Best Online MSN in Health Systems Management Programs for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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What can I expect from an online MSN in health systems management program?

An online MSN in Health Systems Management program blends advanced nursing education with leadership, business, and healthcare operations training. These programs are designed to prepare nurses for executive and administrative roles across healthcare settings. Here's what you can typically expect:

• Comprehensive Curriculum: Courses often cover topics such as healthcare finance, policy and ethics, health informatics, quality improvement, strategic leadership, and organizational behavior.
• Flexible Learning Format: Most programs are fully online with asynchronous classes, allowing you to access lectures and complete assignments on your own schedule. Some may include occasional synchronous sessions or optional in-person residencies.
• Capstone or Practicum Requirements: Many programs include a final project or hands-on practicum in a healthcare setting, where you apply what you've learned to real-world administrative challenges.
• Interdisciplinary Approach: The coursework often combines elements of nursing, public health, business, and information technology to prepare you for complex leadership roles.
• Accreditation and Certification Preparation: Accredited programs ensure academic quality and may prepare you for certification as a Nurse Executive or other related credentials.

Overall, you’ll graduate with the knowledge and skills needed to lead healthcare teams, manage systems efficiently, and contribute to policy and organizational improvements.

Where can I work with an online MSN degree in health systems management?

An online MSN in health systems management opens doors to a wide range of leadership and administrative roles across the healthcare industry. With this degree, you'll be qualified to work in settings that require both clinical knowledge and strong management capabilities. Common workplaces include:

• Hospitals and Health Systems: Serve as a nurse manager, department director, or healthcare administrator overseeing operations, staffing, and quality initiatives.
• Outpatient Clinics and Ambulatory Care Centers: Manage daily operations, coordinate patient care services, and implement efficiency improvements.
• Public Health Agencies: Lead programs that focus on community health, disease prevention, and population-based care strategies.
• Long-Term Care and Rehabilitation Facilities: Oversee nursing teams and develop care plans that align with regulatory standards and patient outcomes.
• Insurance Companies and Managed Care Organizations: Work in utilization review, case management, or policy development roles that bridge clinical care and cost control.
• Healthcare Consulting Firms: Advise organizations on improving systems, workflows, compliance, and patient satisfaction.

With this degree, you'll be equipped to lead change and improve healthcare delivery in both clinical and non-clinical environments.

How much can I make with an online MSN degree in health systems management?

Earning an online MSN in health systems management can lead to a significant boost in salary, especially if you're moving from a clinical nursing role to a leadership position. Here's a simpler breakdown of what you can expect:

• Entry-Level Roles: Around $70,000 to $95,000 per year.
• Mid-Level Managers: Typically $100,000 to $130,000 annually.
• Directors and Nurse Executives: Often $110,000 to $180,000+.
• C-Suite Roles (e.g., CNO, COO): Can exceed $200,000+ in large health systems.

Professionals in high-cost areas like California or Washington, D.C., often earn more than those in smaller or rural regions. Additionally, the more experience you have, the more you can earn—especially in management or executive roles.

List of the Best Online MSN in Health Systems Management Programs for 2025

1. Drexel University

Drexel University offers an MSN: Leadership in Health Systems Management program designed for working nurses who want to advance to a senior leadership role. They will learn how to make decisions, resolve conflict, solve problems, address legal and ethical issues, and oversee the mission and goals of their healthcare delivery organization. 

The program focuses on information systems management and evidence-based decision-making. This program is organized into four 10-week quarters per year (instead of the traditional two-semester system), which means you can take more courses in a shorter time period. One semester credit is equivalent to 1.5 quarter credits. It features a 20-week practicum course with a total of 160 practicum hours spread across two quarters.

• Location: Philadelphia, PA
• Program: Master of Science in Nursing: Leadership in Health Systems Management
• Program Length: 2-4 years
• Credits Required: 45
• Cost: $1,169 per credit
• Accreditation: Commission on Collegiate Nursing Education (CCNE)

2. Rivier University

Rivier University offers an online MSN: Leadership in Health Systems Management degree program designed to educate and train future nurse leaders who will be called upon to assist in transforming healthcare delivery systems to improve population health and patient outcomes in healthcare, insurance, and regulatory agencies, schools, and industry. 

