Top 10 Best States to Work as a Nurse 

(Estimated Reading Time: 16 minutes)

Happiness is a highly individualized concept, with each person having their own definition of what makes them content. What brings joy to one person might not bring joy to another. However, there are generally accepted factors that tend to increase overall well-being for most people. These often include financial stability through high salaries, manageable living expenses, and affordable utility costs.

Selecting the best state to work as a nurse in the USA is a crucial decision that requires careful consideration of numerous factors. If you’re seeking the best states to work as a nurse, our list of the top 10 offers a valuable guide. Furthermore, this guide is based on a thorough analysis of various key factors.

Key Factors in Determining the Best States to Work as a Nurse

Before discussing the top 10 best states to work as a nurse, let’s first review the factors we have considered. Then, we’ll also tackle how these factors affect our rankings. 

1. Cost of Living (COL) Index

COL is a top factor in our ranking of the best states to work as a nurse due to its impact on quality of life. A lower cost of living can translate to reduced financial stress, allowing nurses to allocate their earnings more flexibly. Thus, this is particularly important for those nurses who may be supporting family members in their home countries.

2. Nurse Salary

Earning potential is a critical consideration for most professionals. While passion for the job is important, financial compensation remains a primary motivator for most workers, including those in the nursing field.

3. Nurse Turnover Rate 

We’ve included this metric as it can be indicative of overall job satisfaction and working conditions. States with lower turnover rates suggest better treatment of nurses, more supportive work environments, and potentially higher job satisfaction among nursing professionals.

4. Additional Factors Regarding Living Conditions

These additional factors also play a crucial role in determining the best states to work as a nurse in the US. In addition, they significantly impact the overall quality of life for both nurses and residents.

a. Crime & Corrections

While crime rates have generally declined across the US in recent decades, there are still significant variations between states. Therefore, we’ve considered crime rates and incarceration policies, which can impact community safety and social dynamics.

b. Economy

The state’s economic health can significantly influence job opportunities and overall quality of life. Thus, our analysis considers each state’s business environment, labor market conditions, and overall economic growth trends.

c. Education

The quality of educational systems can be a crucial factor, especially for nurses with families. So, we’ve examined both K-12 and higher education metrics, considering factors like student performance, teacher quality, and educational resources.

d. Fiscal Stability

A state’s financial health can affect everything from public services to tax rates. We’ve analyzed both short-term and long-term fiscal stability indicators to identify the best states to work as a nurse.

e. Healthcare

Given that nurses are integral to the healthcare system, we’ve closely examined healthcare access, quality of care, and public health outcomes in each state.

f. Natural Environment

Environmental factors can affect both health and quality of life. Therefore, our analysis considers each state’s environmental regulations, pollution control measures, and environmental quality.

g. Opportunity

We’ve examined indicators of economic mobility and efforts to address historical inequities, recognizing that these factors can significantly influence career growth and personal development.

All of the factors above form the basis of our best states to work as a nurse ranking. However, individual preferences may also influence your choice. Factors such as climate, cultural environment, and proximity to family or friends may weigh heavily on some nurses.

Additionally, we recommend that nurses consider state-specific licensure requirements, including any variations in NCLEX (National Council Licensure Examination) procedures. Furthermore, career advancement opportunities, such as specialization options or access to further education, should also be considered when making this important decision.

Top 10 Best States to Work as a Nurse

Considering all the factors that we have enumerated above, here are the top 10 best states to work as a nurse. In addition, it’s important to note that this ranking reflects our analysis of available data. Therefore, it should be considered as an informed opinion rather than an absolute truth.

10. New Hampshire

Also known as the “Granite State,” New Hampshire is among the top states recommended by CNBC for raising a family. Another good thing about New Hampshire is its lack of sales or income taxes. Hence, this can be very appealing to nurses who want to migrate with their families. 

