the pay structure for travel nurses can also be helpful.

In some circumstances, such as for nurses who are nearing Social Security’s retirement age, it may also be helpful to legally declare that you don’t have a tax home on your tax return, and instead, pay taxes on all of your stipends, so you can count it as taxable income.

And remember – you should use this guide as information to help you learn more about filing taxes as a travel nurse but remember that it is not tax advice. You should always consult your own CPA or tax professional before filing your tax return.

Travel Nurse Tax FAQs

Yes, all travel nurses must pay taxes on all income that they earned. They will need to file a tax return for every state that they worked in, as well as their home state where they have permanent residence.

If possible, it’s always beneficial to work with a tax professional, such as a Certified Public Accountant who can help you file and pay taxes that you owe as a travel nurse. An accountant can provide you with the physical paperwork that you can use to mail your tax payment in or help you set up an online account if digital payments are acceptable. If you file your own taxes using TurboTax or another software, you will be provided with the exact mailing address and instructions to submit payment. If you don’t have one already, you may need a book of checks in order to pay your taxes. The most important thing you need to know about paying taxes as a travel nurse is that you will need to both pay taxes and file a tax return in every single state you have worked in. If you’ve worked in many different states, that’s where hiring a CPA can be very helpful to help you navigate all that paperwork and payment.

It depends. American Traveler explains that you may end up paying taxes in every state you worked in as a travel nurse, depending on which states those are. Some states have what’s called a “reciprocity” agreement, which means that they have agreed that travel nurses working in those states will only be responsible for paying taxes to one state in total. You will have to check with your accountant or look into the tax rules for each state that you’ve worked in to determine exactly how much you owe in taxes. You should also check with your travel nursing agency if this is your situation because you will most likely need to file tax exemption paperwork through them as well. You will also need to pay taxes in both your home state and any state you worked in. That means that all income you make will be ultimately taxed through your home state taxes as well as the state where you earned the money. That might look like getting taxed twice, but the good news is, your home state will deduct the difference if the percentage rate of your home state is higher. And if it’s the other way around, you will generally only pay the higher state rate. This can get a little confusing, which is why we recommend hiring a tax professional.

Some states do not have an income tax , including Alaska , Washington , Wyoming, Nevada, South Dakota, Tennessee, Texas , Florida , New Hampshire, USVI, and the District of Columbia (if you don’t live there.) If you live in one of these states, you will still need to pay any set income tax rate in the state where you work. If you don’t live in those states but you do work in those states, you will still pay your home state tax rate, so be sure you keep that in mind with your total earnings so you can have enough to pay your taxes come tax time.

This depends on if you’re considered a W2 employee or a 1099 contractor, but in general, travel nurses may be able to deduct the following expenses: – Mileage or the cost of gas – A rental car – Uniform and equipment costs – Continuing education – Licensing fees – Travel expenses – Some meals – Retirement and insurance contributions – Expenses that go into paying for your tax home

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Travel Nurse Taxes: Preparing for Tax Season

• Travel nurses have unique tax situations that require special consideration.
• Travel nurses are strongly encouraged to use a tax professional with experience.
• There are concrete steps you can take to make tax season easier for yourself as a travel nurse.

Travel nursing is a unique form of employment with many different tax considerations. Travel nurses are paid a premium to be available on short notice and jump into work virtually without orientation.

Traveling reached all-time popularity during the COVID-19 pandemic, with many nurses leaving their staff positions for better pay and more control over their schedule. According to AMN Healthcare, one of America’s largest staffing agencies, 95% of U.S. hospitals reported using travel nurses during the pandemic.

Though those numbers have decreased, travel nursing remains an excellent option for staff nurses looking to increase their income, expand their skill set, or experience a new location. If you’re considering making the switch, know the basics of tax preparation, tips to maximize your deductions, and mistakes to avoid.

