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Tennessee / Department of Disability and Aging / Registered Nurse 4

Job-title file

Registered Nurse 4

Provide direct patient care — assess conditions, administer treatment and medication, and coordinate with physicians.

20 employees hold this title in Department of Disability and Aging. Median total compensation for the role is $115,215, above the department median of $57,024.

Employees
20
Total payroll
$2.2M
Role median
$115,215
Agency median
$57,024
Comparison
Above

What the records show

Role pay distribution

Pay distribution for this role

$93,600$126,087+

Hover a bar for its range; click to filter the list below.

How total compensation varies among the 20 people in this role. Even for one job title, pay differs with seniority, step, overtime, and tenure. Each bar is a pay range; the far-right bar collects the highest earners.

Compared with the local labor market

Registered Nurse 4 pay vs. Tennessee

Across all employers in Tennessee, the median wage for Registered Nurses — about 72,200 people — is $81,500. Department of Disability and Aging pays a median base salary of $96,882 for this role, 19% above that figureabout the 78th percentile of local pay for the occupation.

Where Department of Disability and Aging sits in the local pay range

10th
25th
Median
75th
90th
$63,970
$75,460
$81,500
$95,250
$104,920
Department of Disability and Aging median · $96,882

The bar is the range of annual wages for Registered Nurses across every employer in Tennessee, from the 10th to the 90th percentile, with the middle 50% highlighted. The marker shows Department of Disability and Aging’s median base salary for this role. Both figures are base pay only.

And across the country

Nationwide, the median wage for Registered Nurses — about 3,379,720 people — is $97,550. Department of Disability and Aging’s median base salary is in line withthat national figure, about the 49th percentile of pay for the occupation nationally.

10th
25th
Median
75th
90th
$68,940
$80,330
$97,550
$112,350
$137,470
Department of Disability and Aging median · $96,882

Local and national wages differ for reasons beyond how well a job pays — cost of living, the mix of employers, and local demand for the occupation all move the Tennessee range relative to the national one.

Median total compensation for this role at Department of Disability and Aging is $98,212, which includes overtime and employer-paid benefits. The benchmark above excludes both, so total compensation is deliberately not compared against it.

Benchmark: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025). BLS Occupational Employment and Wage Statistics (OEWS) covers all employers in the area — private, non-profit, and government alike — so this is a comparison against the whole local labor market for the occupation, not against private-sector pay. OEWS wages are straight-time pay and exclude overtime, shift differentials, and employer-paid benefits, so the government figure shown here is base pay on the same basis. Total compensation is not comparable to it. Job titles are matched to the closest standard occupation, so the comparison is between similar work rather than an identical job classification.

Compare departments

This role across Tennessee

Registered Nurse 4 is held in 5 Tennessee departments. In Department of Disability and Aging, the median of $115,215 ranks #3 of 5.

Highest-paying departments for this role

Mental Health
$124,494 · 16
Human Services
$120,462 · 1
Health
$115,149 · 91
Correction
$112,428 · 4

Median total compensation for the Registered Nurse 4 role in other Tennesseedepartments (highest first). Each bar links to that department’s page for this role.

Compare jurisdictions

Registered Nurse beyond Tennessee

This role is reported in 15 jurisdictions. In Tennessee, the median of $92,515 ranks #6 of 15. See Registered Nurse across all of Tennessee

Highest-paying jurisdictions for this role

Los Angeles County
$182,642 · 4,768
Massachusetts
$150,727 · 15
California
$122,503 · 2,781
Illinois
$115,950 · 906
Minnesota
$90,863 · 1,024
Arkansas
$75,245 · 437
South Carolina
$71,400 · 39

Median total compensation for comparable Registered Nurseroles in other jurisdictions. Titles are matched by normalized name across sources, not identical job classification, and pay is not cost-of-living adjusted. Each bar links to that jurisdiction’s page for the role.

Record list

Employees with this title

Page 1

Denise Malady

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$126,187
Sub-department
West Tennessee Homes
Base pay
$123,278
Overtime
$0
Other pay
$2,908
Benefits
$0
Total compensation
$126,187
Employment type
Full-Time
Pay basis
Monthly

Source-specific fields

Compensation Rate
$10,273
Employee ID
400259

Denise Malady works as a Registered Nurse 4 for Department of Disability and Aging within West Tennessee Homes. Their status is full-time. Denise earned $126,187 in 2026.