One significant drawback of living in New Hampshire is its housing costs, which exceed the national average. While the national average rent is $1,536, in New Hampshire, a 631 sq ft home typically rents for $1,731, according to the data.

a. Annual Mean Wage: 21st at $89,410

b. Cost of Living Index: High at 113.6

c. Overall State Ranking: 2nd

d. Healthcare System Ranking: 13th

e. Turnover Rate: Moderate at 45.2%

f. Additional Highlights: No state income or sales tax; Strong sense of community; Proximity to Boston for professional development; Low crime rates; Beautiful natural scenery

Fun Fact: New Hampshire has a cool motto called ‘Live Free or Die.’ It’s like their battle cry, saying, “We value our freedom above all else.” They adopted it back in 1945, and it’s super famous now. In addition, it shows how much New Hampshire people care about being independent and doing things their way.

New Hampshire’s inclusion in the best states to work as a nurse is due to its overall quality of life. Moreover, its stunning natural beauty, low crime rates, and strong sense of community make New Hampshire a desirable environment for healthcare professionals.

9. New Jersey

Next on our list is New Jersey, also known as the “Garden State.” New Jersey is known for its fertile land. Moreover, it stands out as a strong contender in the top states due to its high nursing wages. The state also offers an excellent healthcare system and a lower turnover rate compared to other states. 

a. Annual Mean Wage: 9th at $101,960

b. Cost of Living Index: High at 113.7

c. Overall State Ranking: 14th

d. Healthcare System Ranking: 4th

e. Turnover Rate: Moderate at 43.6%

f. Additional Highlights: Proximity to major metropolitan areas; Strong pharmaceutical and biotechnology industry; High demand for healthcare services; Excellent public education system; Four distinct seasons

Fun Fact: New Jersey is a horse lover’s paradise. It has more horses per square mile than any other state and is home to the United States Equestrian Team. Moreover, this equestrian culture likely stems from its colonial history, when horses were crucial for transportation, farming, and military purposes. In addition, the battles fought on New Jersey soil during the American Revolution (over 100+) may have further shaped its equestrian traditions.

While the cost of living is high, the significantly better pay and quality of the healthcare system could make it an attractive option for many nurses. Furthermore, its proximity to major cities and diverse industry presence offers unique career growth and development opportunities.

8. Wisconsin

Third on our list is the “Badger State.” Often dubbed “America’s Dairyland,” Wisconsin offers a compelling blend of career opportunities and quality of life. ursing jobs in Wisconsin are projected to grow significantly by 2030, and nursing ranks as the top occupation for high-paying positions.

The state’s natural beauty is undeniable. With over 15,000 freshwater lakes and 2,700+ miles of recreational trails, there’s an abundance of opportunities for recreation. Hence, you can enjoy the thriving outdoor culture and relax. In terms of living and working as a nurse in the state, here are the numbers that you need to know: 

a. Annual Mean Wage: 26th at $87,220

b. Cost of Living Index: Moderate at 97.0

c. Overall State Ranking: 17th

d. Healthcare System Ranking: 22nd

e. Turnover Rate: Low at 43.3%

f. Additional Highlights: Progressive healthcare policies; Several top-ranked hospitals; Strong sense of community; Beautiful natural scenery with lakes and forests; Strong dairy and agriculture industry

Fun Fact: Wisconsin is home to the only publicly held National Football League (NFL) team, the Green Bay Packers. Moreover, it is the only team that annually releases its financial balance sheet.

Wisconsin offers promising nursing careers. Its beautiful scenery, affordable living, and strong healthcare infrastructure make it an attractive choice. Furthermore, the state’s growing industry provides ample opportunities for career advancement and work-life balance.

