Healthcare Staffing Glossary: 50+ Terms Every Traveler Should Know

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Healthcare staffing has its own vocabulary that can confuse first-time travelers. This glossary covers 50+ essential terms — from pay package components (bill rate, stipend, blended rate) to industry structure (MSP, VMS, PRN) to compliance and credentialing terms you will encounter throughout your travel healthcare career.

Last updated 2026-02-17

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Pay & Compensation Terms

Understanding how money flows in travel healthcare is critical to evaluating job offers.

TermDefinition
Base RateYour taxable hourly wage on your W-2. Typically $20–$35/hr for RNs. Overtime is calculated from this rate.
Bill RateWhat the hospital pays your staffing agency per hour ($65–$120/hr for RNs). Your pay comes from this minus the agency margin.
Blended RateA single hourly rate that combines base pay and stipends. Red flag if an agency won't break this down.
Completion BonusA taxable bonus ($500–$2,000) paid when you finish your full contract. Not all agencies offer this.
GSA RateGovernment per diem rates (General Services Administration) that set the maximum tax-free housing and meals stipends by location.
Housing StipendTax-free monthly allowance for housing while on assignment ($1,200–$2,400/mo). Must maintain a tax home to receive tax-free.
M&IEMeals & Incidentals Expense — a tax-free daily stipend for food and supplies ($50–$80/day based on GSA rates).
Pay PackageYour total compensation offer, combining base rate + stipends + bonuses + benefits.
StipendA non-taxable allowance (housing or meals) paid to cover expenses while working away from your tax home.
Tax HomeYour permanent residence that you maintain while traveling. Required by the IRS to receive tax-free stipends.

Use CatSol's GSA-compliant pay calculator to compare your real take-home across any location — with tax-free stipend breakdowns.

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Industry & Business Terms

Understanding how the staffing industry works helps you navigate relationships between agencies, hospitals, and technology platforms.

TermDefinition
ATSApplicant Tracking System — software agencies use to manage candidates and job orders (e.g., LaborEdge, Bullhorn).
Compact LicenseA multistate nursing license (NLC) valid in 40+ states. Available for RNs and LPNs, not CNAs.
ComplianceThe credentialing and documentation process — licenses, certifications, immunizations, background checks — required before starting an assignment.
ExtensionContinuing your assignment beyond the original end date (usually in 4- or 13-week increments).
FloatBeing assigned to a different unit than your primary posting during a shift due to staffing needs.
Guaranteed HoursA contract clause ensuring you're paid for a minimum number of hours per week, even if the facility cancels shifts.
Joint CommissionThe national accrediting body for healthcare staffing agencies. Joint Commission certification is the gold standard.
MSPManaged Service Provider — a company that manages all staffing vendors for a hospital. They sit between you and the facility.
PRNPro re nata (Latin for "as needed") — working on an as-needed, per diem basis rather than a set schedule.
Rapid ResponseEmergency/crisis staffing assignments that pay premium rates. Often shorter (4–8 weeks) with fast start dates.
VMSVendor Management System — technology platform hospitals use to manage multiple staffing agencies (e.g., ShiftWise, Medefis).

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Professions & Certifications

Healthcare staffing spans many disciplines beyond just RNs.

AbbreviationFull Name
RNRegistered Nurse
LPN / LVNLicensed Practical Nurse / Licensed Vocational Nurse (same role, different state terminology)
CNACertified Nursing Assistant
NPNurse Practitioner
PAPhysician Assistant
CRNACertified Registered Nurse Anesthetist
PT / PTAPhysical Therapist / Physical Therapist Assistant
OT / OTA / COTAOccupational Therapist / Occupational Therapy Assistant / Certified OTA
SLPSpeech-Language Pathologist
RTRespiratory Therapist
ACLSAdvanced Cardiovascular Life Support (certification)
BLSBasic Life Support (certification — required for all healthcare travelers)
CCRNCritical Care Registered Nurse (certification for ICU nurses)
CENCertified Emergency Nurse
NLCNurse Licensure Compact (the multistate license agreement)

Use CatSol's GSA-compliant pay calculator to compare your real take-home across any location — with tax-free stipend breakdowns.

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Assignment & Contract Terms

Terms you will encounter when reviewing and signing travel contracts.

TermDefinition
13-Week ContractThe standard travel assignment length. Some contracts are 8 or 26 weeks.
CensusThe number of patients in a facility. Low census can lead to shift cancellations or contract terminations.
CredentialingThe process of verifying your licenses, certifications, education, and work history before an assignment.
DNR (Do Not Return)A facility designation that prevents you from being placed there again. Usually due to serious issues.
OrientationTraining period at the start of an assignment (typically 1–3 days for travel nurses).
Profile / SubmissionYour candidate packet (resume, skills checklist, certifications) submitted to a facility for consideration.
Skills ChecklistA self-assessment document where you rate your competency in specialty-specific clinical skills.
Time to FillHow long it takes from job posting to a traveler starting — typically 2–4 weeks for most positions.

Frequently Asked Questions

What is the difference between a staffing agency and an MSP?
A staffing agency employs you and matches you with hospital jobs. An MSP (Managed Service Provider) is hired by the hospital to manage multiple staffing agencies. When a hospital uses an MSP, your agency submits you through the MSP platform, which adds a layer between you and the facility.
What does "blended rate" mean and why is it a red flag?
A blended rate combines your base pay and stipends into one hourly number. It's a red flag because it hides how your pay is structured. Without seeing the breakdown, you can't verify if your stipends follow GSA rates or if your base rate is suspiciously low. Always ask for the full component breakdown.
What is the difference between PRN and travel?
PRN (per diem) means working on an as-needed basis at local facilities — no guaranteed hours, no housing stipend, but flexibility. Travel assignments are set contracts (typically 13 weeks) in a new location with housing stipends, guaranteed hours, and higher overall pay.
Summary

This glossary covers the essential vocabulary of healthcare staffing — from pay components like bill rates and GSA stipends, to industry terms like MSP and VMS, to profession abbreviations and contract terminology. Bookmark this page as a reference throughout your travel healthcare career.

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