Marilou Comia

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$125,924
Sub-department
Middle Tennessee Regional Offc
Base pay
$122,892
Overtime
$0
Other pay
$3,032
Benefits
$0
Total compensation
$125,924
Employment type
Full-Time
Pay basis
Monthly
Middle name
R

Source-specific fields

Compensation Rate
$10,241
Employee ID
151489

Marilou Comia works as a Registered Nurse 4 for Department of Disability and Aging within Middle Tennessee Regional Office. Their status is full-time. Marilou earned $125,924 in 2026.

Pamela Wagner

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$124,398
Sub-department
East Tennessee Homes
Base pay
$121,344
Overtime
$0
Other pay
$3,054
Benefits
$0
Total compensation
$124,398
Employment type
Full-Time
Pay basis
Monthly
Middle name
S

Source-specific fields

Compensation Rate
$10,112
Employee ID
108270

Pamela Wagner works as a Registered Nurse 4 for Department of Disability and Aging within East Tennessee Homes. Their status is full-time. Pamela earned $124,398 in 2026.

Cora Limbago

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$122,697
Sub-department
West Tennessee Homes
Base pay
$119,748
Overtime
$0
Other pay
$2,949
Benefits
$0
Total compensation
$122,697
Employment type
Full-Time
Pay basis
Monthly
Middle name
L

Source-specific fields

Compensation Rate
$9,979
Employee ID
363586

Cora Limbago holds the role of Registered Nurse 4 at Department of Disability and Aging within West Tennessee Homes. Their status is full-time. In 2026, their total compensation was $122,697.

Ruby Aura Prada

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$122,034
Sub-department
Middle Tennessee Regional Offc
Base pay
$119,088
Overtime
$0
Other pay
$2,946
Benefits
$0
Total compensation
$122,034
Employment type
Full-Time
Pay basis
Monthly
Middle name
M

Source-specific fields

Compensation Rate
$9,924
Employee ID
137584

Ruby Aura Prada works as a Registered Nurse 4 for Department of Disability and Aging within Middle Tennessee Regional Office. Their status is full-time. Ruby earned $122,034 in 2026.

Kimberly Lawrence

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$117,464
Sub-department
East Tennessee Regional Office
Base pay
$114,600
Overtime
$0
Other pay
$2,864
Benefits
$0
Total compensation
$117,464
Employment type
Full-Time
Pay basis
Monthly
Middle name
W

Source-specific fields

Compensation Rate
$9,550
Employee ID
104338

At Department of Disability and Aging, Kimberly Lawrence serves as a Registered Nurse 4 within East Tennessee Regional Office. They work full-time. Their 2026 pay totaled $117,464.

Cindy Swafford

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$117,000
Sub-department
East Tennessee Regional Office
Base pay
$117,000
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$117,000
Employment type
Full-Time
Pay basis
Monthly

Source-specific fields

Compensation Rate
$9,750
Employee ID
464587

Cindy Swafford is a Registered Nurse 4 at Department of Disability and Aging within East Tennessee Regional Office. They work full-time. 2026 total compensation came to $117,000.

Margaret Diugu

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$116,820
Sub-department
Middle Tennessee Homes
Base pay
$116,820
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$116,820
Employment type
Full-Time
Pay basis
Monthly
Middle name
N

Source-specific fields

Compensation Rate
$9,735
Employee ID
102736

At Department of Disability and Aging, Margaret Diugu serves as a Registered Nurse 4 within Middle Tennessee Homes. They work full-time. Their 2026 pay totaled $116,820.

Carlo Angelo Desierto

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$115,308
Sub-department
Middle Tennessee Regional Offc
Base pay
$112,452
Overtime
$0
Other pay
$2,856
Benefits
$0
Total compensation
$115,308
Employment type
Full-Time
Pay basis
Monthly
Middle name
E

Source-specific fields

Compensation Rate
$9,371
Employee ID
385687

At Department of Disability and Aging, Carlo Angelo Desierto serves as a Registered Nurse 4 within Middle Tennessee Regional Office. They work full-time. Their 2026 pay totaled $115,308.

Michelle Watson

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$115,216
Sub-department
DIDD Administration
Base pay
$112,452
Overtime
$0
Other pay
$2,764
Benefits
$0
Total compensation
$115,216
Employment type
Full-Time
Pay basis
Monthly
Middle name
L

Source-specific fields

Compensation Rate
$9,371
Employee ID
410192

Michelle Watson holds the role of Registered Nurse 4 at Department of Disability and Aging within Didd Administration. Their status is full-time. In 2026, their total compensation was $115,216.