Avoid Making These 4 Mistakes When Preparing for Tax Season

As the name implies, one of the biggest draws of travel nursing is the opportunity to work in many locations throughout the country. However, while the big paychecks and exotic travel are huge draws, the complex reality of multistate tax preparation can be daunting. Misinformation is everywhere, and it’s essential that you know your rights and responsibilities to avoid costly tax mistakes.

We spoke with Sarah Gaines, MSN, RNC-OB, an experienced travel nurse and the founder of the Six Figure Travel Nurse LLC, who shared her tax prep tips for travel nurses.

When asked her number one piece of advice for new travelers, Gaines says, “I’ve learned throughout the years never to take tax advice from your recruiter. You may assume they’re the expert — and often, they’re very confident giving that advice. But only take tax advice from tax professionals.”

And, because we aren’t tax professionals, we spoke to financial pros to get their advice. Avoid these four tax mistakes as a travel nurse.

Neglecting to Research

Before you jump into your first travel nursing assignment, it’s crucial that you do your research. The thrill of a new contract can be dizzying, but make sure you’re adequately prepared.

Answer the following questions before you sign on the dotted line:

• What is the cost of living in the area you’re considering?
• Is that cost factored into your nontaxable stipend?
• Do you meet the IRS requirements for duplicating expenses?
• Are you classified as a W2 employee or an independent contractor?

Underestimating Costs

While travel nursing does pay significantly more than most nursing jobs when factoring in your tax-free stipend, it’s not without costs. The cost of moving, travel, and continuing education are all things travel nurses often pay upfront and need to be accounted for in your budget.

Missing State-Specific Requirements

From a tax perspective, the most complex aspect of travel nursing is accounting for the different taxes, rules, and regulations of each state you work in. If you travel in two or more states throughout the year, popular tax preparation software may not be able to meet your needs adequately.

It’s recommended that you reach out to a tax professional who has experience in tax prep for multistate submissions.

Believing the Myths

Travel nursing myths abound. One myth is that you must only live 50 miles from the facility to qualify for the nontaxable living stipend. Gaines says this is false and a mistake that could cost you.

She says, “The IRS doesn’t care that you live 50 miles away. They care that you can prove you’ve duplicated expenses. However, many agencies have rules like this. That’s where the myth came from, a misunderstanding between agency and IRS requirements.”

You must prove you reside in your home state and are duplicating expenses to qualify for that tax-free stipend. This means being able to produce records, such as a mortgage, lease, or utility bill.

Gaines also warns against accepting legal advice from social media influencers or recruiters for the same reason. For example, many recruiters may advise investing in a P.O. Box as a workaround, but this is tax fraud.

6 Tax Prep Tips for Travel Nurses

Now that you know things to avoid during tax preparation, let’s dive into the best tips to keep you organized and maximize your tax benefits.

Use an Experienced Tax Professional

Every financial professional and travel nurse we spoke to strongly recommends using an experienced tax professional, specifically one who has worked with travel nurses, if possible.

While self-service tax software may have been a convenient choice as a staff nurse, travel nurse tax preparation can get complicated quickly, and the stakes are high.

Consult Before Signing

If you choose to use a tax professional to prepare your taxes, send them your contract before signing. Don’t be afraid to ask a tax professional to evaluate your contracts. They may be able to help you negotiate your terms by understanding your deductions and the tax implications of overtime.

Build an Emergency Fund

Because things can change on a dime, it’s vital to have an emergency fund before you start traveling. If possible, maintain savings for 3-6 months’ worth of living expenses. This covers you in case unexpected costs arise or your facility cuts your contract (which happens sometimes).

Know Your Contract

The most critical step in accepting your travel assignment is reading your contract thoroughly before signing. Contact your recruiter first if you find something in your contract that you don’t understand or object to.

But be wary of verbal promises. Make sure you get everything in writing in the contract itself. Legally speaking, if it isn’t written, it isn’t binding.

Document Everything

Just like at your bedside nursing job, documentation is key for tax preparation. The IRS requires proof of duplicated expenses, receipts, and proof of income in case of an audit. You’ll want to keep careful records of all your contracts, income from per diem roles in your home state, and expenses.