7. Colorado

The “Centennial State” is renowned for its stunning Rocky Mountain scenery and outdoor recreational opportunities. Colorado has a booming economy, with growing tech and healthcare sectors. In addition, the state emphasizes healthy living and work-life balance, which appeals to many healthcare professionals. Its vibrant cities, like Denver and Boulder, offer cultural attractions and a high quality of life.

a. Annual Mean Wage: 17th highest at $91,730

b. Cost of Living Index: Moderate at 101.8

c. Overall State Ranking: 16th

d. Healthcare System Ranking: 12th

e. Turnover Rate: High at 51%

f. Additional Highlights: Growing population and economy; Focus on outdoor activities and healthy living; Relatively young population; Beautiful scenery; Innovative healthcare initiatives

Fun Fact: Denver International Airport is bigger than the whole city of Boston. The airport covers about 140 square kilometers, while Boston only covers about 125 square kilometers. 

Colorado is a top choice for nurses seeking an excellent work-life balance. The state’s high demand for nurses, competitive wages, and moderate living costs make it a desirable location. Additionally, Colorado’s overall state rankings further solidify its reputation as one of the best states to work as a nurse.

6. Oregon

The “Beaver State” is known for its diverse landscapes, from the Pacific coastline to mountains and high desert. Oregon is a pioneer in healthcare reform and emphasizes holistic medicine. The state is also known for its environmental consciousness, robust public transportation (especially in Portland), and a strong focus on work-life balance. Furthermore, its thriving food and craft beer scenes add to its appeal.

a. Annual Mean Wage: 3rd highest at $113,440

b. Cost of Living Index: High at 114.1

c. Overall State Ranking: Not in the Top 20

d. Healthcare System Ranking: Moderate

e. Turnover Rate: Moderate at 50.5%

f. Additional Highlights: Pioneer in health care reform; Emphasis on holistic medicine; Beautiful natural environment; Robust public transportation; Collaborative healthcare approach

Fun Fact: Did you know that Oregon is home to the largest living organism in the world? This is the Honey Mushroom, which occupies around 965 hectares of land. This fungus is the largest living organism due to its vast land coverage, which mostly goes underground. 

Oregon’s appeal to nurses is rooted in its generous wages and reasonable living costs. These factors make it a desirable option for those seeking the best state to work as a nurse. Furthermore, the combination of high pay and a lower cost of living provides a strong foundation for a comfortable and financially rewarding lifestyle.

5. Minnesota

The “North Star State” is known for its high quality of life, excellent education system, and strong healthcare sector, including the world-renowned Mayo Clinic. Minnesota offers four distinct seasons and numerous outdoor activities across its many lakes and forests. In addition, the state has a diverse economy and a strong sense of community and consistently ranks high in various quality-of-life metrics.

a. Annual Mean Wage: 13th highest at $94,830

b. Cost of Living Index: Moderate at 94.8

c. Overall State Ranking: 4th

d. Healthcare System Ranking: 16th

e. Turnover Rate: Low at 41.5%

f. Additional Highlights: Home to Mayo Clinic; Strong focus on community health; High quality of life; Four distinct seasons; Strong education system

Fun fact: Minnesota is renowned for being the site of the first successful open-heart surgery performed under direct supervision. This groundbreaking procedure involved lowering the body temperature to slow the heart rate and minimize blood flow. Moreover, two surgeons from the University of Minnesota, Dr. Floyd John Lewis and Dr. Walton Lillehei, conducted this operation in 1952. 

Minnesota offers a desirable balance of wages and living costs, a high overall state ranking, and a low turnover rate. Therefore, this combination makes it an attractive option for nurses seeking a stable and rewarding career.

4. Washington

The “Evergreen State” offers diverse geography, from the Pacific coast to the Cascade Mountains. Washington has a strong tech industry, no state income tax, and emphasizes environmental sustainability. Additionally, the state is known for its coffee culture, outdoor recreation opportunities, and progressive policies. Furthermore, its largest city, Seattle, is a hub of innovation and culture.

a. Annual Mean Wage: 4th highest at $111,030

b. Cost of Living Index: High at 115.1

c. Overall State Ranking: 8th

d. Healthcare System Ranking: 10th

e. Turnover Rate: Moderate at 48.6%

f. Additional Highlights: Growing tech industry; No state income tax; Strong environmental policies; Diverse geography; Emphasis on work-life balance

Fun Fact: Washington’s core industries, beyond agriculture, include computer software, aerospace engineering, tourism, and hydroelectric power generation. Notably, Microsoft co-founder Bill Gates is a native of Washington.

