Travel L&D Nurse Jobs — Texas

Labor and delivery travel RN assignments across Texas — the highest-birth-volume state in the US. 400,000 births/year + 0% state tax + NLC Compact = the nation's strongest L&D travel market.

Weekly Pay
$2,800–$3,500
State Income Tax
0% — None
TX Birth Volume
~400K/year
RNC-OB Premium
+$100–$200/wk

Texas: The Nation's #1 State by Birth Volume

Texas records approximately 400,000 births per year — more than any other US state. That's 15% more births than California and more than double New York's annual volume. Combined with rapid population growth in all four major metros (Houston, Dallas, San Antonio, Austin), Texas faces a structural L&D nursing shortage that travel nurses fill year-round. Unlike seasonal markets (Arizona, Florida), Texas L&D demand is consistent across all 12 months.

Open Texas L&D Travel RN Positions

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Texas L&D Travel RN Pay by Unit Type

Unit TypeTX Weekly PayTop TX MarketsKey Certs
L&D — Level IV Perinatal Center$3,200–$3,800Houston TMC, Dallas UT SouthwesternNRP, RNC-OB, ACLS
L&D — Level III MFM Unit$3,000–$3,500Houston, Dallas, San AntonioNRP, ACLS, EFM
High-Risk OB / Antepartum$3,000–$3,500Academic centers statewideNRP, ACLS, RNC-OB preferred
Mother-Baby / Couplet Care$2,800–$3,200Statewide community hospitalsNRP, BLS
L&D — Community Hospital$2,800–$3,200Austin suburbs, DFW suburbsNRP, ACLS, BLS
Postpartum$2,600–$3,100StatewideNRP, BLS

Top Texas L&D Facilities for Travel RNs

Texas Children's Pavilion for Women — Houston

Level IV — Largest TX

One of the nation's largest and most advanced perinatal centers. Level IV designation. Approximately 13,000 deliveries/year. Consistently requires travel L&D and NICU RNs. The premier OB travel assignment in Texas for experienced L&D nurses.

UT Southwestern Medical Center — Dallas

Level IV Academic

Level IV perinatal center at Clements University Hospital. High-risk OB, MFM, and Level IV NICU adjacency. Travel L&D nurses need high-risk OB experience and NRP/RNC-OB preferred.

Methodist Hospital — San Antonio

SA Birth Volume Hub

Southside's premier L&D destination with approximately 8,000 deliveries/year. Couplet care and antepartum travel RN openings are consistent. San Antonio has the highest birth rate of any major Texas metro.

Baylor Scott & White — Central Texas

DFW / Central TX

Large multi-campus system covering DFW and Central TX. BSW McLane Children's in Temple is a high-risk OB hub. Community L&D positions across DFW suburbs available for first-time travel L&D nurses.

HCA Houston Healthcare

Houston — Entry Friendly

HCA operates multiple hospitals in the Houston area with active L&D units. Good choice for travel L&D nurses seeking their first Texas contract — strong orientation, consistent census. Non-Level IV so slightly lower pay than TMC facilities.

Rural Texas L&D

Rural Premium Pay

Rural Texas hospitals (Lubbock, Amarillo, Waco, Tyler, Midland) face severe L&D nursing shortages and pay rural premiums of $300–$600/week above metro rates. Often Level I-II units — appropriate for experienced L&D nurses comfortable with lower-risk deliveries and higher autonomy.

Texas vs. California L&D Travel Nursing

Factor🤠 Texas🌴 California
Weekly Gross Pay$2,800–$3,800$3,200–$4,200
State Income Tax0%9.3%–13.3%
Net After-Tax ValueEqual or betterPremium offset by tax
L&D Ratio LawNo mandate (1:2 typical)Mandatory 1:2 (AB 394)
NLC CompactYes — same-dayNo — 4–8 weeks
Annual Births~400,000~420,000
Housing Cost$1,200–$2,200/mo$2,500–$5,000/mo
Demand SeasonalityYear-roundYear-round
Level IV CentersYes (Houston, Dallas)Yes (LA, SF, Stanford)

Texas Travel L&D RN — FAQ

How much do travel L&D nurses make in Texas?
Travel L&D nurses in Texas earn $2,800–$3,800/week. Level IV perinatal centers in Houston and Dallas pay the most ($3,200–$3,800/week). Community hospital L&D units typically pay $2,800–$3,200/week. Texas' 0% state income tax means the after-tax value is comparable to or better than higher-paying California contracts after CA's 9.3–13.3% state tax.
What certifications do Texas travel L&D nurses need?
All Texas L&D travel contracts require NRP (Neonatal Resuscitation Program), current BLS, and fetal monitoring certification (EFM). Most Level II-IV centers also require ACLS. RNC-OB (AWHONN Board-Certified OB Nurse) adds $100–$200/week premium and is preferred at Level III-IV perinatal centers. STABLE certification is preferred at units with NICU adjacency.
Does Texas have staffing ratio requirements for L&D?
Texas has no mandatory L&D staffing ratio law. Ratios are determined by hospital policy, AWHONN guidelines, and ACOG recommendations. The AWHONN-recommended ratio is 1:1 for active labor and 1:2 for latent labor. Level IV perinatal centers generally maintain stronger ratios than community hospitals. Always verify the facility's ratio policy before signing a Texas L&D travel contract.
What experience do I need for Texas travel L&D jobs?
Most Texas Level III-IV L&D travel positions require 2+ years of labor and delivery experience. Community hospital L&D travel positions may accept 1+ year. Specific experience with electronic fetal monitoring, epidural monitoring, and emergency cesarean response is expected. For Level IV positions, high-risk OB, MFM unit experience, and experience with fetal surgery cases is preferred.

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