Rivier offers its MSN program in a collaborative and flexible online environment, designed to work with your schedule. The program consists of 36 credit hours, and by transferring up to 12 credits, you will be able to finish the program in as little as 1.5 years.

• Location: Nashua, NH
• Program: MSN: Leadership in Health Systems Management
• Program Length: 2 years
• Credits Required: 36-42
• Cost per Credit: Business Courses – $712; Nursing Courses – $747; Clinical Courses – $1,166
• Accreditation: Accreditation Commission for Education in Nursing (ACEN)

3. Regis University

Regis University offers an MSN: Leadership in Health Care Systems program with a flexible online format delivered in 8-week terms. Two different practicums are required for a combined total of 210 hours wherein students work directly with nursing leaders as they apply theory to practice. In addition to the core curriculum, you can choose from four certificate options to focus on and to complement your degree by simply adding 12 credit hours. These certificate options are Health Care Education, Health Care Business Management, Health Care Quality and Patient Safety, and Health Care Informatics.

• Location: Denver, CO
• Program: MSN: Leadership in Health Care Systems 
• Credits Required: 30
• Cost: $875 per credit hour
• Accreditation: CCNE

4. University of Rochester

University of Rochester offers an MSN in Leadership in Health Care Systems program designed for working professionals from healthcare-related backgrounds. The program features a hybrid online format, where coursework is offered in-person or online in the evenings. Through this coursework, plus a hands-on capstone project, you’ll get to sharpen your skills as a manager or leader and learn best practices to assure efficient, quality, and safe patient care delivery systems. The program also requires 224 clinical hours, or hours of mentored field placement with healthcare leaders.

• Location: Rochester, NY
• Program: MSN: Leadership in Health Care Systems
• Credits Required: 31
• Cost: $1,740 per credit hour
• Accreditation: Middle States Commission on Higher Education; CCNE

5. Kent State University

Kent State University offers a Nursing Administration & Health Systems Leadership program is 100% online and integrates management and nursing knowledge for nurses who want to develop skills and competencies in health care leadership and advanced nursing. In this concentration, you are exposed to a holistic approach to management.

The program boasts small class sizes, which ensures individualized attention from experienced nurse educators. You can choose from full- and part-time customizable academic plans.

• Location: Kent, OH
• Program Length: MSN in Nursing Administration & Health Systems Leadership
• Credits Required: 24
• Estimated Program Cost: $18,300-$28,100
• Accreditation: CCNE

6. Lewis University

Lewis University offers an MSN in Healthcare Systems Leadership where you will learn how to lead the administration of nursing and patient care services, improving the delivery of healthcare and nursing at large. Through this program, you can develop skills in finance, economics, human resources and organizational management. The program requires 36 credit hours and 300 clinical hours.

• Location: Romeoville, IL
• Program: MSN in Healthcare Systems Leadership
• Credits Required: 36
• Cost: $820 per credit
• Accreditation: Higher Learning Commission

7. University of Missouri-Columbia 

University of Missouri-Columbia offers a Master of Science in Nursing with an emphasis in Leadership in Nursing and Health Care Systems with a blended format, where coursework is delivered online with some campus visits required. This program was designed for nurses eyeing a career as a nurse leader, and it will teach them how to manage clinical efforts in health care organizations, applying research to improve care quality. They will also earn how to exercise their voice in creative, entrepreneurial and financial efforts, as well as to lead teams of nurses to improve service delivery and evidence-based care.

This MSN consists of two parts: MSN core courses (13 credit hours) and specialty courses in leadership (19 credit hours). 

• Location: Columbia, MO
• Program: Master of Science in Nursing with an emphasis in Leadership in Nursing and Health Care Systems
• Program Length: 2-2.5 years
• Credits Required: 32
• Estimated Cost: $20,506.50 
• Accreditation: Higher Learning Commission, CCNE

8. University of Indianapolis

University of Indianapolis offers an online MSN in Nursing and Health Systems Leadership, designed to train future nurse leaders to lead with confidence by building their understanding of the role of health systems in the field of nursing. The program features 100% online coursework, with only one practicum placement. You will be ready to take on the challenges of management positions and gain a better understanding of the principles of negotiation and decision-making so that you can collaborate among departments to optimize healthcare environments for both patients and staff.

