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University of Michigan - Ann Arbor

CLINICAL NURSE SPECIALIST (CNS)- University Hospital- 6B

University of Michigan - Ann Arbor, Ann Arbor, Michigan, us, 48113

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Overview

The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff on 6B. 6B is a 48-bed unit that provides care primarily to three Internal Medicine Services. We specialize in Peritoneal Dialysis and perform in-depth treatment for patients with multiple chronic illnesses including Diabetes, Hypertension, and Lupus. The Clinical Nurse Specialist (CNS) is the clinical leader for a program or area of nursing practice within Michigan Medicine. The CNS collaborates with the Clinical Nursing Directors on the unit and with the Director of Quality and Safety. The CNS coordinates and guides clinical activities/projects of nurses within a practice area and is accountable for collaborating with 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, local, state and/or national and international level. Characteristic duties and responsibilities

Direct Patient Care Serves as a reliable source of information on the latest evidence supporting cost-effective, safe nursing practices. Collaborates with the multidisciplinary team using the nursing process to integrate the nursing perspective into a comprehensive plan of care for the patient/family. Identifies and prioritizes nursing care needs for a select population of patients/families. This includes synthesis of assessment data, advanced knowledge, and experience to pose problems amenable to advanced interventions. Conducts comprehensive, holistic wellness and illness assessments using established or innovative evidence-based techniques, tools, and methods. Initiates and plans care conferences or programs for individual patients or populations of patients. Calls for interdisciplinary care conferences when barriers or LOS protraction are evident or predicted. Assists the team and individual nurses to establish working goals and targets, and measures to be assessed and documented as evidence of progress in plan of care. Establishes intervention families within standards of care that are best united for best effects. Designs and evaluates innovative educational programs for patients, families, and groups. Establishes methods to evaluate and document nursing interventions at the individual, unit, cluster and professional practice model level. Evaluates the impact of nursing interventions on fiscal and human resources including establishing average and variance economics of plans of care for major populations and targeted conditions. Nursing/Nursing Practice Collaborates with others to resolve issues related to patient care, communication, policies, and resources. Creates and revises nursing policies, protocols and procedures using evidence-based information to achieve outcomes for indicators that are nurse-sensitive. Identifies facilitators and addresses barriers that affect patient outcomes. Leads clinical practice and quality improvement initiatives for a unit or a program. Collaborates with nurses to develop practice environments that support shared decision-making. Assists the staff in developing critical thinking and clinical judgment through formal rounds, bedside consultation, and procedural progression likely in plan of day and plan of stay. Creates a nursing care environment that stimulates continuous self-learning, reflective practice, ownership and accountability. Collaborates with Educational Nurse Specialists, Educational Nurse Coordinators and others on content and operational design of orientation, clinical competency, and other clinical educational program development. Mentors nurses to acquire new skills, develop their careers and effectively incorporate evidence into practice. Assists with development of portfolios that demonstrate mastery in daily care activities, reading and literature reviews. Models advanced communication and therapeutic interventions in interviews, evaluations, patient-family assessments and high-performance team conversations within urgent and planned care conferences. Provides input for staff evaluation. Provides formal and informal education for nurses and other health professionals and health professional students. Leads in the conduct and utilization of nursing research and evaluation of daily work processes to insert evidence and remove activities of lower value. Analyzes data from quality reports, incidents, consultations and care conferences to identify trends for quality improvement initiatives and education/mentorship needs. Organization/System Leadership Consults with other units and health care professionals to improve care. Leads or assists institutional groups to enhance the clinical practice of nurses and improve patient outcomes. Develops, pilots, evaluates, and incorporates innovative models of practice across the continuum of care. Designs and evaluates programs aligned with the organization's strategic plans, regulatory requirements, and nursing standards. Includes data from readmissions, claims, incidents, and daily practice to frame improvements. Identifies, collects, and analyzes data for program design and outcome measurement. Participates in need identification, selection and evaluation of products and equipment. Advances nursing practice through participation in professional organizations, publications, and presentations. Models high-performance team development in daily rounds, grand rounds, huddle reports, and care conferences; helps develop production-prioritization schemas for admissions based on system priorities and population needs. Supervision

Direction is received from the Director of Quality and Safety. Functional supervision is exercised over Clinical Nurses, LPNs, Allied Health, Service/Maintenance and other support staff. Qualifications and requirements

Completion of an accredited graduate-level Clinical Nurse Specialist program. Master’s degree in nursing with a clinical focus is required. Adult or Family population-focused national board certification as a Clinical Nurse Specialist recognized by NCSBN. Current RN licensure to practice nursing and CNS certification in the State of Michigan is required. Recent experience in assessing, treating and evaluating patients typically cared for in the clinical area of hire, in a tertiary healthcare environment, including the use of devices (as applicable) and pharmaceutical treatment modalities is required. Note: Required qualifications must be met by the candidate prior to the start date of employment; postings may be filled before the initial posting period ends. Resume required

(for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position. Previous experience interacting with all levels of internal and external personnel in an academic, tertiary care healthcare environment is desired. Ability to function independently and as a team member is desired. Demonstrated ability to contribute to a group/unit work setting and collaborate with leadership is desired. Excellent written and verbal skills as evidenced by positive feedback through references or evaluations are desired. High motivation to stay current in a rapidly changing environment is desired. Three or more years designing and collaborating on competency and education activities for nursing staff including orientation and staff development is desired. Strong teaching skills, including developing class content and staff/patient education materials, are desired. Experience leading complex change projects in an academic, tertiary care environment is desired. Analytical skills to gather data and present recommendations are desired. Ability to apply evidence-based clinical knowledge into patient care via protocols and outcomes measurement is desired. Knowledge of Continuous Quality Improvement and keystone quality initiatives is desired. Experience as principal or co-investigator on a research project is desired. Experience implementing service initiatives at the unit level is desired. Professional writing experience and publications are desired. Eligibility for appointment with the School of Nursing is desired. Competence with basic computer functions is desired. Required qualifications must be met by the candidate prior to interview and consideration. Posting may be filled after the initial 5-day posting period. If you have questions regarding this posting, please contact Nurse Recruitment at (734) 936-5183. Hours per week: 40 Shift: Day shift schedule M-F Location: University Hospital- 6B This position is covered under the collective bargaining agreement between the University of Michigan and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains matters related to wages, benefits, hours and other terms of employment. Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent offer and may use a third party to conduct background screenings. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments or transfers from other U-M campuses. If you have questions regarding this posting or would like assistance with Advanced Practice Nursing opportunities please contact Nurse and Physician Assistant Recruitment at (734) 936-5183 or e-mail nurserecruit_umhs@med.umich.edu. For a current listing of all open APRN job opportunities at Michigan Medicine, please visit www.UMnursing.org. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. The University of Michigan is an equal employment opportunity employer.

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