Salary Guides/Home Health Care Nurse

Home Health Care Nurse Salary Guide

Real salary ranges for Home Health Care Nurses in the US market — what you should expect, and what you can negotiate.

Salary Ranges

25TH PERCENTILE

$42,000

Entry-level or lower cost-of-living markets

50TH PERCENTILE

$58,000

Median — most roles fall here

75TH PERCENTILE

$72,000

Experienced, larger market or company

90TH PERCENTILE

$88,000

Top earners, premium markets

Home health care nurses face significant compensation variability based on employment structure: salaried agency positions average $52-65K annually, while per-visit models ($35-55/visit) can yield $45-75K depending on caseload density. OASIS documentation requirements add 15-20% administrative burden to effective hourly rates, making mileage reimbursement ($0.58-0.70/mile) and travel time pay critical negotiation points that can increase total compensation by 12-18%.

Top-Paying Cities

San Jose, CA$72,000

New York, NY$68,000

Boston, MA$65,000

Seattle, WA$63,000

Washington, DC$62,000

Top-Paying Industries

Skilled Nursing Facilities (per-visit premium)$68,000

Private Home Care Agencies$62,000

Hospital-Affiliated Home Health$60,000

Government/Medicare-Only Programs$57,000

Non-profit Home Care Organizations$54,000

Negotiation Tip for Home Health Care Nurses

Negotiate guaranteed minimum hours or visits per week plus explicit mileage reimbursement separate from base pay; agencies often absorb travel costs in per-visit rates, so requesting reimbursement at IRS rates ($0.67/mile) or travel time at $18-25/hour can add $8-15K annually without salary increases.

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