This track requires 39 credit hours, with 240 clinical hours, which you can complete on a part-time basis in 7 consecutive semesters.

• Location: Indianapolis, IN
• Program: MSN in Nursing and Health Systems Leadership
• Program Length: 3-3.5 years
• Credits Required: 39
• Cost: $544 per credit
• Accreditation: CCNE

9. University of West Georgia

University of West Georgia offers an MSN in health systems leadership, which will prepare future nurse managers for management of care and the care environment. Coursework is delivered 100% asynchronously and will focus on patient-centered care, evidence-based practice, case management client-care coordination, pharmacology, holistic health assessment, health policy and systems, care of diverse populations, statistics, business and economics, quality improvement, leadership and management, risk management, and community health.

• Location: Carrollton, GA
• Program: MSN in Health Systems Leadership
• Program Length: 2 years
• Credits Required: 35
• Program Cost: $14,870
• Accreditation: CCNE

10. Jacksonville University

Jacksonville University offers an MSN Leadership in the Healthcare System program that is designed to prepare working nurses to take on leadership positions in a variety of healthcare systems. It features a focused curriculum aligned with the American Organization for Nursing Leadership (AONL) Nurse Manager and Leader Certification. The program is offered on part-time and full-time tracks so you can learn at your own pace and you can opt to take your courses online. You can finish the program in as little as 18 months.

• Location: Jacksonville, FL
• Program: MSN Leadership in the Healthcare System
• Program Length: 18 months
• Credits Required: 35
• Cost: $750 per credit
• Accreditation: Southern Association of Colleges and Schools Commission on Colleges; CCNE

How long does it typically take to complete online health systems management programs (MSN)?

The length of an online MSN in Health Systems Management program can vary depending on your previous education, whether you study full-time or part-time, and the structure of the specific program. However, most students can expect the following general timelines:

• Full-Time Students: Typically complete the program in 18 to 24 months. As a point of comparison, the shortest online MSN programs, which usually pertain to other concentrations, can be completed in as less as one year.
• Part-Time Students: May take 2.5 to 3 years, offering more flexibility for working professionals.
• Accelerated Options: Some programs offer fast-track formats that can be completed in as little as 12 to 16 months, especially for students with a BSN and prior leadership experience.
• Bridge Programs (for Non-BSN holders): RN-to-MSN or other bridge formats can take 3 to 4 years, depending on your academic background.

Many programs are designed with working nurses in mind, offering asynchronous courses, customizable pacing, and practicum hours that can often be completed at your current workplace.

What are the prerequisites for enrolling in online health systems management programs as MSN concentration?

Around 53% of healthcare managers hold a BSN. Before applying to an online MSN program with a concentration in health systems management, applicants must meet certain academic and professional requirements. While specifics vary by school, most programs share the following common prerequisites:

• Bachelor of Science in Nursing (BSN): Most programs require a BSN from an accredited nursing school. Some schools offer RN to MSN programs or tracks for registered nurses without a BSN.
• Active RN License: You must hold a current, unencumbered registered nurse (RN) license in the state where you plan to complete your clinical or practicum hours.
• Minimum GPA: A cumulative undergraduate GPA of 3.0 or higher is often required, though some schools may accept slightly lower GPAs with additional qualifications.
• Professional Nursing Experience: Some programs prefer or require applicants to have 1–2 years of clinical nursing experience, especially for leadership-focused tracks.
• Letters of Recommendation: Typically, 2–3 letters from academic or professional references are needed to demonstrate your qualifications and leadership potential.
• Personal Statement or Essay: A written statement outlining your career goals, interest in health systems management, and reasons for pursuing the MSN.
• Resume or CV: Highlighting your nursing background, certifications, leadership roles, and relevant work experience.

Meeting these prerequisites ensures you’re prepared for the advanced coursework and leadership focus of the program. Always check the specific admission requirements of each school you're applying to.

