Twenty years ago, the American Association of Colleges of Nursing (AACN) refocused nursing education in a significant way. Before 2004, advanced-practice registered nurses (APRNs) typically stopped their education after completing a Master of Science in Nursing.
Then, the AACN announced that the ideal terminal degree for advanced nursing practice would be the Doctor of Nursing Practice (DNP): in fact, according to their new plan, students currently in MSN programs would seamlessly transition into DNP programs instead. The AACN set an ambitious goal: that by 2015, DNPs would be the standard highest-level degree, rather than the MSN.
As of a 2020 study, the AACN’s initial goal hasn’t quite been met yet. In fact, many universities continue to offer exclusively an MSN or BSN to MSN program, without offering a DNP.
Still, the AACN announcement demonstrates that the tides are turning in favor of DNP-qualified nurses, offering aspiring senior-level health care workers the opportunity to earn higher incomes and find employment in more senior-level positions.
Not to mention that, due to the AACN’s policy shift, the number of DNPs in the United States has grown dramatically – meaning that there’s more competition than ever for non-DNP-qualified nurses who may be applying for the same positions.
Jobs for DNP-Qualified Nurses in California
If you’ve earned your Doctor of Nursing Practice (DNP) and are thinking about staying in or relocating to California, you’re in luck!
California is one of the best states for nurses in advanced practice, thanks to its high demand for healthcare professionals, competitive salaries, and a wide variety of job opportunities.
DNP-qualified nurses often take on leadership roles, become clinical experts, or upskill still further into high-earning specializations like anesthesia.
California is the third-largest state by land area in the United States, meaning that aspiring DNPs will have a wide range of employment and lifestyle options available to them, from finding work in a major city like San Francisco or Los Angeles to offering critical care to remote and underserved communities in more rural areas.
One of the biggest upsides of getting a DNP degree is the flexibility: with these impressive credentials, you’ll be trusted by employers to shape healthcare delivery, improve outcomes, and even work on health policy reforms. Moreover, if you’ve discovered a particular strength or interest in clinical settings, being a DNP offers you more choice than lower-level qualifications in nursing.
While there are a huge range of potential jobs for qualified DNPs in California, some options include becoming a:
- Nurse Practitioner (NP) in specialized fields like family health, pediatrics, or gerontology.
- Nurse Educator in universities or healthcare systems.
- Clinical Nurse Specialist (CNS) focusing on specific populations such as oncology or critical care.
- Healthcare Administrator managing hospital or clinic operations.
- Director of Nursing overseeing nursing staff and patient care quality.
- Policy Advisor working with governmental agencies or nonprofits to improve healthcare systems.
- Chief Nursing Officer (CNO) leading nursing departments in large hospitals or healthcare systems.
DNP Jobs in Southern vs. Northern California
Whether you’re looking to work in warm, sunny Southern California, the tech-driven healthcare hubs of NorCal, or to provide vital services as a remote healthcare provider in rural communities, the job market for DNP-qualified nurses in California is chock-full of opportunities.
But where should you go? Each region has its unique strengths when it comes to healthcare roles, patient populations, and work environments.
In Northern California, cities like San Francisco, Sacramento, and Oakland offer robust opportunities for DNP graduates, particularly in high-tech healthcare facilities and research-driven institutions. Northern California is home to academic health systems and cutting-edge research, thanks to the presence of institutions like UCSF Medical Center and Stanford Health Care, which are constantly innovating in patient care and clinical research. For instance, UCSF is known for its emphasis on training advanced practice nurses and nurse leaders, making it a great environment for those interested in nurse education, clinical research, or leadership roles.
Meanwhile, Southern California is home to a massive healthcare network that serves a diverse population across cities like Los Angeles, San Diego, and Riverside. DNP graduates in Southern California may find more opportunities in large healthcare systems like Cedars-Sinai or Kaiser Permanente, where patient care is fast-paced, and the demand for nurse practitioners and nurse anesthetists is high.
Significantly, your services may be particularly valuable in fast-growing Southern California: in places like in Los Angeles County, a population boom is driving the need for advanced practice nurses in primary care and specialized fields like psychiatric nursing.
Big cities in both Northern and Southern California can offer competitive salaries, but keep in mind that living costs—especially in places like San Francisco and Los Angeles—can vary significantly depending on where you choose to live and work.
The Average Salary of a DNP in California is Higher Than in Many Other States
According to the Bureau of Labor Statistics, the average nurse practitioner in California earns $161,540.
Out of the top 10 metropolitan areas with the most nurse practitioners across the country, the average nurse in California earns more than any other region – sometimes by as much as $55,000 or more.
In fact, all of the top 10 highest-paying areas for nurse practitioners across the country are based in California!
Simultaneously, it’s important to note that the cost of living in major cities in California can be markedly higher than in other parts of the country, so it’s important to do your research on topics like local housing costs and taxes.
How Much Does a DNP Make in Cities Like Los Angelesor San Jose?
Salaries for nurse practitioners are particularly high in the San Jose metropolitan area. According to the Bureau of Labor Statistics, the average nurse practitioner salary in San Jose is $191,250 annually.
