Job satisfaction, including nurses at Rantauprapat Hospital, is crucial in improving employees' performance and welfare. This study aims to analyze the influence of extrinsic motivational factors of supervision, wages, work environment, and position status on the job satisfaction of nurses at the hospital in 2024. The method used was non-experimental quantitative research with a descriptive approach and associative analysis involving 175 nurses as a sample. Data were collected through observation, interviews, and questionnaires and analyzed using the Chi-Square test and multiple logistic regression. The analysis showed that supervision, wages, and work environment had a significant relationship with the job satisfaction of nurses, with values of p=0.020, p=0.000, and p=0.013, respectively. According to the UMR (regional minimum wage), good supervision and wages significantly increased job satisfaction, while job status did not show a significant relationship. This study concludes that extrinsic motivational factors, especially wages, play an essential role in determining the level of job satisfaction of nurses, which in turn can improve the quality of health services at Rantauprapat Hospital.