William O’Donnell, a certified financial fiduciary and president of Heartland Financial Solutions LLC, recommends using technology to streamline this process.

O’Donnell says, “Try using an expense tracking app that lets you record expenses and records copies of receipts. Having good records is crucial to maximizing your tax deductions.”

Use a Separate Account

A good accounting tip to keep you organized throughout the year and minimize headaches during tax season is to open a separate account where all your travel nursing transactions occur.

Maintaining separate bank accounts and records will make it much easier to itemize deductions and spot potential issues for your tax preparer.

Travel Nurse Tax Write-Offs

There are many expenses that travel nurses can write off, but make sure you don’t double-dip. An example of double-dipping would be writing off a cardiopulmonary resuscitation course when you’ve already been reimbursed for that by your agency.

Each tax write-off is different; some things require calculations. Again, consult a tax professional if you need more clarification.

Here is a noncomprehensive list of travel nursing tax write-offs:

• Continuing education for nurses
• Car expenses, such as repairs or registration
• Nursing uniforms
• Travel expenses, including tolls
• Malpractice insurance for nurses

Consult a tax professional if possible and keep meticulous records of all expenses and income to avoid common tax pitfalls. Now that you know these mistakes to avoid and tips to use, you’re ready for tax season as a travel nurse.

Meet Our Contributors

Sarah Gaines, MSN, RNC-OB

Sarah Gaines is a travel nurse expert, online educator, and mentor helping nurses seek out, secure, and leverage premium contracts so that they can escape bedside burnout, accelerate their career, and retire early. Over the years, she’s cultivated a growing community that connects thousands of Six Figure Travel Nurses from across the globe! Gaines uses the power of social media to share insightful travel nurse tips, a behind-the-scenes look into her life as a full-time digital nomad, and the wisdom she’s gained as a retired RN turned entrepreneur who continues to build wealth while traveling the world.

William ODonnell, CFF

William O’Donnell is a financial advisor and certified financial fiduciary with a master’s degree in healthcare administration. He is the president and wealth manager at Heartland Financial Solutions . He has been serving financial advisory clients for more than 30 years.

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What Are the Tax Implications for Travel Nurses Operating as Independent Contractors?

Travel nurses, in general, have a couple of options related to their contractual arrangements for their assignments. They can either work as an employee of an agency or healthcare facility or as an independent contractor (IC), either sub-contracting with an agency or contracting directly with a healthcare facility. In this post we will explore the issue of working as an IC, including tax and related matters.

What Exactly Is an Independent Contractor?

Put simply, an IC is any worker that is not an employee. Where employees will receive W2s, have their federal, payroll, state and local taxes deducted and receive benefits (hopefully), ICs receive 1099s with lump sum payments or operate as LLCs or small specialized firms. There is more detail in the distinctions that we will get to soon, but a simple way to think about is that ICs are employed by themselves and substantially control how they deliver their products or services. So, why does it matter whether you are an employee or IC? One word: Taxes…though there are other factors at play.

ICs have tax advantages not available to employees. Prior to 2018, nurse employees were limited in the deductions they could make for job-related expenses. They could deduct non-reimbursed travel, meals, CEUs, professional subscriptions, certification costs, licensing costs and other legitimate expenses, but these had major restrictions. Such deductions were only available to employed nurses that itemized their deductions and only for amounts exceeding 2% of their adjusted gross income. Now, note that I stated “prior to 2018” earlier. That’s because, starting in 2018, these deductions are no longer available to employed nurses thanks to the new tax law.

ICs, on the other hand, are effectively treated as businesses by the IRS, meaning all expenses relevant to the work performed are deductible. What’s more, the new tax law does not affect this advantage for ICs. Thus, travelers employed by agencies that were able to deduct job-related expenses in years past are no longer able to deduct anything, while their IC counterparts continue to enjoy the sweet sweet nectar of tax deductions in 2018 and beyond.

