As of July 01, 2026, the average annual salary for step down nurse in North Carolina is $81,956, 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 North Carolina vary widely, spanning from $73,621 to $95,343. Most professionals fall between the 25th percentile ($77,593) and 75th percentile ($88,963), while top earners (90th percentile) make $95,343 per year. This $11,370 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 $73,621 NC July 01, 2026
25th Percentile step down nurse Salary $77,593 NC July 01, 2026
50th Percentile step down nurse Salary $81,956 NC July 01, 2026
75th Percentile step down nurse Salary $88,963 NC July 01, 2026
90th Percentile step down nurse Salary $95,343 NC July 01, 2026
25% $77,593 10% $73,621 90% $95,343 75% $88,963 $81,956 50%(Median) Didn’t find job title? Click
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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 $86,690 Date Updated July 01, 2026
Location Advance, NC Avg. Salary $88,502 Date Updated July 01, 2026
Location Ahoskie, NC Avg. Salary $86,798 Date Updated July 01, 2026
Location Alamance, NC Avg. Salary $88,739 Date Updated July 01, 2026
Location Albemarle, NC Avg. Salary $88,576 Date Updated July 01, 2026
Location Albertson, NC Avg. Salary $86,151 Date Updated July 01, 2026
Location Alexander, NC Avg. Salary $87,949 Date Updated July 01, 2026
Location Alexis, NC Avg. Salary $91,370 Date Updated July 01, 2026
Location Alliance, NC Avg. Salary $85,896 Date Updated July 01, 2026
Location Almond, NC Avg. Salary $86,502 Date Updated July 01, 2026
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