Locum CRNA Guide
Locum tenens is a work arrangement that allows Certified Registered Nurse Anesthetists (CRNAs) to provide temporary anesthesia coverage for healthcare facilities. While the clinical work may look similar to permanent employment on a day-to-day basis, the surrounding structure — contracts, onboarding, logistics, and income consistency — can be very different.
This guide is designed to provide educational, practical information about locum tenens work for CRNAs. The goal is not to promote one career path over another, but to explain how locum work typically functions in real-world settings so CRNAs can make informed decisions based on their priorities and circumstances.
Key Insight
Locum tenens is best understood as a different employment structure, not a different level of practice. Many of the biggest differences involve logistics, predictability, and personal preference rather than clinical ability alone.
How Locum Tenens Work Typically Functions
Most locum CRNA assignments follow a similar sequence: the facility identifies a coverage need, terms are agreed upon, credentialing is completed, and the CRNA provides anesthesia services for a defined period. The exact timeline varies by facility and state licensing requirements, but understanding the general flow can reduce surprises.
| Step | What Happens | Why It Matters |
|---|---|---|
| 1. Identify an assignment | CRNA reviews a role’s schedule, call expectations, and setting | Assignment structure often impacts lifestyle more than location |
| 2. Confirm requirements | Licensing, certifications, and facility requirements are verified | Incomplete requirements can delay start dates |
| 3. Credentialing | Facility verifies training, history, references, and privileges | Credentialing timelines vary and can affect income continuity |
| 4. Work the assignment | CRNA provides anesthesia coverage under defined terms | Expectations should be clear before arrival (cases, call, workflow) |
| 5. Transition or extend | Assignment ends, extends, or becomes recurring | Planning ahead reduces gaps between assignments |
Locum vs Permanent vs PRN
CRNAs generally practice in one of three employment structures: permanent roles, locum assignments, or PRN work. Each model can be a good fit depending on schedule preferences, benefits priorities, and tolerance for variability.
| Category | Locum CRNA | Permanent CRNA | PRN CRNA |
|---|---|---|---|
| Structure | Temporary assignments | Ongoing employment | Shift-by-shift |
| Pay Pattern | Higher per hour, variable | Steady, predictable | Often stable within one facility |
| Benefits | Usually self-managed | Employer-sponsored | Often limited |
| Travel | Common | Uncommon | Usually local |
| Best for | Autonomy and variety | Stability and continuity | Flexibility without frequent transitions |
Key Insight
Many CRNAs move between these models over time. The “best” option often depends on career stage and lifestyle needs rather than one permanent preference.
Use This Guide Based on What You’re Trying to Decide
Choose the section that matches what you’re evaluating. Each article is written to be informational, with a focus on realistic expectations rather than guaranteed outcomes.
| If you’re trying to… | Start here |
|---|---|
| Understand what locum tenens means for CRNAs | What Is Locum Tenens for CRNAs? |
| Weigh the tradeoffs objectively | Pros & Cons of Locum Tenens CRNA Jobs |
| Understand compensation without relying on assumptions | How Much Do Locum CRNAs Make? |
| Learn the basics of 1099 considerations | Locum CRNA Taxes Explained (1099 Guide) |
| Plan logistics (housing, travel, licensing) | Housing, Travel & Licensing for Locum CRNAs |
| Compare employment options |
Locum vs Permanent CRNA Jobs Locum vs PRN CRNA Work |
Guide Contents
For reference, here are the articles included in this guide:
Understanding Locum Work
Pay & Logistics
- How Much Do Locum CRNAs Make?
- Locum CRNA Taxes Explained (1099 Guide)
- Housing, Travel & Licensing for Locum CRNAs
Compare Options
Common Questions About Locum Tenens CRNA Work
Is locum tenens appropriate for new graduate CRNAs?
Most facilities prefer locum CRNAs with independent clinical experience. While some newer CRNAs may pursue locum work, permanent roles are often better suited for building early confidence and consistency.
Do locum CRNAs work under supervision?
Locum CRNAs generally practice under the same supervision model used by permanent staff at the facility, which may vary by state law and facility policy.
Can locum work be temporary or long-term?
Some CRNAs use locum assignments briefly between permanent roles, while others incorporate locum work as an ongoing part of their careers.
What Locum Tenens Is Not
Locum tenens work is sometimes misunderstood. It is not a guaranteed path to higher income, nor does it eliminate administrative responsibilities. Locum CRNAs must manage licensing, credentialing, taxes, and benefits more actively than permanent employees.
Understanding these realities helps set appropriate expectations and reduces the risk of dissatisfaction.
Key Insight
Locum tenens works best when expectations are aligned on both sides. Clear communication about schedules, case mix, call, and duration matters more than headline pay rates.
Editorial Note
This guide is intended for educational purposes and reflects general patterns seen in locum tenens work. Individual assignments can vary significantly by facility, state licensing requirements, and contract structure. CRNAs are encouraged to review assignment details carefully and seek professional guidance when evaluating tax or legal questions.
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