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Department of State - Agency Wide photo

Department of State - Agency Wide

Hiring organization · Based in Washington, District of Columbia

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Department of State - Agency Wide photo

The city

Living in Washington, DC

Washington, DC blends monumental grandeur with livable neighborhood charm. From the historic rowhouses of Capitol Hill to the wooded trails of Rock Creek Park, the nation's capital offers renowned hospital systems, free Smithsonian museums, and Metro access that connects the city to surrounding suburbs.

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Metro price level · Washington area
108.9
9% above the national average
Median gross rent
$1,954/mo
rent and tenant-paid utilities

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024

Who they are

You would join Department of State work that sits in embassy and consulate health units, global health diplomacy, and medical support for Foreign Service families—not a single bedside unit in one building.

More about Department of State - Agency Wide

As an RNLNA nurse you are assigned to a specific U.S. embassy or consulate for an expected 12-month tour, with posts overseas and domestic, and relocation expenses reimbursed. The role is full-time; you may take Temporary Duty Travel and at times live away from family or in difficult or isolated conditions. Pay for the Foreign Service Registered Nurse Limited Non-Career Appointment is listed at $82,450–$121,080 per year (FP-04), with promotion potential only to FP-04. The appointment begins at 18 months and can extend to a maximum of five years based on performance and Service needs. In Washington, related paths include Public Health Advisor work in the Bureau of Global Health Security and Diplomacy (listed $143,913–$187,093) supporting PEPFAR and other infectious-disease diplomacy, and an Office Director range listed at $169,279–$197,200. DC living runs about 9% above the national price level, with a graduated district income tax, so many people compare city neighborhoods with Maryland and Virginia suburbs when they weigh commute, cost, and quiet.

Foreign Service nursing supports embassy and consulate health units; Global Health Security and Diplomacy work supports PEPFAR, HIV/AIDS, malaria, TB, polio, and emerging infectious disease programs; Medical Services mental health roles cover psychiatric care, clearances, and crisis response for employees and dependents overseas.

Why nurses stay

How they describe the culture

Foreign Serviceembassy healthoverseas toursglobal healthlimited appointmentTDY travelWashington DCdiplomacy support

What nurses say in reviews

The good

  • Relocation expenses reimbursed for RNLNA Foreign Service nurse appointments
  • Stated RNLNA pay range $82,450–$121,080 at FP-04
  • Clear 12-month tour assignment to a specific embassy or consulate health unit
  • Washington Public Health Advisor range listed $143,913–$187,093 tied to PEPFAR and related programs
  • Appointment can extend from 18 months up to five years based on performance and Service needs

The hard parts

  • Limited Non-Career Appointment with a five-year maximum, not permanent career status
  • Promotion potential listed as FP-04 only
  • May live away from family and/or in difficult or isolated conditions
  • DC-area cost of living about 9% above the national level
I came for the sign-on bonus. I stayed because on my hardest night, my whole team stayed with me.
A nurse, on why they stayed

The reality check

Before you decide

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Roles from Department of State - Agency Wide

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Department of State - Agency Wide

Nurse Practitioner

Advanced Practice Nurse (

$144k–$187k/yr

Washington, District of Columbia

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