Washington offers a strong combination of high wages and moderate living costs, making it an attractive state for those seeking a rewarding nursing career. Additionally, its impressive overall state ranking further solidifies its ranking as one of the best states to work as a nurse.

3. New York

The “Empire State” is known for its diversity, world-class medical facilities, and cultural attractions. New York City, the state’s largest metropolis, offers unparalleled career opportunities and experiences. However, the state also includes beautiful rural areas and natural wonders like Niagara Falls. Moreover, New York provides strong union protection for healthcare workers. In addition, its global prominence in finance, arts, and media makes it even more appealing.

a. Annual Mean Wage: 8th highest at $106,620

b. Cost of Living Index: High at 123.1

c. Overall State Ranking: 23rd

d. Healthcare System Ranking: 8th

e. Turnover Rate: Low at 41.5%

f. Additional Highlights: Diverse urban and rural environments; World-class medical facilities; Cultural melting pot; Strong union presence for healthcare workers

Fun Fact: Believe it or not, an astonishing 800+ languages are spoken in New York City. The Office of General Services reports that 2.5 million New Yorkers have limited English proficiency. Consequently, they passed a law to provide translation services in residents’ primary languages for essential city services.

New York ranks highly due to its competitive nurse salaries, world-class medical facilities, and low turnover rates. Additionally, according to the Bureau of Labor Statistics, it consistently ranks among the top five states for registered nurse employment.

2. Massachusetts

The “Bay State” is renowned for its world-class healthcare institutions and prestigious universities. Massachusetts offers a rich historical heritage, beautiful coastal areas, and four distinct seasons. Furthermore, the state’s commitment to education and research makes it an ideal environment for nurses seeking career advancement or additional education. Its comprehensive health insurance coverage and progressive policies also contribute to its high ranking.

a. Annual Mean Wage: 6th highest at $108,850

b. Cost of Living Index: High at 144.3

c. Overall State Ranking: 10th

d. Healthcare System Ranking: 2nd

e. Turnover Rate: Moderate at 47.2%

f. Additional Highlights: Home to top medical institutions and teaching hospitals; Strong emphasis on education; Comprehensive health insurance coverage; Rich history and cultural attractions

Fun Fact: Both volleyball and basketball were invented in Massachusetts. Additionally, Alexander Graham Bell made the first telephone call in the state to his assistant, Thomas Watson. 

Massachusetts is one of the best states for nurses because it offers competitive wages and a top-notch healthcare system. Additionally, its high quality of life, as indicated by its overall state ranking, makes it an attractive destination for nursing professionals.

1. California

The “Golden State” offers an unparalleled combination of diverse landscapes, from beaches to mountains to deserts. California is home to many prestigious hospitals and medical centers, and its healthcare policies, including strict nurse-to-patient ratios, benefit nursing professionals. In addition, the state’s economy is more extensive than most countries, providing numerous opportunities across various sectors. 

California’s cities, like San Francisco and Los Angeles, are cultural hubs, while its natural beauty, including national parks like Yosemite, offers endless recreational opportunities. The state’s progressive policies and innovation in technology and healthcare make it an exciting place for nurses. Moreover, the diverse population adds to the rewards of living and working in California. 

a. Annual Mean Wage: Highest at $137,690

b. Cost of Living Index: High at 145.0

c. Overall State Ranking: 37th

d. Healthcare System Ranking: 14th

e. Turnover Rate: Relatively low at 43.5%

f. Additional Highlights: Large and diverse healthcare system with prestigious hospitals; Progressive policies; Varied geography; Strict nurse-to-patient ratios

Fun Fact: California dominates global almond production, surpassing the combined output of all other regions. In addition, the state’s ideal climate and fertile soil create perfect conditions for almond cultivation. Remarkably, California accounts for 80% of global almond exports.

