As of May 01, 2026, the average annual salary for step down nurse in Missouri is $81,965, equivalent to $39 per hour, $1,576 weekly, or $6,830 monthly. These figures, sourced from Salary.com’s real-time job posting scans, highlight competitive earning potential for step down nurse in cities like San Jose, Santa Clara, and San Francisco.

Annually Salaries for step down nurse in Missouri vary widely, spanning from $73,516 to $95,363. Most professionals fall between the 25th percentile ($77,543) and 75th percentile ($88,978), while top earners (90th percentile) make $95,363 per year. This $11,435 pay gap underscores opportunities for salary growth through certifications, specialized skills like Accountability or Staff Development, or targeting high-paying regions like District of Columbia or California.

Location and experience significantly influence earnings. For example, Missouri step down nurse often earn 5.0% lower than national averages due to demand from Fortune 14 companies. However, Missouri currently ranks 37 nationwide for step down nurse job salary. Professionals are advised to focus on high-growth sectors like to offset market challenges.

Based on HR-reported data: a national average with a geographic differential
step down nurse Salaries by Percentile
Percentile Salary Location Last Updated
10th Percentile step down nurse Salary $73,516 MO May 01, 2026
25th Percentile step down nurse Salary $77,543 MO May 01, 2026
50th Percentile step down nurse Salary $81,965 MO May 01, 2026
75th Percentile step down nurse Salary $88,978 MO May 01, 2026
90th Percentile step down nurse Salary $95,363 MO May 01, 2026
25% $77,543 10% $73,516 90% $95,363 75% $88,978 $81,965 50%(Median) Didn’t find job title? Click
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Neuro Step Down (RN) (Full Time)

BJC Healthcare - Country Life Acres, MO

Neuro Step Down (RN) (Full Time) (Days or Nights)

BJC Healthcare - Country Life Acres, MO

Neuro Step Down (RN) (Part Time) (Days or Nights)

BJC Healthcare - Country Life Acres, MO

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What is a step down nurse ?

A step-down nurse, also known as a progressive care nurse, provides specialized care for patients who require closer monitoring than those in a general medical-surgical unit but do not need intensive care. Responsibilities include assessing patient conditions, administering medications, managing intravenous lines, and collaborating with healthcare teams to develop and implement care plans. Step-down nurses often monitor vital signs, perform diagnostic tests, and educate patients and families about health management. The salary for step-down nurses varies based on factors such as experience, lo...

Source: (as of 06/04/2025). Read more from

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Location Avg. Salary Date Updated
Location Saint Peters, MO Avg. Salary $89,724 Date Updated May 01, 2026
Location Adrian, MO Avg. Salary $88,515 Date Updated May 01, 2026
Location Advance, MO Avg. Salary $86,733 Date Updated May 01, 2026
Location Agency, MO Avg. Salary $89,943 Date Updated May 01, 2026
Location Alba, MO Avg. Salary $86,696 Date Updated May 01, 2026
Location Albany, MO Avg. Salary $86,996 Date Updated May 01, 2026
Location Aldrich, MO Avg. Salary $84,631 Date Updated May 01, 2026
Location Alexandria, MO Avg. Salary $87,033 Date Updated May 01, 2026
Location Allendale, MO Avg. Salary $87,176 Date Updated May 01, 2026
Location Allenton, MO Avg. Salary $89,601 Date Updated May 01, 2026
Job Openings for step down nurse in Missouri

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