Clinical Nurse Leader (CNL) - 10T Med/Tele

Advocate Health•Charlotte, NC

19d•$41 - $62•Onsite

About The Position

The Clinical Nurse Leader provides bedside clinical leadership for a defined patient cohort on 10T Medical Telemetry, an inpatient medical telemetry unit serving adults age 18 and older with acute medical and surgical conditions, often involving multiple comorbidities. The unit cares for patients with a broad range of diagnoses, including COPD, diabetes, chest pain, shortness of breath, pneumonia, fever of unknown etiology, and fluid and electrolyte imbalances. It can monitor up to 16 patients on telemetry and administer and monitor several cardiac drips. The CNL maintains awareness of assigned patients through rounding, assessment, chart review, patient and family interaction, and communication with bedside nurses and other care team members. The role identifies changes in condition and safety or care-progression concerns, coordinates interdisciplinary care, supports evidence-based protocols, and uses clinical data to improve outcomes. The CNL also coaches and educates teammates, supports patient and family engagement, and advances clinical practice improvement through governance, quality work, and the development or spread of reliable workflows. The position is full time, with 36 hours per week. Scheduling options include three 12-hour shifts, four 9-hour shifts, or five 8-hour shifts per week. The listed pay range is $41.10–$61.65. The role is based at Carolinas Medical Center in Charlotte, North Carolina, a Magnet-designated academic medical center and Level 1 Trauma center.

Requirements

Master’s degree in Nursing.
Graduation from an accredited Clinical Nurse Leader program that qualifies the candidate to sit for the CNL certification exam.
Current RN license in the state of practice.
Basic Life Support certification as required by policy.
Clinical Nurse Leader certification through the Commission on Nurse Certification/AACN, or obtain it within an approved timeframe when the role is posted as a CNL position.
Additional specialty certification may be required by the department or patient population.
Clinical registered nursing experience in the patient population or care setting served.
Demonstrated experience coordinating care for complex patients, leading clinical quality or safety work, using electronic health record data, and coaching nursing teammates in practice.

Nice To Haves

Doctor of Nursing Practice, additional graduate nursing coursework, or formal quality and safety education.
Experience as a CNL, clinical nurse educator, clinical nurse specialist partner, charge nurse, quality or safety champion, professional governance leader, or unit-based clinical improvement lead.
CNL certification, a specialty nursing certification relevant to the clinical population, Lean or quality-improvement training, or other patient-safety credentials.
Experience with clinical dashboards, RedCap or similar audit tools, EMR reporting, ERAS or other clinical pathways, HAPI/falls/CAUTI/CLABSI prevention, patient throughput, Hospital at Home referral processes, patient engagement tools, and clinical spread or adoption work.

Responsibilities

Provide bedside clinical leadership for a defined patient cohort through rounding, focused assessment, chart review, patient and family interaction, and communication with the care team.
Provide direct or indirect patient care support within RN scope when needed to maintain patient safety and care progression.
Conduct real-time clinical surveillance; identify changes in condition, safety risks, care delays, diagnostic or treatment gaps, deviations from evidence-based practice or policy, and signs of clinical deterioration.
Escalate concerns to providers or leaders and assist with timely interventions, follow-up, and documentation of patient status and care plans.
Coordinate interdisciplinary care by leading or participating in multidisciplinary rounds, huddles, throughput discussions, bedside touchpoints, evidence-based practice implementation, and discharge planning.
Align physicians, nurses, nursing assistants, pharmacists, therapists, case management, social work, and other stakeholders around patient goals and barriers.
Support implementation and monitoring of evidence-based protocols and standards, including mobility and turning, fall and pressure-injury prevention, CAUTI/CLABSI prevention, CHG bathing, ERAS, delirium risk mitigation, telemetry stewardship, sepsis and chronic disease management, patient education, and postoperative recovery.
Review dashboards, reports, audits, nurse-sensitive indicators, safety events, documentation trends, and patient outcomes; translate findings into feedback, countermeasures, education, and sustainable improvements.
Coach, mentor, and educate RNs, nursing assistants, and other teammates in clinical reasoning, standards, evidence-based care, documentation, escalation, patient education, and safety practices.
Support onboarding, competency validation, and professional development related to clinical practice.
Support patient and family engagement by clarifying care plans, reinforcing education using health-literacy and teach-back approaches, supporting MyChart or other engagement tools, addressing care-progression barriers, and coordinating appropriate transition resources.
Participate in professional governance, unit-based councils, quality improvement, nursing excellence, Magnet-related evidence development, and spreading effective workflows across departments or regions.
Create or adapt tools, checklists, huddle boards, audit processes, and educational resources to support reliable bedside practice.

Benefits

Paid Time Off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible Spending Accounts for eligible health care and dependent care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Premium pay, such as shift and on-call pay, based on the teammate’s job.
Incentive pay for select positions.
Opportunity for annual increases based on performance.
Career development programs.