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The demand for nursing professionals in the United States is increasing significantly, and this trend shows no signs of slowing down. The Bureau of Labor Statistics (BLS) projects that employment of registered nurses (RNs) will grow 6% between 2023 and 2033, faster than the average for all occupations, adding approximately 177,400 new jobs (BLS, "Registered Nurses," Occupational Outlook Handbook, September 2024). This growth is primarily driven by an aging population—baby boomers over 65 now require more frequent medical care, putting a strain on the healthcare system.

Factors Contributing to the Shortage

In addition to demographics, other factors are also exacerbating this demand. The American Association of Colleges of Nursing (AACN) warns that by 2030, there could be a shortage of up to 200,000 nurses per year due to retirements, burnout caused by the COVID-19 pandemic, and a lack of new graduates (AACN, "Nurse Shortage," 2023). This gap has made nursing a vital and highly sought-after profession across the country.

Types of Nursing Jobs in the United States

Core Nursing Roles

There are many different nursing career paths in the United States, each with different responsibilities. Registered nurses (RNs) are the backbone of the nursing industry, responsible for direct patient care, administering medications, and working alongside physicians in hospitals or clinics. Licensed practical nurses (LPNs) or vocational nurses (LVNs) focus on basic care, such as monitoring vital signs, under the supervision of RNs.

Advanced Specialty Positions

For those seeking more responsibility, nurse practitioners (NPs) can diagnose and treat patients independently and require advanced degrees. Specialty positions such as certified registered nurse anesthetists (CRNAs) administer anesthesia and are highly paid, while critical care nurses thrive in intense environments such as intensive care units. Home care and travel nursing offer flexibility, and travel nurses are often paid extra to fill temporary staffing needs across the country.

3 Companies Hiring Nurses in the U.S. and Their Compensation Packages

HCA Healthcare

HCA Healthcare operates more than 180 hospitals and is a major player in nurse recruitment. Registered nurses here make an average of $80,000 to $95,000 per year, with bonuses and overtime pay boosting salaries in areas of high demand like Texas or California (Glassdoor, “HCA Healthcare RN Salaries,” March 2025). Positions typically require an ADN or BSN and an RN license.

Kaiser Permanente

West Coast healthcare giant Kaiser Permanente offers registered nurses salaries of $90,000 to $120,000 per year, supplemented by generous benefits like pensions and paid time off (Kaiser Permanente Careers, 2024). Union wages and a focus on comprehensive care make it a top choice for nurses with a BSN or higher.

Ascension

Ascension, a faith-based system covering 19 states, employs registered nurses with salaries ranging from $75,000 to $90,000, which varies depending on location and experience (Indeed, Ascension RN Salaries, February 2025). An ADN or BSN and license are standard requirements, and can increase salary potential if there is an opportunity for a specialty position.

How to Apply for a High-Paying Nursing Job

Find Job Openings

Getting a well-paying nursing job starts with targeting the right opportunities. Check company websites like HCAHealthcare.com, KaiserPermanenteJobs.org, or Ascension.org, and browse platforms like Indeed, LinkedIn, or Nurse.com. Travel nursing agencies like Aya Healthcare also offer high-paying short-term jobs, often over $50 per hour.

Prepare Your Application

Customize your resume to highlight relevant experience and certifications, such as BLS or specialty training. Make sure you have passed the NCLEX-RN exam and hold a state-specific license (verified through NCSBN.org). Networking through job fairs, the American Nurses Association (ANA), or X can open doors to exclusive opportunities.

Interview Success

Prepare for interviews by practicing clinical scenarios and emphasizing adaptability and patient care skills. For international applicants, visa sponsorship may require a credentialing assessment through English proficiency tests such as CGFNS International and TOEFL.

Qualifications and Skills Required for Nursing Positions

Education Requirements

Nursing careers require formal education—an associate degree in nursing (ADN) or a bachelor of science in nursing (BSN) is the entry standard, with 72% of hospitals preferring BSNs (AACN, “Employment Status of New Nurse Graduates,” 2023). Advanced positions such as NPs or CRNAs require an MSN or DNP degree.

Licensing and Certification

Passing the NCLEX-RN exam is necessary to obtain RN licensure, and in 2024, first-time pass rates for U.S.-educated candidates were 85% (NCSBN, “NCLEX Pass Rates,” 2024). Certifications such as CRNA (via NBCRNA) or BLS increase employability and compensation.

Essential Skills

Nurses need to possess clinical expertise, good communication skills, and emotional resilience. Proficiency in electronic health records (EHRs) and teamwork in high-pressure environments are also key to success.

Conclusion

The nursing profession in the United States is at a crossroads of opportunity and necessity. With demand soaring and top employers such as HCA Healthcare, Kaiser Permanente, and Ascension offering competitive salaries and benefits, it’s an ideal time to enter the field. By obtaining the proper qualifications, utilizing a strategic job search approach, and honing essential skills, aspiring nurses can embark on a rewarding, lucrative career. As healthcare evolves, nursing remains a stable, impactful profession that promises to shape America’s future well-being.