PermanentPosted today
Associate Director for Patient Care Service/ Nurse Executive
Veterans Health Administration · Salem, VA
$183k–$228k/ year
Top 25% payNew this week
Nurse Manager & Leadership jobs in Roanoke, VA
Pay for nurse manager & leaderships in the Roanoke area centers on $57.70 per hour, or about $120,020 a year. The lower quarter earns under $45.81 and the upper quarter over $71.44. The CMS hospital directory lists 1 hospital in Roanoke. That ranks 101st of 377 U.S. metro areas for nurse manager & leadership pay, and 56th of 333 once local prices are factored in. The free report below lists employers near Roanoke and what they pay.
- $57.70median pay per hour, Roanoke
- $46–$71typical range per hour
- 570nurse manager & leaderships employed in the metro area
- 1open roles with published pay in the metro area
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Get my free pay reportNurse Manager & Leadership pay in Roanoke, VA
The metro median is 4% below the Virginia statewide median of $59.87 per hour. Nationally the median is $56.71 per hour. BLS counts about 570 medical and health services managers employed in the Roanoke metro area, 3.7 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 1.02).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $31.86 | $66,270 | 44% below U.S. median |
| Lower quartile | $45.81 | $95,280 | 19% below U.S. median |
| Median | $57.70 | $120,020 | 2% above U.S. median |
| Upper quartile | $71.44 | $148,600 | 26% above U.S. median |
| Top 10% | $95.71 | $199,080 | 69% above U.S. median |
How Roanoke ranks
- 101st of 377 U.S. metro areas by median hourly pay
- 56th of 333 after adjusting for local prices
- 4th of 8 Virginia 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 Roanoke
- Overall prices in Roanoke run 6% below the U.S. average (index 93.6, U.S. = 100).
- Housing is the biggest driver: 21% below the U.S. average (index 78.5).
- Adjusted for local prices, a $57.70 median hour buys what $61.63 buys at the national price level, 9% 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 Roanoke paycheck
Estimated weekly gross$2,077
- Per year: $103,860
- Per month: $8,655
Gross pay before taxes and benefits, from BLS pay levels for the Roanoke metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Roanoke
| Item | Federal rate |
|---|---|
| Lodging per night | $119 |
| Meals and incidentals per day | $74 |
| Per week (7 nights, 7 days) | $1,351 |
| 13-week assignment | $17,563 |
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. 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 Roanoke
CMS lists 1 hospital in Roanoke, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse manager & leaderships.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Carilion Medical Center Roanoke, VA | Acute care | Nonprofit | 3 of 5 | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Primary care shortage areas in Roanoke city
HRSA lists 2 active primary care shortage designations that include Roanoke city (1 population-group, 1 facility). The highest-scoring one rates 17 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
| City | Distance | Median pay | Population |
|---|---|---|---|
| Lynchburg, VA | 43 mi | $53.61/hr | 80,301 |
| Greensboro, NC | 82 mi | $52.71/hr | 307,381 |
| Winston-Salem, NC | 83 mi | $52.85/hr | 255,769 |
| Burlington, NC | 87 mi | $50.93/hr | 61,365 |
| High Point, NC | 89 mi | $52.71/hr | 118,601 |
| Harrisonburg, VA | 100 mi | $50.81/hr | 51,164 |
Nurse Manager & Leadership jobs in Virginia · Nurse Manager & Leadership jobs nationwide
License and tax basics in Virginia
Virginia 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 Virginia license by endorsement.
Virginia taxes wage income. Use your own rates in the take-home pay calculator.
Other healthcare roles in Roanoke
Roanoke city guide: hospitals, employers and licensing
Common questions
How much do nurse manager & leaderships make in Roanoke, VA?
Nurse Manager & Leaderships in the Roanoke metro area have a median pay of $57.70 per hour, about $120,020 a year. The middle half earn between $45.81 and $71.44 per hour (BLS, May 2024).
Is Roanoke a good place for nurse manager & leaderships once cost of living is counted?
Roanoke ranks 56th of 333 metro areas for nurse manager & leadership pay after adjusting for local prices, and 101st of 377 before adjusting. Overall prices run 6% below the U.S. average.
Who is hiring nurse manager & leaderships in Roanoke?
We list 1 open role with published pay from 1 employer in the Roanoke area. Your free report adds named employers and pay near Roanoke.
Do I need a Virginia license to work in Roanoke as a nurse manager & leadership?
Virginia 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 Virginia license by endorsement. Confirm with the board before you accept a role.
Is Roanoke in a shortage area?
HRSA lists 2 active primary care shortage designations that include Roanoke city. 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 Roanoke?
The federal per diem benchmark in Roanoke is $119 a night for lodging and $74 a day for meals and incidentals, about $1,351 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 Roanoke?
Yes. We place healthcare staff in Roanoke and across Virginia. Tell us your profession and we email the roles open near Roanoke.
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What do employers near Roanoke pay nurse manager & leaderships? Get the report.
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- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
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The pay range and median across current postings, and how many were posted this month.
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Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your Nurse Leader pay reportRoanoke, VA · pay published by employers and employer-reported wage offers in federal filings
1Pay for your role at other employers
- Mary Washington HealthcareVirginia · 6 postings$72.83/ hr$48–$87
- Sentara HealthcareNorfolk, VA · 11 postings$72.82/ hr$50–$110
- The University of VirginiaCharlottesville, VA · 2 wage offers$72.48/ hr$72–$73
- Centra HealthLynchburg, VA · 3 postings$56.16/ hr$42–$77
Median pay per hour, with the range each employer published or reported in federal filings.
2What they are offering now
Low$40Median$62.21High$87
36 Nurse Leader postings with published pay in Virginia, 31 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 36 Nurse Leader roles
- Associate Director for Patient Care Service/ Nurse ExecutivePermanent$183k–$228k/ year
- Nurse Manager (RN) - Health at Home Inpatient - DaysPermanent$92k–$152k/ year
+ 34 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.