PermanentPosted 13 days ago
Outpatient Registered Nurse - RN
Fresenius Medical Care · Spokane, WA
$38.00–$52.00/ hour
Ambulatory and clinic nurse jobs in Spokane, WA
Pay for registered nurses in the Spokane area centers on $47.73 per hour, or about $99,290 a year. The lower quarter earns under $44.58 and the upper quarter over $59.59. The CMS hospital directory lists 6 hospitals in Spokane. That ranks 71st of 379 U.S. metro areas for registered nurse pay, and 64th of 335 once local prices are factored in. Your free pay report adds named employers and the roles open near Spokane.
- $47.73median pay per hour, Spokane
- $45–$60typical range per hour
- 6,480registered nurses employed in the metro area
- 3open roles with published pay
Open Ambulatory and clinic nurse roles in Spokane
PermanentPosted 24 days ago
RN Weight Loss Clinic
MultiCare · Spokane, WA
$41.06–$59.10/ hour
For youUpdated weekly
610+ more healthcare roles for you in Spokane, WA
Most are never shown on this page. Tell us your role and get the full list, with the pay on every one, in your inbox within 24 hours.
- Free
- No card
- Email only, no calls
PermanentPosted 30+ days ago
RN Clinical Coordinator
MultiCare · Spokane, WA
$47.03–$67.66/ hour
Get the Spokane Ambulatory and clinic nurse pay report
Named employers near Spokane, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportWho is hiring ambulatory and clinic nurses near Spokane
| Employer | Roles | Median pay / hour |
|---|---|---|
| MultiCare | 2 | $53.71 |
| Fresenius Medical Care | 1 | $45 |
Registered Nurse pay in Spokane, WA
The metro median is 11% below the Washington statewide median of $53.93 per hour. Nationally the median is $45.00 per hour. BLS counts about 6,480 registered nurses employed in the Spokane-Spokane Valley metro area, 25.4 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.19).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $39.79 | $82,760 | 12% below U.S. median |
| Lower quartile | $44.58 | $92,730 | 1% below U.S. median |
| Median | $47.73 | $99,290 | 6% above U.S. median |
| Upper quartile | $59.59 | $123,950 | 32% above U.S. median |
| Top 10% | $65.40 | $136,030 | 45% above U.S. median |
How Spokane ranks
- 71st of 379 U.S. metro areas by median hourly pay
- 64th of 335 after adjusting for local prices
- 7th of 8 Washington metro areas
BLS does not publish a separate figure for ambulatory and clinic nurse. These numbers are for the broader category it belongs to, Registered Nurses.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), all industries. This is what employers report paying, not an offer for a specific role.
What your pay buys in Spokane
- Overall prices in Spokane-Spokane Valley run in line with the U.S. average (index 100.3, U.S. = 100).
- Housing is the biggest driver: 3% below the U.S. average (index 97.1).
- Adjusted for local prices, a $47.73 median hour buys what $47.57 buys at the national price level, 6% above the national median.
Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.
Estimate your Spokane paycheck
Estimated weekly gross$1,718
- Per year: $85,914
- Per month: $7,160
- Washington has no state income tax on wages.
Gross pay before taxes and benefits, from BLS pay levels for the Spokane-Spokane Valley metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Spokane
| Item | Federal rate |
|---|---|
| Lodging per night | $126 |
| Meals and incidentals per day | $86 |
| Per week (7 nights, 7 days) | $1,484 |
| 13-week assignment | $19,292 |
Travel ambulatory and clinic nurse assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.
Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).
Hospitals in Spokane
CMS lists 6 hospitals in Spokane, 1 of the 4 rated ones with 4 or 5 stars. Hospitals are a major employer of ambulatory and clinic nurses.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Spokane Va Medical Center Spokane, WA | Acute Care - Veterans Administration | Government and federal | 4 of 5 | Yes |
| Deaconess Medical Center Spokane, WA | Acute care | Nonprofit | 3 of 5 | Yes |
| Prov Sacred Hrt Med Ctr & Childs Hosp. Spokane, WA | Acute care | Nonprofit | 3 of 5 | Yes |
| Providence Holy Family Hospital Spokane, WA | Acute care | Nonprofit | 3 of 5 | Yes |
| Shriners Hospital For Children Spokane, WA | Children's | Nonprofit | Not rated | No |
| Inland Northwest Behavioral Health Spokane, WA | Psychiatric | For-profit | Not rated | No |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Primary care shortage areas in Spokane County
HRSA lists 8 active primary care shortage designations that include Spokane County (2 geographic, 1 population-group, 5 facility). The highest-scoring one rates 20 on a 0 to 25 scale, where a higher score means a greater shortage.
Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.
Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.
License and tax basics in Washington
Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here.
Washington does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.
Other healthcare roles in Spokane
Spokane city guide: hospitals, employers and licensing
Common questions
How much do ambulatory and clinic nurses make in Spokane, WA?
BLS reports pay for registered nurses overall, not by specialty. Registered Nurses in the Spokane-Spokane Valley metro area have a median pay of $47.73 per hour, about $99,290 a year. The middle half earn between $44.58 and $59.59 per hour (BLS, May 2024).
Is Spokane a good place for ambulatory and clinic nurses once cost of living is counted?
Spokane-Spokane Valley ranks 64th of 335 metro areas for registered nurse pay after adjusting for local prices, and 71st of 379 before adjusting. Overall prices run in line with the U.S. average.
Who is hiring ambulatory and clinic nurses in Spokane?
We list 3 open roles with published pay from 2 employers in Spokane. Your free report adds named employers and pay near Spokane.
Do I need a Washington license to work in Spokane as an ambulatory and clinic nurse?
Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here. Confirm with the board before you accept a role.
Is Spokane in a shortage area?
HRSA lists 8 active primary care shortage designations that include Spokane County. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.
What is the per diem for a travel assignment in Spokane?
The federal per diem benchmark in Spokane is $126 a night for lodging and $86 a day for meals and incidentals, about $1,484 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Does Valorem Health place ambulatory and clinic nurses in Spokane?
Yes. We place healthcare staff in Spokane and across Washington. Tell us your profession and we email the roles open near Spokane.
Free for every candidate
What do employers near Spokane pay ambulatory and clinic nurses? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
Get your free pay report
860+ Registered Nurse roles in Washington, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your RN pay reportSpokane, WA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Veterans Health AdministrationSpokane, WA · 2 postings$54.21/ hr$39–$69
- Shriners Hospitals for ChildrenSpokane, WA · 4 postings$54.21/ hr$39–$70
- Fresenius Medical CareSpokane, WA · 8 postings$46.34/ hr$29–$59
- Seattle Children'sSeattle, WA · 27 postings$71.45/ hr$52–$91
Median posted pay per hour, with the range each employer published.
2What they are offering now
Low$44Median$69.49High$91
425 RN postings with published pay in Washington, 404 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 425 RN roles
- Denials Management RNPermanent$49.77–$96.85/ hour
- Registered Nurse (RN) - NICUPermanent$49.77–$93.53/ hour
+ 423 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.