PRN employees are employed by Duke on an "as needed" basis. PRN employees are paid by Duke at an hourly rate, but are not eligible to receive benefits or accrue PTO. Staffing schedules and pay rates for PRN employees are determined based on the department, job classification, or program designation.

PRN status is reserved for mission-critical contingency staffing for positions that are categorized as high demand/low supply.

PRN Personnel Subareas

Use the following criteria to determine which personnel sub-area to use for non-exempt PRNs:

Nursing PRN PSA (0017)

Employees in this PSA are ineligible for merit and market increases. Program rates are pre-established and market driven.

For Nursing PRNs paid a flat rate in the following job codes:

5063 Nurse Practitioner $70.00
5059 Critical Care Nurse Practitioner $70.00
5461 Nurse Midwife, Certified $50.00
5060 Nurse Anesthetist $140.00
4231 Clinical Nurse, PRN (see below)
4280 Clinical Nurse - FP, PRN (see below)
4628 Clinical Nurse, Internal Traveler (see below)

RequirementsClinical Nurse PRN
(4231)
Clinical Nurse PRN
(4231)
Clinical Nurse - FP PRN
(4280)
Clinical Nurse - FP PRN
(4280)
Clinical Nurse, Internal Traveler
(4628)
Agreement requiredYesYesYesYesYes
Minimum commitment per period8-12 hours per week20+ hours per week8-12 hours per week20+ hours per week36 hrs/week
Holiday commitmentas neededas neededas neededas neededas needed
Weekend commitmentup to 48 hrs/8 weeksup to 48 hrs/8 weeksup to 48 hrs/8 weeksup to 48 hrs/8 weeksup to 48 hrs/4 weeks
Hourly rates$36/hr for nurses with 2+ years of experience$41/hr for nurses with 2+ years of experience$39/hr for nurses with 2+ years of experience$44/hr for nurses with 2+ years of experience$75/hr for nurses with 2+ years of experience who float
Benefitslimitedlimitedlimitedlimitedlimited
Holiday1-1/2 base rate1-1/2 base rate1-1/2 base1-1/2 base1-1/2 base
Managed ByUnit department managerUnit department managerClinical Staffing ManagerClinical Staffing ManagerClinical Staffing Manager

*Program C requires LMC approval and is only available in units with a high vacancy rate and/or FMLAs.

If the PRN nurse is assigned to a unit, their work schedule will be assigned by the unit nurse manager.

For additional information on Clinical Nurse PRN program eligibility, contact Duke Nurse Recruitment. -1-800-232-6877.

Allied Health PRN PSA (0025)

Employees in this PSA are ineligible for merit and market increases. Program rates are pre-established and market driven.

For Allied Health PRNs paid a flat rate in the following job codes:

Job TitleJob CodePRN Rate
PROFESSIONAL NURSING ASSISTANT4600$18.00
RADIATION THERAPIST4127$40.00
CT TECHNOLOGIST4042$35.50
MAMMOGRAPHY TECHNOLOGIST4091$35.50
INTERVENTIONAL TECH4078$35.50
MR TECHNOLOGIST4101$35.50
NUCLEAR MEDICINE TECHNOLOGIST4102$35.50
RADIOLOGIC TECHNOLOGIST4128$35.50
SONOGRAPHER4163$35.50
AUDIOLOGIST5509$46.00
OCCUPATIONAL THERAPIST5068$46.00
PHYSICAL THERAPIST5249$46.00
SPEECH-LANGUAGE PATHOLOGIST5100$46.00
PHYSICIAN ASSISTANT5082$70.00
CRITICAL CARE PHYSICIAN ASSISTANT5525$70.00

DukeMed PRN (0026)

For any non-exempt PRN who is paid based on experience, rather than in a pre-approved flat rate program option. Employees in this PSA are merit increase eligible.

Duke Retiree (0050)

Employees in this PSA are merit increase eligible.

Retirees, Non Nursing

For any retiree. The rate is set within the competitive range for the job they are rehired into at retirement.

Retirees, Nursing

Eligible Nursing Job Codes:

4024 Clinical Nurse II
4025 Clinical Nurse III
4026 Clinical Nurse IV
4624 Clinical Nurse II – AD/DIP
4625 Clinical Nurse III – AD/DIP

If the employee is a level III or IV at retirement date, the employee may stay in their clinical ladder level/classification at the same rate of pay if he/she maintains the requirements of the level. Otherwise, employee will move to a level II. If paid above the level II max of the band, rate of pay will be changed to band max.

Premium Eligibility for PRN and Retirees

PremiumNursing PRNAllied Health PRNDuke Med PRNRetiree
Shift PremiumEligibleEligibleEligibleEligible
Weekend PremiumEligibleEligibleEligibleEligible
Weekend Option PremiumEligibleNot EligibleNot EligibleEligible
Holiday PremiumEligibleEligibleEligibleEligible
On-CallEligibleEligibleEligibleEligible
Call-BackEligibleEligibleEligibleEligible
Emergency Call BackEligibleNot EligibleNot EligibleNot Eligible
Out of PositionNot EligibleNot EligibleNot EligibleNot Eligible
Preceptor*EligibleEligibleEligibleEligible
Charge *EligibleEligibleEligibleEligible

*Preceptor and Charge are available for pre-approved job classifications as outlined on the Premium Pay website.