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Choosing a program · Career changers

Entry-Level Master’s (ELM) Programs, Explained

Already have a bachelor's in another field? How California's entry-level master's programs work, what they cost, how graduates do, and how they compare with an accelerated BSN.

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By the SEAPHE Editorial Team
Reviewed by a practicing registered nurse (RN, BSN)
Updated Oct 7, 2026 · 7 min read

Data checked against CA BRN and AACN, Oct 2026

If you already hold a bachelor's degree in biology, psychology, business or anything else, you do not have to start nursing school from scratch. California offers two fast routes for career changers: accelerated BSN tracks and entry-level master's programs, often shortened to ELM (some schools call them MEPN, MSN entry or direct-entry programs). This guide explains how ELM programs work, using California Board of Registered Nursing (BRN) data and national figures from the American Association of Colleges of Nursing (AACN).

The short answer

An ELM program suits someone with a strong academic record who wants to become an RN and leave with a master's degree, and who can afford two to three years of intensive, mostly full-time study. If your main goal is to get licensed and working as fast and cheaply as possible, an accelerated BSN or even an ADN may serve you better.

What an ELM program is, and what it isn't

AACN defines an entry-level or second-degree master's as a program that "admits students with baccalaureate degrees in other disciplines and no previous nursing education," prepares them to enter the profession, and awards a master's degree in nursing. It reports that these programs generally take about 15 to 36 months, depending on requirements and full- or part-time study. In 2025 there were 104 such programs nationwide, enrolling 11,249 students.

What an ELM is not: a nurse practitioner, nurse anesthetist or other advanced practice program. AACN's competency framework treats entry-level master's programs as preparing graduates for entry into professional nursing practice, the same level as a BSN, often with extra coursework in areas such as care coordination, quality improvement and leadership. Becoming an advanced practice registered nurse requires further graduate education.

California's ELM programs

These are the open ELM programs on the BRN's approved list; programs that are paused or not accepting new students are left out (see each school's profile). Five have no first-time NCLEX results in the BRN's 2020–21 to 2024–25 tables, which can mean a program is new. Ask those schools when their first cohort will test.

BRN-approved entry-level master's programs in California

Listed cost as shown by the BRN (basis varies); 5-year first-time NCLEX average, tester-weighted

ProgramSectorListed costTesters5-yr avg
Azusa Pacific UniversityAzusaPrivate$92,880-$103,200Tuition—No data yet
California Baptist UniversityRiversidePrivate$83,846-$85,428Tuition19788.3%
Charles Drew UniversityLos AngelesPrivate$141,748Total Program28584.9%
Loma Linda UniversityLoma LindaPrivate$126,572Program Cost—No data yet
Pepperdine UniversityMalibuPrivate$251,510Total Program—No data yet
Samuel Merritt UniversityOaklandPrivate$170,676Total Program45082.4%
San Francisco State UniversitySan FranciscoPublic$40,220Tuition + Books16382.2%
UC DavisSacramentoPublic$121,536Total Program22688.9%
UC IrvineIrvinePublic$72,054.94Tuition + Fees9796.9%
UC Los AngelesLos AngelesPublic$46,626Tuition + Books34388.0%
University of San Diego/HahnSan DiegoPrivate$168,346Tuition + Books23395.7%
University of San FranciscoSan FranciscoPrivate$144,825Tuition + Fees57289.2%
University of the PacificSacramentoPrivate$126,890Tuition + Fees7797.4%
Westcliff UniversityCoronaPrivate$86,875Tuition + Fees—No data yet
Western University of Health SciencesPomonaPrivate$138,029Total Program28390.8%
Westmont CollegeSanta BarbaraPrivate$116,500Tuition + Books—No data yet

Sources: California BRN Pre-Licensure RN Programs and NCLEX-RN pass rates, retrieved Oct 7, 2026; SEAPHE calculation. Small cohorts make some averages volatile.

Across all California ELM graduates, the five-year first-time pass rate was 88.2% (3,201 testers), close to BSN graduates' 87.9%. Individual programs ranged widely, so check each one on the NCLEX pass rate table and read What Is a Good NCLEX Pass Rate? before comparing small programs.

How ELM programs are structured

Most California ELM programs have two parts. First comes a pre-licensure segment covering the core nursing content and supervised clinical hours that make you eligible for the NCLEX-RN. Then comes graduate coursework to finish the master's. The BRN tracks the two separately: in 2024–25, California ELM programs reported 780 pre-licensure completions and 225 post-licensure ELM completions.

ELM directors told the BRN that full-time students take, on average, between 4.7 and 5.8 semesters to complete the pre-licensure segment (about 7 quarters at quarter-system schools). About a third of California ELM programs (35.7%) run on quarters. When exactly you can sit for the NCLEX, and whether you can work as an RN while finishing the master's, depends on the program. Ask each school to walk you through its timeline.

Getting in

ELM admissions look more like graduate school than undergraduate nursing. In the BRN's 2024–25 survey, every reporting ELM program used a minimum GPA. Personal statements and letters of reference were each used by 92.3%, holistic review by 84.6%, health-related work experience by 69.2% and interviews by 61.5%. Only 23.1% used an entrance exam such as the TEAS or GRE, compared with 76.6% of BSN programs (see TEAS vs. HESI A2).

The odds are similar to other paths. ELM programs received 3,322 qualified applications in 2024–25 and accepted 1,117, or 33.6% (compare all program types in California nursing school acceptance rates). Expect science prerequisites such as anatomy, physiology and microbiology; exact lists and recency rules vary by school.

