As of January 01, 2026, the average annual salary for step down nurse in North Carolina is $82,033, equivalent to $39 per hour, $1,578 weekly, or $6,836 monthly. These figures, sourced from Salary.com’s real-time job posting scans, highlight competitive earning potential for step down nurse in cities like Santa Clara, San Jose, and Fremont.

Annually Salaries for step down nurse in North Carolina vary widely, spanning from $72,653 to $95,452. Most professionals fall between the 25th percentile ($77,123) and 75th percentile ($89,057), while top earners (90th percentile) make $95,452 per year. This $11,934 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, North Carolina step down nurse often earn 5.0% lower than national averages due to demand from Fortune 14 companies. However, North Carolina currently ranks 36 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 $72,653 NC January 01, 2026
25th Percentile step down nurse Salary $77,123 NC January 01, 2026
50th Percentile step down nurse Salary $82,033 NC January 01, 2026
75th Percentile step down nurse Salary $89,057 NC January 01, 2026
90th Percentile step down nurse Salary $95,452 NC January 01, 2026
25% $77,123 10% $72,653 90% $95,452 75% $89,057 $82,033 50%(Median) Didn’t find job title? Click
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Step Down Registered Nurse

MedPro Staffing - Hickory, NC

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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 Aberdeen, NC Avg. Salary $82,902 Date Updated January 01, 2026
Location Advance, NC Avg. Salary $86,559 Date Updated January 01, 2026
Location Ahoskie, NC Avg. Salary $86,951 Date Updated January 01, 2026
Location Alamance, NC Avg. Salary $86,531 Date Updated January 01, 2026
Location Albemarle, NC Avg. Salary $87,585 Date Updated January 01, 2026
Location Albertson, NC Avg. Salary $83,854 Date Updated January 01, 2026
Location Alexander, NC Avg. Salary $85,757 Date Updated January 01, 2026
Location Alexis, NC Avg. Salary $90,076 Date Updated January 01, 2026
Location Alliance, NC Avg. Salary $84,815 Date Updated January 01, 2026
Location Almond, NC Avg. Salary $84,945 Date Updated January 01, 2026
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