Clinical Nurse Specialist (CNS) - Dept of Med MLPs

Tenet Healthcare•Detroit, MI

13d

About The Position

The Clinical Nurse Specialist (CNS) is an advanced practice nurse who provides primary and/or specialized health care services to individuals, families, groups, and communities across the health-illness continuum. The role uses advanced clinical knowledge, diagnostic reasoning, therapeutic interventions, and education in a collaborative care model. The CNS makes clinical judgments using independent and interdependent decision-making and focuses on direct and indirect care for an identified patient population. The CNS also serves as a consultant, educator, researcher, resource, and role model for patients, families, communities, nursing personnel, and other health care providers. The CNS assesses health status, develops diagnoses and prioritized plans of care, initiates nursing interventions, implements and evaluates care, and coordinates continuity of care. The role includes patient and family advocacy; consultation with clinical and community stakeholders; staff, patient, and community education; research and application of evidence; quality improvement; leadership and supervision of clinical practice; and continuing professional development. The CNS may order nursing interventions and take verbal orders from a physician, subject to physician co-signature within 24 hours. The job description also outlines Michigan scope-of-practice provisions, including delegated authority to prescribe non-controlled substances and the circumstances under which CNSs may perform medical procedures under direct physician supervision.

Requirements

Registered nurse licensure to practice in the state of Michigan.
Master's degree in nursing, described as a clinical-based degree.
Two years of clinical experience as a professional nurse.
National certification in the advanced practice nursing specialty is required, where available, within six months of employment for applicable hires, subject to the stated exception when certification eligibility requirements exceed six months of clinical practice. Failure to obtain available certification will result in termination.
Effective verbal and written communication skills.
Interpersonal, educational, and clinical skills for teaching or counseling patients, families, health care providers, and the community.
Leadership skills, including willingness to pursue and perform increasingly accountable leadership roles, decision-making, coaching, teaching, counseling, inspiring confidence, and building alliances and support.
Creative thinking, self-direction, problem-solving, and decision-making abilities.
Clinical expertise, theoretical knowledge, and analytical abilities necessary to perform the position's duties.

Responsibilities

Assess patients through comprehensive health histories, physical examinations, and analysis of data; formulate diagnoses and prioritize problems and nursing interventions.
Identify expected patient outcomes and develop, document, and prioritize individualized plans of care in collaboration with patients, families, and health care professionals.
Implement interdisciplinary care plans, including therapeutic interventions, patient and family education and counseling, and health care and community referrals.
Evaluate and document patient progress using interdisciplinary collaboration, quality indicators, and multiple sources of data; coordinate continuity of care across institutions and organizations.
Advocate for patients and families to ensure ethical and culturally sensitive delivery of health care services.
Provide clinical consultation to patients, families, communities, nursing and medical staff, and other health care providers.
Promote integration of nursing perspectives into planning, policy making, and problem-solving; consult with agencies and groups as described in the posting.
Assess nursing staff knowledge, skills, and abilities and provide education to improve performance, problem-solving, and critical thinking.
Design, implement, coordinate, and evaluate educational materials and programs for clients, health care professionals, and the community.
Educate health care providers on patient and family teaching strategies, and instruct patients, families, and caregivers on conditions, management, follow-up care, medications, prevention, health promotion, and coping.
Precept, teach, coach, and mentor students, nurses, and other health care providers.
Conduct research independently or collaboratively; analyze and disseminate nursing research and apply findings to clinical practice.
Use independent judgment to recommend changes in clinical practice and nursing interventions; apply continuous quality improvement and fiscal responsibility.
Provide leadership for clinical nursing practice and quality patient care, and supervise clinical practice to support effective, efficient care delivery.
Maintain clinical knowledge and expertise, engage in professional activities and appraisal, model professionalism and positive guest relations, and pursue professional goals.
Support DMC standards for legal and ethical conduct, implement audit recommendations as directed, and monitor compliance with applicable laws, regulations, JCAHO requirements, and DMC policies and procedures.