What is the average cost of online MSN programs in health systems management?

The cost of online health systems management programs for graduate nursing students depends on several factors like the school, number of credits required, and whether you're paying in-state or out-of-state tuition. However, the cost typically ranges from $19,000 to $30,000 for the entire program. Some more affordable options may cost around $11,000 to $15,000, while higher-end or private programs can exceed $30,000. Tuition is usually charged per credit hour, averaging between $400 and $800.

For comparison, other specialized graduate programs, such as multilingual learner education master's programs online, may have similar tuition structures, though costs vary by institution and program length.

Be sure to also factor in additional expenses like online fees, textbooks, clinical supplies, and even living expenses. Most of these programs, after all, require in-person clinical hours.

You can look into the cheapest online MSN programs if you are still weighing your options and would want to limit your choices to programs and tracks that are budget-friendly. You will have to note, however, that with a leadership position in nursing, you can get a quick return on your investment.

What are the financial aid options for MSN students enrolling in online health systems management programs?

MSN students pursuing online health systems management programs or concentrations have several financial aid options to help cover the cost of their education. Similarly, students enrolled in MSN nursing informatics online programs often have access to the same types of financial support, making graduate nursing education more affordable across specialties. These options include:

• Federal Financial Aid: Graduate students can apply for aid through the Free Application for Federal Student Aid (FAFSA). This may qualify you for Direct Unsubsidized Loans or Grad PLUS Loans.
• Scholarships and Grants: Many universities and private organizations offer merit-based and need-based scholarships specifically for nursing or healthcare leadership students. Some schools also provide institutional grants for graduate students.
• Employer Tuition Reimbursement: If you're currently employed as a nurse, check if your employer offers tuition assistance or reimbursement programs—especially common in hospitals and large healthcare systems.
• Loan Forgiveness Programs: MSN graduates working in public health, underserved areas, or nonprofit hospitals may qualify for Public Service Loan Forgiveness (PSLF) or Nurse Corps Loan Repayment Programs.
• Military and Veterans Benefits: Eligible students can use GI Bill® benefits, military tuition assistance, or veteran-specific scholarships to cover program costs.
• Payment Plans: Many online programs offer interest-free monthly payment plans to help you manage tuition in smaller installments rather than paying lump sums each semester.

It's a good idea to speak with a school financial aid advisor to explore which combination of options works best for your situation. Keep in mind that with the current MSN salary outlook, investing on an advanced degree may very well be worth it.

What courses are typically included in online health systems management programs?

Online MSN programs with a concentration in Health Systems Management blend advanced nursing education with leadership, business, and healthcare systems training. While specific courses vary by school, most programs include the following core areas.

Students with prior experience or coursework in programs like an online MBA general business program may find some of the leadership, management, and organizational concepts transferable, which can enhance their understanding of healthcare administration.

Core Nursing Courses

• Advanced Nursing Practice
• Evidence-Based Practice & Research
• Healthcare Policy and Ethics
• Pathophysiology, Pharmacology, and Health Assessment (if part of an APRN-eligible track)

Health Systems Management Courses

• Healthcare Systems Leadership
• Organizational Behavior in Healthcare
• Healthcare Financial Management
• Strategic Planning & Decision-Making
• Human Resources and Workforce Management in Healthcare

Technology and Quality Improvement

• Health Informatics and Data Analytics
• Quality Improvement and Patient Safety
• Information Systems in Healthcare

Population and Policy-Focused Courses

• Public Health and Population Health Management
• Health Policy, Regulation, and Advocacy

Capstone and Practicum

• Leadership Capstone Project: A final project applying learned skills to a real-world healthcare challenge.
• Practicum/Fieldwork: Supervised administrative or leadership experience in a healthcare setting, often at your current workplace.

These courses prepare nurses to lead healthcare teams, manage complex systems, and drive organizational change in various care environments. They also prepare nurses for leadership roles in various industries and sectors. The chart below shows where most health services managers are employed.

How can I choose the best online health systems management programs for my MSN?

