Updated October 15, 2026

Nurse Manager & Leadership salary

The median nurse manager & leadership pay is $60.00 per hour, or about $124,790 a year, based on 372 postings with published pay from 60 employers. Collected October 15, 2026.

Pay percentiles, per hour and per year

LevelPer hourPer year
10th percentile$48.42$100,714
25th percentile$53.13$110,510
Median$60.00$124,790
75th percentile$71.88$149,510
90th percentile$86.77$180,471

Nurse Manager & Leadership salary by state, BLS data

Nationally the BLS median is $56.71 per hour, about $117,960 a year, across 565,840 workers. Pick a state for its metro areas, rankings and open roles.

StateMedian / hrMedian / yearEmployed
District of Columbia$77.43$161,0502,170
New York$72.03$149,82031,010
Washington$68.90$143,3007,740
Hawaii$67.67$140,7502,590
California$65.62$136,50068,800
Georgia$65.40$136,0309,610
Oregon$65.16$135,5305,580
Maryland$63.75$132,59015,650
New Jersey$63.58$132,25016,070
Massachusetts$63.52$132,13019,190
New Hampshire$60.90$126,6602,160
Wisconsin$60.66$126,1705,960
Connecticut$60.49$125,8207,930
Vermont$60.18$125,170880
Delaware$60.17$125,1500
Virginia$59.87$124,5309,820
Arizona$59.01$122,74011,410
Alaska$58.67$122,0201,450
New Mexico$58.45$121,5802,910
Rhode Island$57.81$120,2402,530
Idaho$56.16$116,8100
South Dakota$55.87$116,2101,140
Minnesota$54.96$114,31010,130
Illinois$54.62$113,61021,110
West Virginia$53.26$110,7802,100
Maine$52.54$109,2802,270
North Carolina$52.18$108,53015,860
Utah$51.91$107,9804,980
Texas$51.24$106,59057,150
Florida$51.10$106,28040,550
Nevada$51.08$106,2405,420
South Carolina$50.59$105,2208,150
Wyoming$50.59$105,2301,080
Ohio$50.50$105,04023,280
Kansas$50.48$104,9905,030
Montana$50.28$104,5901,830
Tennessee$50.18$104,37013,470
Michigan$49.93$103,86014,890
Pennsylvania$49.87$103,72026,430
Nebraska$49.81$103,6104,100
Missouri$49.30$102,5409,100
North Dakota$48.62$101,120860
Louisiana$48.60$101,0806,700
Indiana$48.57$101,03012,330
Iowa$48.44$100,7506,530
Oklahoma$48.35$100,5706,220
Kentucky$48.20$100,2608,000
Alabama$44.69$92,9509,320
Mississippi$43.25$89,9604,560
Arkansas$42.47$88,3406,100

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Medical and Health Services Managers.

Highest-paying metro areas

Metro areaMedian / hrMedian / yearEmployed
San Francisco-Oakland-Fremont, CA$81.13$168,75011,210
San Jose-Sunnyvale-Santa Clara, CA$80.51$167,4604,510
Vallejo, CA$79.93$166,260760
San Diego-Chula Vista-Carlsbad, CA$77.23$160,6405,830
New York-Newark-Jersey City, NY-NJ$75.92$157,91033,540
Santa Rosa-Petaluma, CA$74.83$155,640840
Seattle-Tacoma-Bellevue, WA$74.00$153,9104,780
Sacramento-Roseville-Folsom, CA$71.99$149,7304,110
Urban Honolulu, HI$70.98$147,6402,120
Portland-Vancouver-Hillsboro, OR-WA$69.44$144,4203,290

Nurse Manager & Leadership pay by state

StatePostingsMedian / hourMedian / year
Washington13$80.08$166,566
Oregon4$73.48$152,838
California57$71.37$148,450
Montana3$68.34$142,147
Arizona3$68.11$141,669
Massachusetts45$67.67$140,754
New Jersey14$66.50$138,320
New York21$66.45$138,216
Virginia36$62.21$129,397
Minnesota11$61.31$127,525
Florida3$61.25$127,400
Maryland24$59.75$124,270
Texas11$59.29$123,323
Connecticut9$57.27$119,122
South Dakota3$54.32$112,986
Pennsylvania5$52.09$108,347
Illinois33$51.97$108,098
North Carolina23$51.54$107,203
Missouri5$51$106,080
West Virginia3$48.42$100,714

Nurse Manager & Leadership wage offers in federal filings

What employers reported they would pay, alongside what they publish.

StateWage offersTypical range / hrMedian / hr
Michigan12$47–$64$51.14
Alabama7$31–$42$33.17

Employer-reported wage offers in PERM and LCA filings with the U.S. Department of Labor, decided July 2025 – June 2026: 50 distinct offers, median $47.61 per hour. They are not job postings. The table lists states with at least 5 offers.

Who pays what

EmployerPostingsMedian / hourMedian / year
El Camino Health4$121.16$252,002
MarinHealth2$95.54$198,723
Shriners Hospitals for Children2$94.05$195,614
MultiCare6$93.11$193,669
Montage Health1$89.39$185,931
OSF Healthcare System2$84.55$175,864
Saint Charles Health System1$82.26$171,101
Seattle Children's2$76.44$158,995
Confluence Health1$76.37$158,850
Palomar Health2$75.84$157,758

What moves your pay

  • Experience and credentials: certifications and years in the specialty usually move you up the published range.
  • Shift: nights, weekends and holidays often add a differential on top of the base range.
  • Setting: academic centers, trauma hospitals and large systems often publish higher ranges than community sites.
  • Location: pay follows local cost of living and demand, so compare cities, not only states.

Method

Figures are the midpoints of pay ranges that employers published in 372 postings from 60 employers, collected October 15, 2026. They are not survey estimates and do not include overtime or bonuses.

Common questions

How much does a nurse manager & leadership make?

The median nurse manager & leadership pay across 372 postings with published pay is $60.00 per hour, about $124,790 a year. Half of the postings fall between $53 and $72 per hour.

Which states pay nurse manager & leaderships the most?

Among states with at least 3 postings, the highest medians are Washington ($80.08/hr), Oregon ($73.48/hr), California ($71.37/hr).

Free pay report

What do nurse manager & leaderships get paid at other hospitals in California?

  • El Camino HealthMountain View, CA$121.16/hr
  • MarinHealthGreenbrae, CA$95.54/hr
  • Shriners Hospitals for ChildrenSacramento, CA$94.05/hr

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

Your Nurse Leader pay reportCalifornia · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • El Camino HealthMountain View, CA · 4 postings$121.16/ hr$90–$148
  • MarinHealthGreenbrae, CA · 2 postings$95.54/ hr$76–$115
  • Shriners Hospitals for ChildrenSacramento, CA · 2 postings$94.05/ hr$59–$127
  • Veterans Health AdministrationLong Beach, CA · 3 postings$80.49/ hr$48–$110

Median posted pay per hour, with the range each employer published.

2What they are offering now

Low$50Median$71.37High$102

57 Nurse Leader postings with published pay in California, 51 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 57 Nurse Leader roles

  1. Registered Nurse- Assistant Nurse Manager-V2/Spinal Cord InjuryPermanent
    $121k–$213k/ year
    Veterans Health Administration · Long Beach, CA · posted today
  2. Assistant Nurse ManagerPermanent
    $58.68–$89.32/ hour
    CommonSpirit Health · San Luis Obispo, CA · posted today

+ 55 more in your report. Each one has pay, shift and start date.

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