Clinical Nurse Specialist

Metro Health | Wyoming, MI

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Posted Date 6/10/2019

Clinical Nurse Specialist - Orthopedic Med-Surg * Days - 36hrs/wk

Requisition #: req1419

Shift: Days

FTE status: 0.9

On-call: No

Weekends: No

General Summary:

The clinical nurse specialist (CNS) is the clinical leader for a program or area of nursing practice. The advanced knowledge and skills required for this role include clinical expertise in a focus area, evidenced-based practice, collaboration, consultation, education, mentoring, and change leadership. These are essential to advance the practice of nursing and the professional development of nurses. The specialized knowledge and skills are used within three major areas of focus: patient/family, nurses and nursing practice, and the organization/system. The CNS and the nurse manager are partners in leading the nursing clinical practice area. The CNS coordinates and guides clinical activities/projects of nurses within a practice area. The CNS is accountable for collaborating with members of the health care team to design, implement, and measure safe, cost-effective, evidence-based care strategies. The CNS is responsible for maintaining current professional knowledge and competencies and contributing to the advancement of the practice of nursing at the unit/system level.


  1. Graduate degree (master’s or doctorate) in nursing with a clinical focus from an accredited school of nursing.
  2. Clinical Nurse Specialist certification required within one year.
  3. Graduate preparation must have included clinical application of the CNS role component. If clinical application of the CNS role was not included, a post-master’s CNS certificate must be obtained within 3 years of date of hire.
  4. Current, unrestricted Michigan Registered Nurse licensure
  5. Minimum 3 years clinical nursing experience.
  6. Clinical knowledge and expertise in specialty area.
  7. Demonstrated skills at the level of an advanced practice nurse in leadership, communication, collaboration, mentoring, and change as evidenced by portfolio, recommendation letters, references, interview, and/or demonstration.
  8. Demonstrated ability at the level of an advanced practice nurse to utilize evidence to develop, teach, guide, and implement practice standards and policies.
  9. Basic Life Support (BLS) – current
  10. Advanced Cardiac Life Support (ACLS) – current
  11. Advanced Practice Certification as a CNS with certification in area of clinical specialty strongly preferred.
  12. Computer skills using various applications: Internet, e-mail, word processing, presentation, and database.

Essential Functions and Responsibilities:

Direct Patient Care:

  1. Serves as a reliable source of information on the latest evidence supporting cost-effective, safe nursing practices.
  2. Collaborates with multidisciplinary team using the nursing process to integrate the nursing perspective into a comprehensive plan of care for the patient/family.
  3. Identifies and prioritizes nursing care needs for a select population of patients/families.
  4. Conducts comprehensive, holistic wellness and illness assessments using established or innovative evidence-based techniques, tools, and methods.
  5. Initiates and plans care conferences or programs for individual patients or populations of patients.
  6. Identifies, collects, and analyzes data that serve as a basis for program design and outcomes measurement.
  7. Establishes methods to evaluate and document nursing interventions.
  8. Evaluates the impact of nursing interventions on fiscal and human resources.

Nursing/Nursing practice

  1. Collaborates with others to resolve issues related to patient care, communication, policies, and resources.
  2. Creates and revises nursing policies, protocols, and procedures using evidence-based information to achieve outcomes for indicators that are nurse-sensitive.
  3. Identifies facilitators and addresses barriers that affect patient outcomes.
  4. Leads clinical practice and quality improvement initiatives for a unit or a program.
  5. Collaborates with nurses to develop practice environments that support shared decision making.
  6. Assists the staff in developing critical thinking and clinical judgment.
  7. Creates a nursing care environment that stimulates continuous self-learning, reflective practice, feeling of ownership, and demonstration of responsibility and accountability.
  8. Collaborates with nurse educators and others on content and operational design of orientation, clinical competency, and other clinical education program development.
  9. Mentors nurses to acquire new skills, develop their careers, and effectively incorporate evidence into practice.
  10. Provides input for staff evaluations.
  11. Provides formal and informal education for nurses and other health professionals and health professional students.

Organization/System Leadership

  1. Consults with other units and health care professionals to improve care.
  2. Leads/assists institutional groups to enhance the clinical practice of nurses and improve patient outcomes.
  3. Develops, pilots, evaluates, and incorporates innovative models of practice across the continuum of care.
  4. Designs and evaluates programs and initiatives that are congruent with the organizations’ strategic plans, regulatory agency requirements, and nursing standards.
  5. Participates in need identification, selection, and evaluation of products and equipment.
  6. Advances nursing practice through participation in professional organizations, publications, and presentations.


Job Type
Full time

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