PermanentPosted today
Registered Nurse - Surgical Telemetry Step Down - Part time
Valley Health · Winchester, VA
$34.00–$48.87/ hour
New this week
PCU and step-down nurse jobs in Winchester, VA
Registered Nurses in the Winchester area earn a median of $43.88 per hour, about $91,280 a year, and the middle half of them earn between $39.21 and $48.78. That ranks 105th of 379 U.S. metro areas for registered nurse pay, and 88th of 335 once local prices are factored in. 3 open roles with published pay are listed for Winchester. Tell us your role and we email current openings near Winchester.
- $43.88median pay per hour, Winchester
- $39–$49typical range per hour
- 1,580registered nurses employed in the metro area
- 3open roles with published pay
Open PCU and step-down nurse roles in Winchester
PermanentPosted today
Registered Nurse - Surgical Telemetry Step Down - Full-time
Valley Health · Winchester, VA
$34.00–$48.87/ hour
New this week
For youUpdated weekly
1,000+ more healthcare roles for you in Winchester, VA
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PermanentPosted 29 days ago
Registered Nurse - Medical Telemetry Step Down - Full time
Valley Health · Winchester, VA
$34.00–$48.87/ hour
Get the Winchester PCU and step-down nurse pay report
Named employers near Winchester, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportRegistered Nurse pay in Winchester, VA
The metro median is 3% above the Virginia statewide median of $42.70 per hour. Nationally the median is $45.00 per hour. BLS counts about 1,580 registered nurses employed in the Winchester metro area, 23.1 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.09).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $32.08 | $66,730 | 29% below U.S. median |
| Lower quartile | $39.21 | $81,560 | 13% below U.S. median |
| Median | $43.88 | $91,280 | 2% below U.S. median |
| Upper quartile | $48.78 | $101,460 | 8% above U.S. median |
| Top 10% | $61.21 | $127,320 | 36% above U.S. median |
How Winchester ranks
- 105th of 379 U.S. metro areas by median hourly pay
- 88th of 335 after adjusting for local prices
- 1st of 7 Virginia metro areas
BLS does not publish a separate figure for PCU and step-down 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 Winchester
- Overall prices in Winchester run 4% below the U.S. average (index 96.5, U.S. = 100).
- Housing is the biggest driver: 10% below the U.S. average (index 90.0).
- Adjusted for local prices, a $43.88 median hour buys what $45.50 buys at the national price level, 1% 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 Winchester paycheck
Estimated weekly gross$1,580
- Per year: $78,984
- Per month: $6,582
Gross pay before taxes and benefits, from BLS pay levels for the Winchester metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Winchester
| Item | Federal 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 PCU and step-down nurse 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 Winchester
CMS lists 1 hospital in Winchester, 1 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of PCU and step-down nurses.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Winchester Medical Center Winchester, VA | Acute care | Nonprofit | 4 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 Winchester city
HRSA lists 1 active primary care shortage designation that include Winchester city (1 population-group). The highest-scoring one rates 16 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.
Registered Nurse pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Richmond, VA | 120 mi | $43.14/hr | 233,655 |
PCU and step-down nurse jobs in Virginia · PCU and step-down nurse 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 Winchester
Winchester city guide: hospitals, employers and licensing
Common questions
How much do PCU and step-down nurses make in Winchester, VA?
BLS reports pay for registered nurses overall, not by specialty. Registered Nurses in the Winchester metro area have a median pay of $43.88 per hour, about $91,280 a year. The middle half earn between $39.21 and $48.78 per hour (BLS, May 2024).
Is Winchester a good place for PCU and step-down nurses once cost of living is counted?
Winchester ranks 88th of 335 metro areas for registered nurse pay after adjusting for local prices, and 105th of 379 before adjusting. Overall prices run 4% below the U.S. average.
Who is hiring PCU and step-down nurses in Winchester?
We list 3 open roles with published pay from 1 employer in Winchester. Your free report adds named employers and pay near Winchester.
Do I need a Virginia license to work in Winchester as a PCU and step-down nurse?
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 Winchester in a shortage area?
HRSA lists 1 active primary care shortage designation that include Winchester 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 Winchester?
The federal per diem benchmark in Winchester 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 PCU and step-down nurses in Winchester?
Yes. We place healthcare staff in Winchester and across Virginia. Tell us your profession and we email the roles open near Winchester.
Free for every candidate
What do employers near Winchester pay PCU and step-down 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.
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1,500+ Registered Nurse roles in Virginia, 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 reportWinchester, VA · pay published by hospitals, collected October 15, 2026
1Pay for your role at other hospitals
- Valley HealthWinchester, VA · 59 postings$41.44/ hr$27–$65
- Veterans Health AdministrationRichmond, VA · 2 postings$60.98/ hr$40–$82
- Sentara HealthcareNorfolk, VA · 255 postings$51.47/ hr$36–$74
- Mary Washington HealthcareMWHC Corporate, VA · 87 postings$48.43/ hr$34–$65
Median posted pay per hour, with the range each employer published.
2What they are offering now
Low$34Median$46.12High$61
684 RN postings with published pay in Virginia, 597 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 684 RN roles
- Registered Nurse - Community Living Center (1P)Permanent$82k–$164k/ year
- Transfer Center Bed Flow Coordinator RNPermanent$47.47–$69.73/ hour
+ 682 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.