TX · Waco · Updated October 15, 2026

Nurse Manager & Leadership jobs in Waco, TX

Nurse Manager & Leaderships in the Waco area earn a median of $51.27 per hour, about $106,650 a year, and the middle half of them earn between $38.81 and $64.66. That ranks 172nd of 377 U.S. metro areas for nurse manager & leadership pay, and 149th of 333 once local prices are factored in. The CMS hospital directory lists 3 hospitals in Waco. Your free pay report adds named employers and the roles open near Waco.

Nurse Manager & Leadership pay in Waco, TX

The metro median is in line with the Texas statewide median of $51.24 per hour. Nationally the median is $56.71 per hour. BLS counts about 480 medical and health services managers employed in the Waco metro area, 3.7 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 1.00).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$31.98$66,52044% below U.S. median
Lower quartile$38.81$80,72032% below U.S. median
Median$51.27$106,65010% below U.S. median
Upper quartile$64.66$134,49014% above U.S. median
Top 10%$92.63$192,67063% above U.S. median

How Waco ranks

  • 172nd of 377 U.S. metro areas by median hourly pay
  • 149th of 333 after adjusting for local prices
  • 5th of 24 Texas 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 Waco

  • Overall prices in Waco run 7% below the U.S. average (index 92.5, U.S. = 100).
  • Housing is the biggest driver: 16% below the U.S. average (index 83.5).
  • Adjusted for local prices, a $51.27 median hour buys what $55.40 buys at the national price level, 2% 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.

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Named employers near Waco, what they pay and the roles open now. Free for candidates, email only.

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Estimate your Waco paycheck

Estimated weekly gross$1,846
  • Per year: $92,286
  • Per month: $7,690
  • Texas has no state income tax on wages.

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

Travel assignment per diem in Waco

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).

Open Nurse Manager & Leadership roles in Texas

Nearest open roles with published pay. Your free report adds roles in Waco as they open.

All Nurse Manager & Leadership jobs in Texas

Hospitals in Waco

CMS lists 3 hospitals in Waco, 1 of the 2 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse manager & leaderships.

HospitalTypeOwnershipCMS ratingEmergency
Baylor Scott & White Medical Center Hillcrest
Waco, TX
Acute careNonprofit4 of 5Yes
Ascension Providence
Waco, TX
Acute careNonprofit2 of 5Yes
Oceans Behavioral Hospital Of Waco
Waco, TX
PsychiatricFor-profitNot ratedNo

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

Primary care shortage areas in McLennan County

HRSA lists 2 active primary care shortage designations that include McLennan County (1 population-group, 1 facility). The highest-scoring one rates 11 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
Temple, TX33 mi$56.44/hr96,267
Killeen, TX46 mi$56.44/hr160,616
Burleson, TX67 mi$53.66/hr56,253
Georgetown, TX68 mi$51.09/hr101,344
Mansfield, TX70 mi$53.66/hr80,803
DeSoto, TX74 mi$53.66/hr56,711

Nurse Manager & Leadership jobs in Texas · Nurse Manager & Leadership jobs nationwide

License and tax basics in Texas

Texas 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 Texas license by endorsement.

Texas 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.

Texas state guide · Nurse Licensure Compact guide

Other healthcare roles in Waco

Waco city guide: hospitals, employers and licensing

Common questions

How much do nurse manager & leaderships make in Waco, TX?

Nurse Manager & Leaderships in the Waco metro area have a median pay of $51.27 per hour, about $106,650 a year. The middle half earn between $38.81 and $64.66 per hour (BLS, May 2024).

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

Waco ranks 149th of 333 metro areas for nurse manager & leadership pay after adjusting for local prices, and 172nd of 377 before adjusting. Overall prices run 7% below the U.S. average.

Where do nurse manager & leaderships work in Waco?

CMS lists 3 hospitals in Waco, led by Baylor Scott & White Medical Center Hillcrest. Ask for the free report to see current openings and pay.

Do I need a Texas license to work in Waco as a nurse manager & leadership?

Texas 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 Texas license by endorsement. Confirm with the board before you accept a role.

Is Waco in a shortage area?

HRSA lists 2 active primary care shortage designations that include McLennan 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 Waco?

The federal per diem benchmark in Waco 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 Waco?

Yes. We place healthcare staff in Waco and across Texas. Tell us your profession and we email the roles open near Waco.

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

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  1. 1
    Pay for your role at other hospitals

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  2. 2
    What they are offering now

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

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

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

1Pay for your role at other employers

  • CommonSpirit HealthHOUSTON, TX · 3 postings$61.91/ hr$46–$97
  • Veterans Health AdministrationHouston, TX · 6 postings$60.63/ hr$36–$89
  • Anointed HHC, Inc.Plano, TX · 1 wage offer$48.41/ hr$48–$48
  • Clarewood House IncHouston, TX · 1 wage offer$46.00/ hr$46–$46

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

2What they are offering now

Low$41Median$59.29High$84

11 Nurse Leader postings with published pay in Texas, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 11 Nurse Leader roles

  1. Nurse Manager - Quality and Patient SafetyPermanent
    $113k–$186k/ year
    Veterans Health Administration · Temple, TX · posted today
  2. Registered Nurse - Patient Aligned Care Team Care Manager (IMC & GEM Clinic Float)Permanent
    $86k–$174k/ year
    Veterans Health Administration · San Antonio, TX · posted today

+ 9 more in your report. Each one has pay, shift and start date.

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