California tops our list of best states to work as a nurse primarily due to its exceptionally high wages for nurses. Despite the high cost of living, the salary often compensates for this. Another thing that makes California the top state is its nurse-to-patient ratio. Moreover, it is the only state that has a staffing mandate of registered nurses. Hence, the state’s overall ranking and healthcare system quality also contribute to its ranking.

Please note that these rankings are based on our analysis of several key factors, including working conditions, nurse salary rates, etc. We have strived to provide a comprehensive and accurate assessment of the best states to work as a nurse. However, individual experiences may vary, and it’s essential to consider personal preferences and priorities when making a decision.

Choosing the Right State to Work as a Nurse

Deciding the best state to work as a nurse in the USA is a deeply personal journey. It’s not just about finding a job; it’s about finding a place where you can thrive professionally and personally.

Every nurse has a unique set of priorities and dreams. Some might be drawn to the bustling energy of New York City, with its world-renowned hospitals and diverse patient populations. Others might prefer the laid-back lifestyle of California, where the sun-soaked beaches perfectly balance the demands of nursing.

For those focused on financial goals, states like California or Massachusetts, known for their high nursing salaries, might be top choices. However, it’s crucial to consider the cost of living alongside those paychecks. Moreover, a hefty salary in San Francisco might not stretch as far as you’d think due to the city’s high housing costs.

On the other hand, states like South Dakota or Alabama offer a lower cost of living, allowing your nursing salary to go further. Imagine being able to afford a spacious home or having extra funds to explore your new surroundings on your days off.

Career development is another critical factor. Some nurses are drawn to states with prestigious medical research centers or teaching hospitals, seeing them as stepping stones to specialization or leadership roles. If career growth in healthcare is your priority, consider Massachusetts or Minnesota. In addition, Massachusetts is known for its top-tier medical institutions, and Minnesota is home to the internationally acclaimed Mayo Clinic.

But happiness isn’t just about work. Consider the lifestyle each state offers. Do you love the outdoors? Colorado or Oregon might call to you with their mountains and forests. Do you love food? New Orleans’ culinary scene might be irresistible. Do you value a strong sense of community? Small towns in the Midwest might offer the warm welcome you’re looking for.

Remember, there’s no one-size-fits-all answer for the best state to work as a nurse. 

Your best state to work as a nurse in the USA might be different from your colleague’s, and that’s okay. Take time to reflect on what truly matters to you. Furthermore, consider your long-term goals, your family situation, and the type of environment where you feel most at home.

The Takeaway

Our top 10 best states to work as a nurse are derived from official government data and statistical information from reputable institutions. While our rankings are based on numerical data, they offer useful suggestions and valuable insights, not definitive statements.

We acknowledge that individual experiences may vary, and there may be qualitative factors affecting nurse satisfaction that aren’t captured in these statistics. Hence, we encourage you to use this information as a starting point for your own research. Consider your personal preferences and career goals when making decisions about your nursing career.

Choosing where to work as a nurse in the US is more than just picking a location on a map. It’s about finding a place where you can grow, contribute, and build the life you’ve dreamed of. So dream big, do your research, and trust your instincts. Your ideal state is out there, waiting for you to discover it.

Navigating the NCLEX application process for your desired state can be complex, but IPASS is here to simplify your journey. Our experienced team can guide you through each step, ensuring a smooth and efficient application process. Moreover, the NCLEX is a significant milestone in your nursing career, and we’re committed to supporting you every step of the way. Ready to take the first step toward your international healthcare career? Schedule a FREE Consultation with IPASS today, and let us help you turn your nursing aspirations into reality!