Credentialed RNs, LVNs, and CNAs available for same-week and same-day shift coverage. When a call-out hits or census unexpectedly climbs, Hearthstone keeps your facility running without mandating overtime.
Per diem staffing means exactly what it sounds like — a clinician works a shift, as needed, without a long-term commitment from either party. It's the fastest way to fill an open shift without burdening permanent staff with mandatory overtime.
Hearthstone maintains an active Houston-area pool of pre-credentialed per diem clinicians specifically to respond to short-notice and same-day requests. Every clinician in the pool is vetted, background-checked, and credentialed before they ever receive a shift offer.
Facilities with an active Hearthstone staffing agreement can request same-week coverage through a simple process.
Hearthstone places per diem clinicians across the full care continuum — from acute hospital floors to long-term care, dialysis, and home health settings.
Per diem RNs for med-surg, tele, ICU, ER, SNF, and specialty units. Available for day, evening, and night shifts including weekends and holidays.
Per diem LVNs for skilled nursing, long-term care, assisted living, outpatient, and dialysis settings. Medication administration and wound care competency available.
Per diem CNAs and PCAs for SNFs, assisted living facilities, hospitals, and home health agencies. CNA certification and competency verified through the Texas Nurse Aide Registry.
Staffing gaps don't keep business hours. Hearthstone's per diem network covers every shift type — from 8-hour day shifts to 12-hour overnight rotations.
7am–3pm and 7am–7pm coverage for all care settings
3pm–11pm for facilities with multi-shift daily operations
11pm–7am and 7pm–7am overnight rotation coverage
Saturday, Sunday, and holiday shift coverage available
Filling open shifts with per diem clinicians instead of mandating overtime eliminates the 1.5–2x pay multiplier — while also protecting permanent staff from fatigue-driven burnout and turnover.
Hearthstone maintains an active, pre-credentialed per diem pool in the Houston area — not a list of names to cold-call. When you submit a request, we already know who's available and compliant.
Same-week response for most requests. For facilities with active agreements, Hearthstone operates as a genuine extension of your internal staffing team — not an outside vendor you scramble to reach.
Per diem staffing is one tool in a broader staffing strategy. Here's how it compares to the most common alternatives healthcare facilities lean on when gaps arise.
How quickly can Hearthstone provide per diem coverage?
For facilities with an active staffing agreement, we can typically confirm shift coverage within hours for clinicians already in our pre-credentialed network. Same-week coverage is standard; same-day is possible for common roles like CNAs and LVNs depending on availability.
Do we need a long-term contract to access per diem staffing?
No. Hearthstone offers per diem coverage under a straightforward staffing services agreement, not a long-term commitment. You request coverage as you need it — there's no minimum usage requirement.
What documentation do we receive for per diem placements?
Prior to each placement, you receive a credentialing summary for the assigned clinician — confirming their licensure status, background check clearance, BLS certification, and immunization records. A signed timesheet and invoice follow after each shift.
Can per diem clinicians work multiple shifts or extended schedules?
Yes. Per diem doesn't mean one shift only. If a clinician is a good fit and you need continued coverage, shifts can be scheduled on an ongoing basis. For extended needs lasting several weeks or months, we may recommend transitioning to a contract staffing agreement for added stability.
Do you serve SNFs and assisted living facilities, not just hospitals?
Absolutely. Hearthstone places per diem clinicians across acute hospitals, skilled nursing facilities (SNFs), assisted living communities, dialysis centers, outpatient clinics, and home health agencies throughout Greater Houston.
Submit your open shift request and our team will confirm a credentialed, pre-screened clinician — same week for most requests. No long-term commitment required.