The role of Certified Registered Nurse Anesthetists (CRNAs) is important across a wide range of clinical settings. As demand for anesthesia services continues to rise, more CRNAs are exploring the freedom and flexibility of locum tenens work.
Whether you’re seeking more autonomy, variety in practice, or better work-life balance, becoming a locum tenens provider could be a rewarding path.
Here’s a step-by-step guide on how CRNAs can successfully transition into the locum tenens world.
1. Understand What Locum Tenens Means for CRNAs
Locum tenens is a Latin term meaning “to hold the place of.” As a locum CRNA, you’ll temporarily fill in for full-time anesthesia providers who are on leave, work in facilities experiencing staffing shortages, or assist hospitals during patient surges. Assignments for locum tenens providers can range from a few days to several months (often 13 weeks), and can be local, regional, or nationwide.
Committing to a long-term, full-time locum assignment in a new state may seem intimidating at first. Fortunately, it is common for locum contracts to include a 30-day out clause, allowing you to end your contract early with 30 days’ notice to your agency if a role isn’t the right fit. Keep in mind that facilities can offer the same notice to locum tenens providers.
2. Assess Your Readiness
Before leaping into the world of locum tenens, it is important to assess your:
- Clinical Experience: Many locum tenens roles prefer CRNAs with at least 1–2 years of clinical experience, though some assignments are open to new graduates as well.
- Licensing & Certifications: All CRNAs in the United States must be certified by the NBCRNA. It’s also important to ensure your state licenses are current and in good standing. In addition to licensure, locum tenens providers are usually required to maintain up-to-date BLS, ACLS, and PALS certifications. Some states, such as Pennsylvania, have additional mandatory certifications—like the PA Child Abuse Recognition and Reporting training—so be sure to check for any state-specific requirements before applying.
- Flexibility & Adaptability: Locum tenens CRNAs must adjust quickly to new environments and teams. A strong sense of clinical confidence and independence is essential.
3. Obtain Multistate Licensure
Since locum assignments can span multiple states, holding several state licenses—or applying for them in advance—can give you a competitive edge.
Currently, 43 states participate in the Nurse Licensure Compact (NLC), which grants multi-state practice privileges for Registered Nurses (RNs). It is important to note that, because CRNAs practice as Advanced Practice Registered Nurses (APRNs), state-specific APRN licenses are still required.
Furthermore, it is important to note that additional credentialing—such as securing specific hospital privileges—is often required even when practicing in an NLC-member state.
4. Partner with a Reputable Locum Tenens Agency
Agencies play a crucial role in matching CRNAs with the right locum opportunities. They can help with:
- Contract negotiation
- Credentialing paperwork
- State licensing
There are many healthcare staffing agencies that work with CRNAs. Select agencies experienced with locum tenens CRNA placements, and don’t hesitate to ask about pay structure, assignment length, and facility expectations. The more you communicate your needs upfront, the quicker you can be successfully placed in top locum roles.
5. Prepare Your Documentation
As a locum tenens provider, you’ll need a detailed and organized professional file. Include:
- Updated CV that includes explanations for any employment gaps longer than 1 month
- Copies of your licenses and certifications
- Immunization records
- DEA license (if necessary)
- 3 References with contact information on hand
Having these documents readily available speeds up the onboarding and credentialing process.
6. Understand Compensation and Taxes
Locum CRNAs are typically paid an hourly or daily rate, often higher than permanent roles due to the temporary nature of the work. However:
- Most locum CRNAs are classified as independent contractors (1099), so you’re responsible for your own taxes.
- It is highly recommended that you work with an accountant or financial advisor who understands the nature of locum tenens work.
- Locum tenens providers typically cover their benefits, such as health insurance and retirement savings.
7. Stay Organized and Proactive
Each assignment may come with different facility protocols, EMRs, and case mixes. Here’s how to stay ahead:
- Create a checklist for each assignment (housing, orientation, licensure needs).
- Keep a professional portfolio ready for quick credentialing.
- Join locum tenens communities and forums to share experiences and get advice.
Final Thoughts: Is Locum Tenens Right for You?
Locum tenens work offers CRNAs an opportunity to control their schedule, travel, and gain exposure to diverse clinical environments. It’s an excellent path for those seeking professional growth, lifestyle flexibility, or a break from traditional employment.
If you’re a CRNA looking for a career shift—or simply more freedom in your practice—locum tenens could be the ideal next step.
Interested in Becoming a Locum Tenens Provider?
Start by reaching out to a locum tenens staffing agency, such as Independence Anesthesia, or talking to colleagues who’ve made the leap. You might be surprised at how quickly you can build a rewarding and dynamic locum CRNA career on your own terms!
About Independence Anesthesia:
Since 2003, Independence Anesthesia (IAS) has been placing CRNAs and anesthesiologists in top locum tenens assignments nationwide. Concierge-style service is at the heart of what we do, and we pride ourselves on working with each anesthesia provider one-on-one.
Whether in hospitals, ambulatory surgical centers, or anesthesia groups, we ensure every locum tenens provider is placed in roles that align with their skills and career aspirations.