How to Become a Nurse Administrator

Jennifer Lee
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Updated on November 7, 2024
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Learn how to become a nurse administrator and the steps to take for this rewarding career. Find out about salary, job outlook, and education requirements.

Portions of the following article were drafted using an in-house natural language generation platform. The article was then reviewed, fact-checked, and edited by multiple members of our editorial team prior to publishing.


If you’re an aspiring or experienced nurse looking to advance your career, becoming a nurse administrator could be the right step for you. This role combines the hands-on patient care aspects of nursing along with the managerial and strategic planning components of healthcare administration.

Read on to learn more about the role of a nurse administrator, the steps to becoming one, and the potential salary and career prospects in this field.

What Is a Nurse Administrator?

Nurse administrators are nursing professionals who oversee the nursing departments within healthcare facilities. Their leadership and managerial skills directly impact patient outcomes and staff satisfaction, making them integral to the healthcare ecosystem.

Nursing administrator roles may also include positions like chief nursing officer (CNO). These positions focus on strategic planning, setting policies, and improving patient care across entire healthcare organizations. CNOs often collaborate with other executives and governing agencies.

Who Do They Work With?

Various healthcare professionals and departments collaborate with nurse administrators. These professionals include physicians, psychiatrists, therapists, pharmacists, social workers, and other allied health professionals. They also coordinate with the medical team to discuss patient treatment and help maintain seamless operations within the healthcare facility.

6 Roles and Responsibilities

A nurse administrator’s responsibilities extend beyond just overseeing nursing staff. They also do the following:

  • Staff management: This involves hiring, training, evaluating, and scheduling nurses. They make sure there is enough staff and help foster a positive work environment.
  • Budgeting and financial management: These professionals develop and manage departmental budgets, oversee expenditures, and ensure efficient use of resources.
  • Policy development and implementation: Nurse administrators create and enforce policies and procedures and improve patient care protocols.
  • Quality assurance and performance improvement: They monitor patient outcomes, conduct audits, and implement performance improvement initiatives to maintain high standards of patient care.
  • Collaboration and communication: These professionals coordinate patient care and act as liaisons between nursing staff and upper management through effective communication and collaboration with other healthcare professionals.
  • Education and professional development: Nurse administrators organize training programs and continuing education opportunities so that nurses stay updated with the latest medical knowledge and skills.

5 Important Skills for Nurse Administrators

Nurse administrators need a variety of skills to succeed in their roles:

  • Communication skills: They foster trust, facilitate growth, and manage conflicts among staff.
  • Decision-making and problem-solving skills: These professionals guide their staff and make crucial decisions regarding patient care and organizational policies.
  • Critical thinking skills: Nurse administrators use these skills to make informed decisions that benefit both patients and staff.
  • Mentorship skills: These professionals motivate and guide the team to achieve high standards of care.
  • Change management skills: Nurse administrators must be able to adapt to the constant changes in the healthcare environment.

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Nurse Administrator Salary and Career Prospects

Nurse administrators often earn competitive salaries. According to the Bureau of Labor Statistics (BLS), the average salary for medical and health services managers, which include nurse administrators, is $110,680 per year with those in the top 10% earning more than $216,750 and the lowest 10% earning less than $67,900.

Keep in mind that salaries can vary depending on factors such as education, years of experience, professional certifications, location, and the type of healthcare facility. For instance, nurse administrators in high cost of living areas such as New York and Washington, D.C., earn higher salaries at $179,160 and $170,710, respectively. Additionally, larger healthcare organizations like hospitals and government agencies offer higher salaries compared to smaller nursing and residential care facilities.

The job outlook and long-term job security for nurse administrators in the healthcare industry are quite promising — the BLS projects a 29% growth in roles in this profession from 2023-2033. The demand is driven by an aging population and the need for more healthcare services.

Nurse Administrator Salary and Job Outlook
Median Salary (2023)Typical Entry-Level EducationNumber of Jobs (2023)Job Outlook (2023-2033)Employment Change (2023-2033)
Yearly: $110,680; Hourly: $53.21 Bachelor’s degree562,70029%160,600
Source: BLS
Industries With the Highest Levels of Employment
IndustryEmploymentPercent of Industry EmploymentHourly Mean WageAnnual Mean Wage
General Medical and Surgical Hospitals147,2502.58$69.90$145,390
Offices of Physicians68,3702.41$64.58$134,330
Outpatient Care Centers38,1503.59$62.26$129,500
Nursing Care Facilities (Skilled Nursing Facilities)28,1002.04$51.21$106,520
Home Health Care Services25,7501.61$52.55$109,300
Source: BLS
States With the Highest Employment Level (2023)
StateEmploymentHourly Mean WageAnnual Mean Wage
California57,310$75.07$156,140
Texas51,030$57.79$120,200
Florida35,950$59.65$124,070
New York25,910$86.14$179,160
Pennsylvania20,800$60.51$125,860
Source: BLS
Top Paying States (2023)
State EmploymentHourly Mean WageAnnual Mean Wage
New York25,910$86.14$179,160
District of Columbia1,900$82.07$170,710
Delaware1,420$78.94$164,190
New Jersey17,070$78.09$162,430
Massachusetts19,480$76.22$158,540
Source: BLS

7 Steps to Becoming a Nurse Administrator

Step 1: Become a Registered Nurse (RN)

To become an RN, you must obtain a nursing license, preferably through a bachelor of science in nursing (BSN) degree program. This typically requires at least four years of college education. After the BSN, you’ll need to pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to obtain your RN license.

Step 2: Gain Clinical Experience

Gain several years of hands-on clinical experience. The exact amount can vary, but usually, 2-5 years of experience as an RN is needed before moving into an administrative role.

Step 3: Earn an Advanced Degree

Pursue a master of science in nursing (MSN) or another relevant advanced degree, such as a doctor of nursing practice (DNP). These programs typically take 2-3 years to complete.

Step 4: Obtain Certification

Consider obtaining certifications specific to managerial and leadership roles to enhance your qualifications. Certifications like the Nurse Executive-Board Certification (NE-BC) from the American Nurses Credentialing Center (ANCC) or the Certified Nurse Manager and Leader (CNML) credential can be beneficial.

Step 5: Continue Education and Professional Development

Keep up with continuing education requirements to maintain licensure. Each state has specific requirements, and you may need to take additional courses periodically.

Step 6: Apply for Nurse Administrator Positions

Once you have the necessary education, experience, and certifications, apply for nurse administrator roles in hospitals, clinics, or other healthcare facilities.

Step 7: Advance in Your Career

With experience and demonstrated competency, you can advance to higher-level positions, such as a director of nursing or other executive roles in healthcare administration.

Frequently Asked Questions About Becoming a Nurse Administrator

It typically takes a minimum of six years to become a nurse administrator. This includes earning a bachelor of science in nursing (BSN), passing the NCLEX-RN, and completing an advanced degree like a master of science in nursing (MSN), along with gaining necessary experience as a registered nurse (RN).

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