Selecting the right online MSN program with a concentration in Health Systems Management is an important step toward advancing your nursing career. Here are key factors to consider when making your decision:

• Accreditation: Make sure the program is accredited by recognized bodies such as the Commission on Collegiate Nursing Education (CCNE). This ensures quality and eligibility for financial aid, certification, and employment.
• Curriculum Focus: Look for a curriculum that matches your career goals. Some programs emphasize leadership, finance, and informatics more than others—choose one that aligns with the skills you want to develop.
• Program Flexibility: If you're working while studying, consider whether the program offers asynchronous courses, part-time options, or multiple start dates to better fit your schedule.
• Cost and Financial Aid: Compare tuition rates and explore financial aid availability, including scholarships, employer reimbursement, and payment plans.
• Practicum Requirements: Check if the program allows you to complete practicum hours at your current workplace or offers placement assistance for administrative settings.
• Reputation and Rankings: Research the school’s rankings, graduate outcomes, and faculty expertise. Alumni reviews and program outcomes can also offer insights.
• Support Services: Choose a program that provides strong student support, such as academic advising, career services, and access to online learning tools.

By carefully evaluating these factors, you can choose a program that not only meets academic standards but also supports your professional growth and long-term goals.

If your goal is to get a Doctor of Nursing Practice (DNP) degree, you may also want to look into schools that offer a fast and smooth transition from your MSN to DNP. Such accelerated DNP programs allow you to transfer credits and get your terminal degree in the least amount of time.

You can also inquire about the university's or program's job placement rate for its new MSN graduates. Generally speaking, however, an AACN survey found that 95% of new MSN graduates found job placements in within half a year after earning their master's degrees.

What are the differences between MSN on-campus and online health systems management programs?

While both on-campus and online MSN programs in Health Systems Management offer the same degree and often similar coursework, the learning experience and delivery format can differ in key ways. Students considering other flexible graduate nursing options, such as MSN in care coordination programs online, will find many of the same benefits in terms of accessibility and adaptability. Here’s a breakdown of the main differences:

Online Programs

• Flexibility: Courses are typically asynchronous, allowing you to study at your own pace—ideal for working professionals.
• Location Independence: You can attend from anywhere, avoiding the need to relocate or commute.
• Technology-Based Learning: Uses virtual classrooms, discussion boards, and online simulations.
• Self-Motivation Required: Success often depends on strong time-management and self-discipline.

On-Campus Programs

• In-Person Interaction: Face-to-face classes and networking opportunities with faculty and peers.
• Structured Schedule: Regular class times provide a consistent routine, which some students prefer.
• Access to Campus Resources: Direct access to labs, libraries, and student services.
• More Limited Flexibility: May be harder to balance with full-time work or family commitments.

Shared Features

• Same Degree Awarded: Both formats typically result in the same diploma and career qualifications.
• Accreditation and Curriculum Standards: Accredited programs, whether online or on-campus, must meet the same academic standards and prepare you for leadership roles.

Choosing between these two types of MSN degrees depends on your learning style, schedule, and career goals. Online programs are best for those needing flexibility, while on-campus options may suit students who value in-person learning and structure.

What is the job outlook for graduates of MSN in online health systems management programs?

The job outlook for graduates of online MSN programs in Health Systems Management is strong and continues to grow, driven by the increasing complexity of healthcare delivery and the demand for skilled nurse leaders. Here’s what you can expect:

• High Demand for Healthcare Leaders: The U.S. Bureau of Labor Statistics (BLS) projects employment for medical and health services managers—including nurse leaders—to grow by 29% from 2023 to 2033, much faster than the average for all occupations.
• Expanding Roles in Diverse Settings: Graduates can pursue leadership roles in hospitals, outpatient clinics, long-term care facilities, public health agencies, and insurance companies—anywhere healthcare operations need skilled oversight.
• Emphasis on Efficiency and Quality Improvement: As healthcare systems seek to improve patient outcomes while controlling costs, there's a rising need for professionals trained in systems thinking, strategic planning, and quality management.
• Opportunities for Career Advancement: An MSN in Health Systems Management can lead to high-level roles such as nurse manager, director of nursing, clinical operations manager, or even chief nursing officer (CNO).
• Nationwide and Remote Opportunities: With the growth of telehealth and remote healthcare operations, many leadership roles are becoming more geographically flexible, increasing access to job opportunities across the country.