In Los Angeles County, the average nurse practitioner earns $162,340 per year. This is only slightly lower than the average salary in Sacramento, the state capital, where nurse practitioners annually bring in $162,350.
Become a Competitive Applicant for DNP Jobs with Anesthesia, Nurse Practitioner, or Psychiatric Specializations
It’s possible that, while on the path to pursuing your DNP degree, you discover a passion for or interest in specializations – additional qualifications you can add on to your degree to become an even more specially-trained worker in clinical settings. Some of these roles, like nurse anesthetists, can be particularly lucrative, in part because the work requires high levels of precision and medical knowledge.
Below is a non-exhaustive exploration into a few possible specializations that you may choose to pursue during your studies to become a DNP, looking into what the role involves on a daily basis; job application tips; and skills that would be particularly useful in these positions.
For nurse anesthetists (CRNAs), your role in anesthesia care is critical to surgeries and pain management. To become a competitive candidate in this field, focus on refining your technical skills during clinical training and keep up with advancements in anesthesia technology. Employers will want to see that you can handle high-stress environments with confidence and precision. Gaining experience in diverse clinical settings, from hospitals to outpatient surgical centers, will make your résumé even stronger. And don’t forget about certification—staying up to date with your CRNA credentials is a must in this specialized field.
Nurse practitioners (NPs), on the other hand, have broad opportunities in primary or specialized care, working autonomously or in collaboration with physicians. To stand out as a competitive NP applicant, you’ll want to demonstrate not only your clinical expertise but also your ability to provide patient-centered care. Building strong communication and leadership skills is key, as NPs often act as primary care providers. Whether you specialize in family medicine, pediatrics, or women’s health, having a niche can make you an even more attractive candidate. Keep an eye on your state’s scope of practice regulations, too—California, for instance, continues to expand the independence of NPs, which only increases your value as a healthcare provider.
Lastly, psychiatric mental health nurse practitioners (PMHNPs) are more needed than ever in today’s world, with mental health challenges on the rise. If you’re focusing on psychiatric care, developing strong assessment, therapeutic, and diagnostic skills will be crucial. Employers are looking for professionals who can connect with patients on a deep level, offering holistic and empathetic mental health support. Telehealth is also booming in this area, so becoming comfortable with virtual care platforms can give you an edge in applying for jobs. And just like with other specializations, maintaining up-to-date certifications like the PMHNP-BC will show your dedication to continued learning and excellence.
Can a DNP Be Called “Doctor” in California?: AB 890 and Nurses Making A Difference
Yes, a DNP (Doctor of Nursing Practice) can be called “Doctor” in California, but there’s a little bit of context to unpack. The title “Doctor” is a point of pride for many DNPs who have completed years of advanced education and clinical practice to earn their degree.
However, in a clinical setting, it’s important that DNPs make it clear to patients that they are not medical doctors (MDs) but advanced practice nurses with a doctorate. This distinction helps avoid any confusion, especially when it comes to patient care.
Assembly Bill 890, passed in California in 2020, plays an important role here.
This bill expanded the scope of practice for nurse practitioners, allowing them to practice independently in certain settings without physician oversight.
While the bill doesn’t specifically address the title of “Doctor,” it’s a huge win for the profession, as it allows DNPs (and other advanced nurse practitioners) to practice more autonomously. This has given DNPs an even greater presence and authority in California’s healthcare system, making their “Doctor” title more relevant and respected.
Nurses have long been making a difference in advocating for their profession and expanding their role in patient care. The passing of AB 890 is a testament to the work nurse practitioners, nursing associations, and healthcare advocates have done to highlight the crucial role of advanced practice nurses in addressing California’s growing healthcare needs.
By wearing the “Doctor” title, DNPs are not only correctly representing their high levels of education but also stepping into leadership roles where they can continue to influence healthcare delivery across the state. So, while it’s critical for DNPs to be careful about how and when they use the title in clinical settings, they are certainly qualified to be called “Doctor” in recognition of their advanced training and contributions.
DNP Programs Help Aspiring Nurses Find Job Opportunities and Develop A Network
It’s possible that you’re a student impacted by the AACN decision to transform all MSN programs into DNP programs – or it’s possible that you entered a graduate degree program with the express goal of obtaining a DNP.
Either way, you’re well on your way to ensuring a strong, secure professional future. A DNP program offers much more than just an advanced degree – it’s a gateway to incredible job opportunities and a powerful professional network that can shape your career.
While you’re likely to expect clinical expertise and a long-term, ambitious capstone project to complete your degree, a less-known benefit of DNP programs is that they also often come with direct connections to top healthcare employers. Many programs partner with hospitals, clinics, and healthcare systems, giving you a chance to complete clinical rotations or residencies at institutions that might just become your future workplace. These real-world experiences not only enhance your résumé, but also give you a foot in the door at leading healthcare organizations.