Jennifer Starnes

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$115,214
Sub-department
East Tennessee Regional Office
Base pay
$112,452
Overtime
$0
Other pay
$2,762
Benefits
$0
Total compensation
$115,214
Employment type
Full-Time
Pay basis
Monthly
Middle name
L

Source-specific fields

Compensation Rate
$9,371
Employee ID
153677

Jennifer Starnes works as a Registered Nurse 4 for Department of Disability and Aging within East Tennessee Regional Office. Their status is full-time. Jennifer earned $115,214 in 2026.

Penny Weathers

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$109,260
Sub-department
DIDD Administration
Base pay
$109,260
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$109,260
Employment type
Full-Time
Pay basis
Monthly
Middle name
L

Source-specific fields

Compensation Rate
$9,105
Employee ID
210804

Penny Weathers works as a Registered Nurse 4 for Department of Disability and Aging within Didd Administration. Their status is full-time. Penny earned $109,260 in 2026.

Billy Chandler

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$108,000
Sub-department
East Tennessee Regional Office
Base pay
$108,000
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$108,000
Employment type
Full-Time
Pay basis
Monthly
Middle name
Jack

Source-specific fields

Compensation Rate
$9,000
Employee ID
663960

Billy Chandler holds the role of Registered Nurse 4 at Department of Disability and Aging within East Tennessee Regional Office. Their status is full-time. In 2026, their total compensation was $108,000.

Denise Willer

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$108,000
Sub-department
East Tennessee Regional Office
Base pay
$108,000
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$108,000
Employment type
Full-Time
Pay basis
Monthly
Middle name
Lynne

Source-specific fields

Compensation Rate
$9,000
Employee ID
664773

Denise Willer works as a Registered Nurse 4 for Department of Disability and Aging within East Tennessee Regional Office. Their status is full-time. Denise earned $108,000 in 2026.

Maranda Langston

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$105,600
Sub-department
DIDD Administration
Base pay
$105,600
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$105,600
Employment type
Full-Time
Pay basis
Monthly
Middle name
Michelle

Source-specific fields

Compensation Rate
$8,800
Employee ID
529500

At Department of Disability and Aging, Maranda Langston serves as a Registered Nurse 4 within Didd Administration. They work full-time. Their 2026 pay totaled $105,600.

Carrie Morrow

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$102,305
Sub-department
East Tennessee Homes
Base pay
$99,804
Overtime
$0
Other pay
$2,501
Benefits
$0
Total compensation
$102,305
Employment type
Full-Time
Pay basis
Monthly
Middle name
Ann

Source-specific fields

Compensation Rate
$8,317
Employee ID
463419

At Department of Disability and Aging, Carrie Morrow serves as a Registered Nurse 4 within East Tennessee Homes. They work full-time. Their 2026 pay totaled $102,305.

Jeffery Hendrix

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$100,752
Sub-department
East Tennessee Homes
Base pay
$98,364
Overtime
$0
Other pay
$2,388
Benefits
$0
Total compensation
$100,752
Employment type
Full-Time
Pay basis
Monthly
Middle name
S

Source-specific fields

Compensation Rate
$8,197
Employee ID
414096

Jeffery Hendrix holds the role of Registered Nurse 4 at Department of Disability and Aging within East Tennessee Homes. Their status is full-time. In 2026, their total compensation was $100,752.

Maureen Okafor

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$99,463
Sub-department
Middle Tennessee Homes
Base pay
$97,068
Overtime
$0
Other pay
$2,395
Benefits
$0
Total compensation
$99,463
Employment type
Full-Time
Pay basis
Monthly

Source-specific fields

Compensation Rate
$8,089
Employee ID
438798

Maureen Okafor is a Registered Nurse 4 at Department of Disability and Aging within Middle Tennessee Homes. They work full-time. 2026 total compensation came to $99,463.

Albert Perez

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$93,600
Sub-department
Middle Tennessee Homes
Base pay
$93,600
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$93,600
Employment type
Full-Time
Pay basis
Monthly
Middle name
Hernandez

Source-specific fields

Compensation Rate
$7,800
Employee ID
656932

Albert Perez is a Registered Nurse 4 at Department of Disability and Aging within Middle Tennessee Homes. They work full-time. 2026 total compensation came to $93,600.

Geraldine Ramos

Registered Nurse 4/Department of Disability and Aging

2026 total comp
$93,600
Sub-department
Middle Tennessee Homes
Base pay
$93,600
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$93,600
Employment type
Full-Time
Pay basis
Monthly
Middle name
Balmaceda

Source-specific fields

Compensation Rate
$7,800
Employee ID
659895

Geraldine Ramos works as a Registered Nurse 4 for Department of Disability and Aging within Middle Tennessee Homes. Their status is full-time. Geraldine earned $93,600 in 2026.