Job Summary
The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff on 8D.
Our Patient and Families
8D is a 20-bed, Critical Care unit which provides care for critical and moderate care medical-surgical patients, as well as those patients who are in transition from ICU to general care and rehabilitation floors. Our patient population requires highly skilled nursing care for the acute and chronic ventilated patient as well as those patients who have difficulties weaning from ventilator support. We care for a broad variety of medical diagnosis and service many different medical teams in the institution.
Philosophy of Care
Our philosophy of care is to provide expert, conscientious, evidence-based, holistic patient-centered care and to identify, evaluate and implement that care in the Intermediate Care environment.
Our Nursing Team
Our nurses and technical support staff are highly motivated and skilled in providing care to our acutely ill and medical-surgical patient population. We have a diverse group of nurses with a broad range of experience who possess a wide array of medical knowledge and background to bring to our team. The nurses on 8D take great pride in caring for our patients with a team and interdisciplinary approach, as well as utilizing the holistic nursing process to inspire our patients to a healthy recovery.
Mission Statement
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.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Nursing at Michigan offers a competitive salary with excellent benefits!
Hourly range for Clinical Nurse Specialist $48.58-$73.39 / hour
The Benefit Package Includes
- Excellent medical, dental and vision coverage
- 2:1 Match on retirement savings and immediate vesting
- Generous Paid Time Off Allowances
- Robust Tuition and Certification support programs
- Large offering of no cost CEs and professional development for advancement
Responsibilities*
The Clinical Nurse Specialist (CNS) is the clinical leader for a program or area of nursing practice within Michigan Medicine. The advanced knowledge and skills required for this role include clinical expertise in a focus area, evidence-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 partners with the Clinical Nursing Director on the unit and with the ACNO for 8D. 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, 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, 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, informal and daily habits in bedside consultation, activity and procedural progression likely in plan of day and plan of stay.
- Creates a nursing care environment that stimulates continuous self-learning, reflective practice, feeling of ownership and demonstration of responsibility 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 the specific development of portfolios that demonstrate navigational way to achieve mastery in daily care activities, reading and literature reviews.
- Models advanced communication and therapeutic interventions in interviews, evaluation, patient- family assessments and high performance team conversation 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 as well as evaluation of daily work process mapping required to insert the evidence and remove activities of less value.
- Analyzes data from quality reports, incidents, consultations and care conferences to present trends and patterns indicative of substantial quality improvement initiatives and requirements for education and mentorship.
Organization/System Leadership
- Consults with other units and health care professionals to improve care.
- Leads/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 and initiatives that are congruent with the organization's strategic plans, regulatory agency requirements, and nursing standards. Includes data from readmissions, claims, incidents, and daily habit to frame doable improvements.
- Identifies, collects, and analyzes data that serve as a basis 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 habits of rounds, grand rounds, huddle reports, and care conferences. Participates in the development of prioritization schema for production targets in planned and unplanned admissions based on system priorities and population needs.
SUPERVISION RECEIVED
Direction is received from the Director of Quality, Safety, and Patient Experience.
SUPERVISION EXERCISED
Functional supervision is exercised over Clinical Nurses, LPN's, Allied Health, Service/Maintenance and other support staff.
Nursing Specific Info
Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183.
Required Qualifications*
- Completion of an accredited graduate-level Clinical Nurse Specialist Program.
- Master?s degree in nursing with a clinical focus is required.
- Adult-Gerontology Clinical Nurse Specialist certification recognized by the 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.
- In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.
- RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position.
Desired Qualifications*
- Previous critical care experience.
- Previous experience and demonstrated ability to interact 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 consistently, and positively, contribute to a group/unit work setting is desired.
- Demonstrated ability to consistently work collaboratively with the manager and leadership team is desired.
- Excellent written and verbal skills as evidenced by positive feedback through references and/or evaluations are desired.
- High level of self-motivation to stay current in a rapidly changing environment is desired.
- Three (3) or more years designing, and collaborating with, the implementation of competency and education activities for nursing staff including competency programs, orientation, staff and professional development is desired.
- Strong teaching skills as evidenced by the ability to demonstrate a teachable moment, as well as, develop class content, and staff and patient education materials is desired.
- Demonstrated ability to innovatively lead complex change projects, particularly those focused on raising patient care to the highest standards, in an academic, tertiary care environment is desired.
- Demonstrated analytical skills necessary to gather and collate data to present recommendations for solutions to identified problems is desired.
- Demonstrated ability to apply evidence-based clinical knowledge into the patient care setting via protocols, standards, and outcomes measurement is desired.
- Demonstrated knowledge of, and experience with, the Continuous Quality Improvement process, including recent experience implementing keystone quality improvement initiatives is desired.
- Previous experience as principle or co-investigator on a research project(s) is desired.
- Experience in implementation of service initiatives at the unit level is desired.
- Demonstrated professional writing experience and being published in professional periodicals is desired.
- Eligible for appointment with the School of Nursing is desired.
- Competence with basic computer functions is desired.
Work Schedule
Hours per week: 40
Shift: Day shift schedule M-F
Location: University Hospital- 8D Intermediate Care/ Intensive Care Unit
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Union Affiliation
This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Contact Information
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 [email protected]. For a current listing of all open APRN job opportunities at Michigan Medicine, please visit www.UMnursing.org.
Selection Process
Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.