Beyond landing a job, a professional network – which can be made up of professors, clinical mentors, and fellow students – is a meaningful part of providing collaborative, thoroughly researched, and cohesive health care. As a DNP candidate, attending conferences, workshops, and symposiums as part of your program can introduce you to healthcare innovators and policy makers. These networking opportunities can also offer vital social connections, providing space for nursing professionals to get to know other advanced practice nurses, meaning you’ll have a go-to support system of peers who can share job leads, offer advice, and collaborate with you throughout your career.
Ultimately, a DNP program does more than prepare you for clinical excellence – it helps you build a thriving career by connecting you with influential professionals, offering hands-on experience, and giving you a platform to shine. Whether you’re looking to work in a hospital, clinic, research facility, or even start your own practice, the relationships and opportunities gained from a DNP program can make all the difference.
California is Home to A Number of Respected DNP Programs
The Golden State is home to some of the most respected DNP programs in the country. Some programs, like UCLA, come attached to prestigious hospitals. As a DNP candidate in these environments, you’ll get the added bonus of having extensive field work at one of the best-regarded hospitals in the country.
Some of your options include:
The University of California, San Francisco (UCSF), which has a nationally recognized DNP program that emphasizes leadership, clinical expertise, and health policy. UCSF’s program is designed for those looking to step into leadership roles or improve healthcare systems at large. Plus, UCSF’s connections with some of the top hospitals and healthcare organizations in Northern California mean you’ll have excellent hands-on experience.
Down in Southern California, you’ve got the University of Southern California (USC), which offers a flexible, online DNP program that caters to working professionals. You read that right: an online DNP!
The USC DNP program’s format allows nurses to continue their clinical practice while pursuing advanced education. USC’s curriculum is known for its focus on integrating technology into healthcare, making it an ideal choice if you’re looking to become a leader in nursing informatics or telehealth. Plus, the alumni network at USC is vast, which can open up many doors for career advancement.
Finally, as mentioned above, UCLA offers one of the most competitive DNP programs in the state. With a strong focus on evidence-based practice and patient care innovation, UCLA’s DNP graduates are prepared to make a big impact in healthcare settings across the country. The program’s strong ties to research and its location in the heart of Los Angeles – home to diverse patient populations – give students the chance to engage in meaningful clinical work while developing leadership skills that will serve them well throughout their careers.
However, this is not an exhaustive list. Some additional DNP program options in California include:
- California State University, Fullerton (CSUF): Offers a DNP program with a focus on preparing nurse leaders for roles in education and advanced clinical practice.
- University of San Diego (USD): Known for its focus on executive leadership and health policy, USD’s DNP program prepares nurses for leadership roles in healthcare organizations.
- Samuel Merritt University: A smaller, private institution offering a DNP program with an emphasis on family nurse practitioners and leadership in clinical settings.
- California State University, Fresno (CSUFresno): This program focuses on addressing healthcare needs in underserved populations, especially in rural areas.
- Azusa Pacific University: A Christian university offering a DNP program that integrates faith and ethical leadership with advanced clinical practice.
- University of San Francisco (USF): USF’s DNP program emphasizes population health and offers a variety of tracks, including psychiatric mental health nurse practitioner (PMHNP) and family nurse practitioner (FNP).
- Western University of Health Sciences: Offers an online DNP program with an emphasis on leadership, health policy, and clinical expertise, aimed at working professionals.
- California Baptist University (CBU): CBU’s DNP program focuses on preparing nurse practitioners for leadership in clinical practice and healthcare education.
BSN to DNP Programs in California
For nurses with a Bachelor of Science in Nursing (BSN) looking to take a big leap in their careers, California offers several that streamline the journey to earning a doctorate. These programs are designed for ambitious nurses who want to skip the traditional master’s degree step and move directly into advanced practice or leadership roles. In some cases, it’s possible that your BSN to MSN program has been transitioned into a BSN to DNP program. Either way, these one-stop-shop programs are a great way to streamline the credentials you need to become a senior-level practicing nurse in California.
California’s BSN to DNP programs typically take three to four years to complete and offer various tracks, such as Family Nurse Practitioner (FNP), Psychiatric Mental Health Nurse Practitioner (PMHNP), and even Nurse Anesthesia. This fast-track option allows nurses to gain both clinical expertise and leadership skills without taking a detour into separate master’s programs.
Universities like the University of San Diego (USD), Azusa Pacific University, and California State University, Fullerton (CSUF) offer popular BSN to DNP programs. USD, for instance, allows students to specialize in various nurse practitioner roles while integrating a strong focus on health policy and leadership, ensuring graduates are prepared to make significant changes in healthcare. Meanwhile, CSUF’s program is well-suited for those looking to work in primary care or education, particularly within underserved communities.
The beauty of these BSN to DNP programs is that they are often flexible, with many offering hybrid or online options to accommodate working nurses. This means you can continue working in your current role while earning your degree, making the transition as smooth as possible. Graduates from these programs are well-positioned for high-level roles in clinical practice, healthcare leadership, and even academic settings.
2023 US Bureau of Labor Statistics salary and employment figures reflect state data, not school-specific information. Conditions in your area may vary. Data accessed September 2024.