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What to Pay a Home Health Registered Nurse in Honolulu, HI (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$116,000
base, annual
Competitive Range
$101K–$133K
25th–75th percentile
YoY Movement
+4.4%
trailing 12 months
Days to Fill
~24
Honolulu metro average
To hire a Home Health Registered Nurse in Honolulu at market, plan on a base salary range of $101,000 to $133,000, with $116,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 24 days, expect to lead at $133K–$153K plus a sign-on bonus, common in skilled nursing settings. Hawaii requires a pay range in job postings.

How to set your Home Health RN pay range in Honolulu

Three pay positions, modeled against current Honolulu market data. Pick the one that matches your comp philosophy and the role's strategic value.

Lag Market
Pay Below Median
$88K–$101K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Honolulu average.
Match Market — recommended
Pay at Median
$110K–$122.8K
Default for most Honolulu employers. Competitive enough to fill in ~24 days. A range width of ~30% (min $101,000 to max $133,000) keeps compa-ratio movement smooth across a Home Health RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$126.2K–$153K
Use for hard-to-fill specialties (wound care, IV therapy, bilingual), 24/7 SNF roles, or when speed-to-hire trumps budget. Reduces fill time by 35–45% on average.

Home Health RN salary percentile distribution in Honolulu, HI

Where the Honolulu market actually sits for Home Health RN base pay.

10th $88K
25th $101K
Median $116K
75th $133K
90th $153K

Most Honolulu employers building a range for this role anchor the midpoint to the market median ($116,000) and set range width at 30–35% — a min of $101,000 and a max of $133,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Hawaii pay transparency compliance for Home Health RN job postings

What you must post when hiring a Home Health RN in Hawaii.

Required. Hawaii requires employers with 50 or more employees to include an hourly rate or salary range that reasonably reflects the expected pay in job listings, under Act 203, effective January 1, 2024. Internal transfers and promotions are excluded, as are public sector roles with pay set through collective bargaining. The Hawaii Civil Rights Commission enforces the law.
Requirement Applies When Penalty for Non-Compliance
Pay range in job postings Employers with 50 or more employees must follow the law. The law sets no specific fines. Violations go through the Hawaii Civil Rights Commission's complaint process, with the remedies available under Hawaii employment discrimination law.

For a Home Health RN role in Honolulu, a compliant good-faith range looks like $101,000 to $133,000. Job listings must include an hourly rate or salary range that reasonably reflects the expected pay.

Top Home Health RN employers in Honolulu — who you're competing against

Top healthcare employers hiring Home Health RNs in the Honolulu metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
The Queen's Health Systems Academic medical center system $109K–$137K Very common ($10K–$18K)
Hawaii Pacific Health Health system $109K–$137K Very common ($10K–$18K)
Kaiser Permanente Hawaii Integrated health system $109K–$137K Very common ($10K–$18K)
Adventist Health Castle Health system $109K–$137K Very common ($10K–$18K)
Kapiolani Medical Center Pediatric / women's specialty $109K–$137K Very common ($10K–$18K)

Home Health RN talent supply and hiring difficulty in Honolulu

How hard is it to fill a Home Health RN role in Honolulu.

~24
Avg Days to Fill
~2,552
Active Postings
~16,240
Honolulu Home Health RN Workforce
Tight
Supply : Demand

Honolulu home health RN market is one of the fastest-growing in nursing — aging population and hospital-at-home programs drive sustained demand. Per-visit and salaried pay structures both common.

Skill premiums Home Health RN candidates command in Honolulu, HI

Skill / Credential Pay Premium Demand Signal
OASIS certification +4–7% Standard for home health
Wound care certification (WCC, CWS) +6–9% Very high
IV therapy / infusion (VA-BC) +5–8% High
Bilingual Spanish +3–6% High

Home Health RN total compensation in Honolulu — what candidates expect beyond base

Total rewards mix for Home Health RNs in Honolulu. "Prevalence" reflects share of Honolulu disclosed-range postings including each element.

Component Typical Value Prevalence in Honolulu Postings
Base salary $116,000 (median) 100%
Per-visit differential (some employers) $4–$6/visit ~42%
Sign-on bonus $9K–$21K ~72%
Mileage reimbursement IRS standard rate + smartphone allowance ~92%
OASIS certification pay +4–7% on base ~52%
Estimated total comp benchmark ~$137K–$160K —

Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.

Home Health RN pay by setting in Honolulu — SNF, hospital, clinic, home health

Where the Home Health RN range splits by employer type in the Honolulu metro.

Setting Median Competitive Range Hiring Difficulty
Traditional home health agency $109,000 $97K–$125K High
Hospital-at-home program $125,000 $111K–$142K Very high
Hospice + palliative $118,000 $104K–$135K High
Pediatric home health $121,000 $107K–$137K Very high
Case management / visit RN $123,000 $109K–$139K High

FAQ: hiring a Home Health Registered Nurse in Honolulu, HI

Market median is $116,000 for base pay. To match market, set a range with the midpoint at $116,000 — typically $101,000 to $133,000. To lead the market, plan on $133K–$153K base plus a sign-on bonus.
Hawaii requires employers with 50 or more employees to include an hourly rate or salary range that reasonably reflects the expected pay in job listings, under Act 203, effective January 1, 2024. Internal transfers and promotions are excluded, as are public sector roles with pay set through collective bargaining. The Hawaii Civil Rights Commission enforces the law. For this role in Honolulu, a good-faith range is $101,000–$133,000.
$104,000 falls below the Honolulu market median of $116,000 — roughly at the 25th–50th percentile locally. Acceptable in SNF or physician office settings where the candidate pool is deeper; below-market for hospital or specialty roles.
Roughly 72% of Honolulu home health RN postings include a sign-on bonus ($9K–$21K). Hospital-at-home programs and pediatric home health offer the highest premiums.
Average fill time is approximately 24 days in the Honolulu metro. Roles paid above the 75th percentile ($133K+) fill in roughly 18–22 days. Roles below the 25th percentile ($101K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Honolulu-metro posting volume: The Queen's Health Systems, Hawaii Pacific Health, Kaiser Permanente Hawaii, Adventist Health Castle, Kapiolani Medical Center lead the pack.
A 30–35% range width (min to max) is standard for Home Health RN in Honolulu — for example, $101,000 to $133,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
Job listings are covered. Internal transfers and promotions are excluded, as are public employee positions whose pay is set through collective bargaining.

Related Home Health RN pay benchmarks — Hawaii metros and nearby nursing roles

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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.