Outcomes: completion, licensure and jobs

  • Completion: ELM programs had the highest on-time completion rate of any program type in 2024–25, at 90.1%, with 6.0% attrition.
  • Licensure: the BRN's 2024–25 survey reported an 87.9% first-time pass rate for ELM graduates, and 92.0% for the accelerated ELM tracks that reported separately.
  • Jobs: among recent pre-licensure ELM graduates with a known employment setting, 58.0% worked in hospitals and 6.9% in community or public health. The share unable to find work by October 2025 was 8.4%, the highest of any program type and above the 4.9% statewide figure. Program directors may not know where every graduate works, so treat this as a rough signal.

Nationally, BLS notes that a bachelor's or higher degree is often necessary for administrative, research, consulting and teaching roles in nursing (BLS Occupational Outlook Handbook). A master's can help with those paths later, but your first job will usually be a staff RN role, just like a BSN graduate's.

Cost and debt

This is where ELM programs stand apart. In the BRN's 2024–25 survey, ELM programs averaged $65,998 a year in tuition and fees ($74,464 private, $49,065 public), and graduates averaged $87,909 in debt ($98,834 private, $66,061 public). The report notes that ELM debt figures may include debt from earlier degrees, and that finishing the master's can take extra terms after the pre-licensure segment.

Listed costs on the BRN program list run from $40,220 to $121,536 at public programs and from $83,846 to $251,510 at private ones, but some entries are tuition only and others are the full program. Ask for a written total including fees, uniforms, equipment and living costs. AACN also notes that financial aid for accelerated entry-level programs is limited, and that some employers partner with schools on tuition repayment.

ELM or accelerated BSN?

Both are built for people with a prior bachelor's. AACN says fast-track entry-level baccalaureate programs take 11 to 18 months including prerequisites, versus about 15 to 36 months for entry-level master's. In California, 13 BSN programs reported accelerated tracks to the BRN in 2024–25, and their graduates passed the NCLEX at 88.3% first-time.

  • Choose an accelerated BSN if speed and cost matter most and you are not sure you want a graduate degree.
  • Choose an ELM if you want the master's anyway, are drawn to a specific program's focus, or are aiming at leadership or education roles down the line.

Our program finder's "Accelerated / second-degree" filter currently shows ELM programs only, because the BRN list does not flag accelerated BSN tracks. Check BSN schools directly for second-degree options.

Questions to ask an ELM program

  • When will I be eligible to take the NCLEX, and can I work as an RN before finishing the master's?
  • What is the total cost of the whole program, not just the first year?
  • What were your first-time NCLEX pass rates and tester counts for each of the last three years?
  • Is the program accredited by CCNE? (All 14 reporting California ELM programs said yes in 2024–25. See ACEN vs. CCNE.)
  • Where do clinical rotations happen, and how are placements assigned?

Compare ELM programs side by side in the program finder.

Applied to a California RN program? Share how it went in our 2-minute anonymous survey. Your answers help future applicants see real admissions odds by program type and region.

Frequently asked questions

Will an ELM program make me a nurse practitioner?

No. ELM programs prepare you for entry-level RN practice. Nurse practitioner and other advanced practice roles require additional graduate education and certification.

Do I need a science degree to apply?

No. ELM programs are designed for people with a bachelor's in any field, but you will usually need science and other prerequisites completed first. Check each program's list and recency rules.

How long does an ELM program take in California?

AACN puts entry-level master's programs at about 15 to 36 months nationally. California ELM directors reported that the pre-licensure segment alone averages 4.7 to 5.8 semesters for full-time students, with the master's coursework after that. Timelines vary by school.

Do ELM graduates pass the NCLEX as often as BSN graduates?

Roughly. Over five years, California ELM graduates passed first-time at 88.2% versus 87.9% for BSN graduates, per BRN pass-rate tables. Program-level results vary more than that.

Are there public ELM programs?

Yes. 4 of California's 16 ELM programs are public, including several UC campuses and San Francisco State. Public programs averaged lower tuition and debt than private ones in the BRN's 2024–25 survey.

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About the authors

SEAPHE Editorial Team

This guide was written by the SEAPHE editorial team and reviewed by a practicing registered nurse (RN, BSN). We cover nursing school admissions and outcomes so applicants can make decisions from data rather than marketing.

Editorial standards: every figure in this guide links to its public source. California program figures come from Board of Registered Nursing tables retrieved Oct 7, 2026. Last reviewed Oct 2026. See methodology. Spot an error? See our corrections policy.

More SEAPHE guides

Sources

  1. California Board of Registered Nursing, Pre-Licensure RN Programs (retrieved Oct 7, 2026).
  2. California Board of Registered Nursing, NCLEX-RN Pass Rates, First Time CA Educated Exam Testers, 2020–21 to 2024–25 (retrieved Oct 7, 2026).
  3. University of California, San Francisco for the California BRN, 2024–2025 BRN Annual School Report: Data Summary, Pre-Licensure Programs (Tables 3, 14, 19, 21–23, 25–26, 46, 62–64).
  4. American Association of Colleges of Nursing, Accelerated Nursing Programs; Types of Nursing Programs; Essentials FAQs (checked Oct 2026).
  5. U.S. Bureau of Labor Statistics, Occupational Outlook Handbook: Registered Nurses (last modified Aug 27, 2026).

Last reviewed Oct 2026. Figures change every year; check each source for the latest release.