The differences between classifying workers as employees or ICs also creates some incentives for companies that hire them. Employees bring a host of requirements and mandates, such as payroll taxes and benefits, that can significantly increase payroll costs. Hiring ICs offers a way to reduce payroll costs and legal liability while potentially enhancing workforce flexibility.

Employed travelers reading this may feel jealous at this point, but the next part of this discussion may help you feel better.

Why Isn’t Every Travel Nurse an Independent Contractor?

With the tax advantages to employers and ICs mentioned above, you may be wondering why most agencies employ nurses rather than contract with them as ICs. Well that’s because the IRS and many other agencies have a say-so in how workers are classified as either employees or ICs. The incentives created for employers to classify workers as ICs means that it is ripe for abuse.

The IRS has detailed rules for how to classify workers as employees or ICs:

The general rule is that an individual is an independent contractor if the payer has the right to control or direct only the result of the work, not  what  will be done and  how  it will be done. Small businesses should consider all evidence of the degree of control and independence in the employer/worker relationship.

These requirements are further complicated by those of other federal agencies as well as state and local agencies. The risks to companies of violating these requirements is considerable, including fines, penalties and tax liabilities. While many companies try to push the envelope with aggressive IC classifications, the potential costs to their businesses could easily outweigh the benefits.

With this background, we can understand that many agencies and healthcare facilities will opt for a more conservative position in determining whether a travel nurse should be classified as an IC or a temporary employee. Considering the IRS rules, the fact that healthcare facilities have ultimate control over when, where and how travel nurses perform their work tips the balance towards employee classifications and away from IC status.

With that said, every case is based on its facts and circumstances – it’s not a simple matter. But in the typical circumstances of a travel assignment involving bedside nursing and therapy, the IRS has historically held the position that travel nurses working with agencies are employees. There is a lot of risk to the agencies to classify nurses as ICs given the circumstances.

There Are Tax Advantages If You Are an Independent Contractor

Even though there are significant risks in making wrong classifications of workers, many travel nurse agencies will engage with a travel nurse as an IC, either directly or through the nurse’s LLC or S-Corp. Some have been able to pass the stringent rules of the IRS and other agencies to classify their workers as ICs, while others opt to take an aggressive position. Regardless, there is nothing that prevents a nurse from establishing an IC relationship where it is offered. Doing so means that all business-related expenses are deductible. This includes any reimbursements (per diems/stipends) up to the GSA limits for the travel destination with any overages being non-taxable if actually incurred (keep those receipts!).

In addition, under the new tax law, nurses operating under an LLC or S-Corp will only be taxed on 80% of the net income generated by the business. LLCs and S-Corps also provide a layer of protection of personal assets against any claims from creditors of the business.

Given these advantages, though, there are a number of potential cons to working as an IC rather than an employee. For starters, you will bear the full brunt of payroll taxes and quarterly tax payments. You will lose out on benefits that may be offered to employees. Moreover, the relationship between the IC/business and the agency will likely have to give the appearance of a business-to-business relationship, such as the IC collecting revenue by billing the agency. If the relationship looks like an employer-employee relationship in everything but a declaration that it is an IC relationship, it will look suspicious to IRS agents.

And while the risk of incorrect IC classification generally lies with the agency/employer, the IRS may select IC nurses’ returns for auditing given its historical opinion that these arrangements typically should be classified as temporary employment. This may lead to evidence to be used against the employing agency as well as to assess penalties against the IC nurse for underpaying her taxes. This is why it is very important for the IC travel nurse to receive documentation from the agency that the IRS has approved its IC classification.

What Does It All Mean?

In general, IC status can offer some major tax advantages to travel nurses compared to their employed counterparts. But it’s hard to find assignments that allow for this type of a worker relationship. There are also some risks of being an IC that may make some nurses nervous. Every nurse’s circumstances and risk-tolerance are different, so understanding the pros and cons of IC opporunities – if you can find them – is important to making the right decision for herself and her family.

About the Author: Johnny Neil, CPA, MBA

We are an independent tax preparation firm, with over 20 years of experience serving the tax needs of healthcare travelers all across the U.S.

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