As of July 01, 2026, the average annual salary for step down nurse in Virginia is $86,846, equivalent to $42 per hour, $1,670 weekly, or $7,237 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 Virginia vary widely, spanning from $78,014 to $101,032. Most professionals fall between the 25th percentile ($82,223) and 75th percentile ($94,271), while top earners (90th percentile) make $101,032 per year. This $12,048 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, Virginia step down nurse often earn 0.7% higher than national averages due to demand from Fortune 14 companies. However, Virginia currently ranks 18 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 $78,014 VA July 01, 2026
25th Percentile step down nurse Salary $82,223 VA July 01, 2026
50th Percentile step down nurse Salary $86,846 VA July 01, 2026
75th Percentile step down nurse Salary $94,271 VA July 01, 2026
90th Percentile step down nurse Salary $101,032 VA July 01, 2026
25% $82,223 10% $78,014 90% $101,032 75% $94,271 $86,846 50%(Median) Didn’t find job title? Click
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Registered Nurse (RN) Medical Step Down Unit

Global Placement Firm - Roanoke, VA

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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 Annandale, VA Avg. Salary $105,032 Date Updated July 01, 2026
Location Virginia State University, VA Avg. Salary $92,764 Date Updated July 01, 2026
Location Abingdon, VA Avg. Salary $86,810 Date Updated July 01, 2026
Location Accomac, VA Avg. Salary $90,878 Date Updated July 01, 2026
Location Achilles, VA Avg. Salary $90,146 Date Updated July 01, 2026
Location Afton, VA Avg. Salary $89,474 Date Updated July 01, 2026
Location Alberta, VA Avg. Salary $90,932 Date Updated July 01, 2026
Location Aldie, VA Avg. Salary $100,277 Date Updated July 01, 2026
Location Alexandria, VA Avg. Salary $105,275 Date Updated July 01, 2026
Location Altavista, VA Avg. Salary $87,467 Date Updated July 01, 2026
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