In short, this degree positions graduates for stable, well-paying careers with advancement potential in a rapidly evolving healthcare environment.

The chart below shows the top-paying industries or sectors for those with MSN degrees in health systems management.

What career paths are available for graduates of MSN in online health systems management programs?

Graduates of online MSN programs in Health Systems Management are well-prepared to take on leadership and administrative roles across a variety of healthcare settings. These roles combine clinical expertise with management skills to improve healthcare delivery, operations, and outcomes. Here are some common career paths:

Healthcare Administration & Leadership

• Nurse Manager or Nurse Supervisor: Oversees nursing staff, ensures quality patient care, and manages department operations.
• Director of Nursing: Leads nursing departments, sets clinical policies, and coordinates with executive leadership.
• Chief Nursing Officer (CNO): A top-level executive responsible for strategic nursing operations across an organization.

Health Systems & Operations Management

• Health Services Manager: Manages entire departments or service lines, focusing on efficiency, staffing, and budgeting.
• Clinical Operations Manager: Ensures day-to-day clinical activities run smoothly and meet quality standards.
• Healthcare Program Director: Oversees specific programs such as patient safety, quality improvement, or compliance.

Specialized Roles in Policy and Technology

• Healthcare Quality Improvement Coordinator: Implements strategies to improve patient outcomes and safety.
• Health Informatics Manager: Leads the integration of technology and data in clinical decision-making and operations.
• Policy Analyst or Consultant: Advises organizations on healthcare policies, regulatory compliance, and systems improvement.

Public Health & Community Leadership

• Public Health Administrator: Manages health initiatives at the local, state, or federal level.
• Population Health Manager: Designs programs that improve health outcomes for specific communities or groups.

With this degree, you’ll be equipped to lead, manage, and innovate within healthcare systems—making a broader impact beyond bedside care.

How are emerging technologies and innovative practices addressed in online MSN programs for health systems management?

Many online MSN programs in health systems management have updated their curricula to meet the evolving demands of the healthcare industry. These programs integrate modules on digital health innovations, telemedicine, data analytics, and cybersecurity to ensure nurse leaders are equipped for technology-driven environments. By incorporating real-world case studies and collaborations with healthcare institutions, the programs deliver practical insights into managing advanced electronic health record systems and patient care technologies. Additionally, specialized tracks are designed to complement other accelerated pathways such as accelerated RN to BSN programs online, thereby reinforcing a comprehensive approach to modern healthcare management without compromising on industry standards.

Here's What Graduates Have to Say About Their MSN in Health Systems Management Degree

Other Things You Should Know About the Best MSN in Online Health Systems Management Programs

Can I pursue an MSN in Health Systems Management without prior leadership experience?

Yes, many programs accept registered nurses without formal leadership experience, though having some supervisory or administrative background is a plus. Coursework and practicum experiences are designed to build leadership skills from the ground up. However, competitive programs may prefer applicants with at least some exposure to team coordination or quality improvement initiatives.

Do online MSN programs in health systems management include clinical hours?

While these programs are less clinical than traditional nurse practitioner tracks, many still include practicum hours focused on leadership, administration, or systems improvement. These are typically completed at your current workplace or at a healthcare facility near you. The hours are meant to provide real-world management experience under the supervision of a mentor.

Will an online MSN in health systems management prepare me for certification?

Yes, graduates may be eligible to pursue certifications such as the Nurse Executive-Board Certified (NE-BC) or Certified in Executive Nursing Practice (CENP). These credentials demonstrate advanced knowledge and leadership skills in health systems management. Eligibility requirements vary, so it's best to review them early in your academic planning.

How tech-savvy do I need to be for an online MSN program?

You don’t need to be an IT expert, but basic computer skills are essential. You'll need to navigate online learning platforms, submit assignments digitally, and participate in virtual discussions. Some programs also include training in healthcare technology, such as electronic health records or data analytics tools.