NC · Gastonia · Updated October 15, 2026

Nurse Manager & Leadership jobs in Gastonia, NC

Pay for nurse manager & leaderships in the Gastonia area centers on $50.37 per hour, or about $104,770 a year. The lower quarter earns under $40.52 and the upper quarter over $65.08. The CMS hospital directory lists 1 hospital in Gastonia. That ranks 198th of 377 U.S. metro areas for nurse manager & leadership pay, and 271st of 333 once local prices are factored in. Tell us your role and we email current openings near Gastonia.

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Roles in other cities of the Charlotte-Concord-Gastonia area.

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Nurse Manager & Leadership pay in Gastonia, NC

The metro median is 3% below the North Carolina statewide median of $52.18 per hour. Nationally the median is $56.71 per hour. BLS counts about 3,630 medical and health services managers employed in the Charlotte-Concord-Gastonia metro area, 2.7 per 1,000 jobs. Employment is less concentrated here than in the country as a whole (location quotient 0.74).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$35.04$72,88038% below U.S. median
Lower quartile$40.52$84,28029% below U.S. median
Median$50.37$104,77011% below U.S. median
Upper quartile$65.08$135,37015% above U.S. median
Top 10%$87.14$181,25054% above U.S. median

How Gastonia ranks

  • 198th of 377 U.S. metro areas by median hourly pay
  • 271st of 333 after adjusting for local prices
  • 8th of 13 North Carolina metro areas

BLS does not publish a separate figure for nurse manager & leadership. These numbers are for the broader category it belongs to, Medical and Health Services Managers.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Medical and Health Services Managers (SOC 11-9111), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Gastonia

  • Overall prices in Charlotte-Concord-Gastonia run 3% below the U.S. average (index 97.3, U.S. = 100).
  • Housing is the biggest driver: 2% below the U.S. average (index 97.6).
  • Adjusted for local prices, a $50.37 median hour buys what $51.74 buys at the national price level, 9% below 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 Gastonia paycheck

Estimated weekly gross$1,813
  • Per year: $90,666
  • Per month: $7,556

Gross pay before taxes and benefits, from BLS pay levels for the Charlotte-Concord-Gastonia metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Gastonia

ItemFederal rate
Lodging per night$110
Meals and incidentals per day$68
Per week (7 nights, 7 days)$1,246
13-week assignment$16,198

Travel nurse manager & leadership assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free (this is the standard rate that applies here). 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 Gastonia

CMS lists 1 hospital in Gastonia, 1 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse manager & leaderships.

HospitalTypeOwnershipCMS ratingEmergency
Caromont Regional Medical Center
Gastonia, NC
Acute careNonprofit4 of 5Yes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Primary care shortage areas in Gaston County

HRSA lists 2 active primary care shortage designations that include Gaston County (1 population-group, 1 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.

Nurse Manager & Leadership pay in nearby cities

CityDistanceMedian payPopulation
Charlotte, NC20 mi$50.37/hr943,476
Huntersville, NC21 mi$50.37/hr67,087
Greenville, SC72 mi$49.28/hr74,371
Winston-Salem, NC79 mi$52.85/hr255,769
Asheville, NC80 mi$49.61/hr94,992
High Point, NC84 mi$52.71/hr118,601

Nurse Manager & Leadership jobs in North Carolina · Nurse Manager & Leadership jobs nationwide

License and tax basics in North Carolina

North Carolina is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a North Carolina license by endorsement.

North Carolina taxes wage income. Use your own rates in the take-home pay calculator.

North Carolina state guide · Nurse Licensure Compact guide

Other healthcare roles in Gastonia

Gastonia city guide: hospitals, employers and licensing

Common questions

How much do nurse manager & leaderships make in Gastonia, NC?

Nurse Manager & Leaderships in the Charlotte-Concord-Gastonia metro area have a median pay of $50.37 per hour, about $104,770 a year. The middle half earn between $40.52 and $65.08 per hour (BLS, May 2024).

Is Gastonia a good place for nurse manager & leaderships once cost of living is counted?

Charlotte-Concord-Gastonia ranks 271st of 333 metro areas for nurse manager & leadership pay after adjusting for local prices, and 198th of 377 before adjusting. Overall prices run 3% below the U.S. average.

Who is hiring nurse manager & leaderships in Gastonia?

We list 4 open roles with published pay from 1 employer in the Charlotte-Concord-Gastonia area. Your free report adds named employers and pay near Gastonia.

Do I need a North Carolina license to work in Gastonia as a nurse manager & leadership?

North Carolina is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a North Carolina license by endorsement. Confirm with the board before you accept a role.

Is Gastonia in a shortage area?

HRSA lists 2 active primary care shortage designations that include Gaston 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 Gastonia?

The federal per diem benchmark in Gastonia is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place nurse manager & leaderships in Gastonia?

Yes. We place healthcare staff in Gastonia and across North Carolina. Tell us your profession and we email the roles open near Gastonia.

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What do employers near Gastonia pay nurse manager & leaderships? Get the report.

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Pay report · Nurse Leader near Gastonia, NC
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your Nurse Leader pay reportGastonia, NC · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Advocate HealthCharlotte, NC · 16 postings$55.20/ hr$38–$77
  • ECU HealthGreenville, NC · 5 postings$51.54/ hr$43–$60
  • AmedisysDurham, NC · 2 postings$43.03/ hr$40–$46
  • Bellarose Nursing And RehabilitationGarner, NC · 2 wage offers$37.24/ hr$36–$38

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$41Median$51.54High$66

23 Nurse Leader postings with published pay in North Carolina, 23 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 23 Nurse Leader roles

  1. Assistant Nurse Manager - AnesthesiologyPermanent
    $43.40–$59.68/ hour
    ECU Health · Greenville, NC · posted today
  2. Assistant Nurse Manager- Operating Room ECHIPermanent
    $43.40–$59.68/ hour
    ECU Health · Greenville, NC · posted today

+ 21 more in your report. Each one has pay, shift and start date.

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