RN Full-time
Atrium Health

Enterprise Clinical Nurse Specialist - Advocate Health Charlotte FT Day REMOTE

Atrium Health , US
$51.05 - $76.60 / hour

Department:

34009 Enterprise Corporate - Center for Nursing and Research Practice

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Remote position with minimal travel.

Pay Range

$51.05 - $76.60

This role is within the ED Specialty Nursing Practice. CNS Candidates with experience in change management, innovation, and care delivery models with formal or informal leadership is strongly preferred.

Essential Functions

  • Conducts comprehensive, holistic wellness to illness assessments using evidence- base techniques and tools.
  • Synthesizes assessment data, advanced knowledge, and experience, using critical thinking and clinical judgment to formulate differential diagnoses for clinical problems amendable to CNS intervention.
  • Designs initiatives to meet the multifaceted needs of complex patients that integrate health equity strategies to eliminate disparities.
  • Develops evidence-based clinical interventions and systems to achieve defined patient and system outcomes.
  • Provides CNS consultation to staff nurses, medical staff and interdisciplinary colleagues.
  • Provides leadership for collaborative, evidence-based revision of diagnoses and plans of care to improve patient outcomes.
  • Directs/provides care to select patients based on need and the CNS's expertise.
  • Leads and participates in activities such as interprofessional rounds.
  • Identifies potential risks to patient safety, autonomy, and quality of care.
  • Intervenes to prevent and/or minimize iatrogenesis and ensure patient safety.
  • Develops interventions that promote patient, family, and community safety.
  • Identifies gaps in translation of evidence into practice by participating in CCAs & RCAs.
  • Supports the development of innovative, cost-effective programs/ protocols.
  • Facilitates clinically competent care through education, role modeling, teambuilding, and quality monitoring.
  • Communicates effectively with nursing staff to best meet patients' needs.
  • Participates in pre-professional, graduate and continuing education of nurses to include:
    • Conducts needs assessments as appropriate
    • Implementation of staff development and continuing education activities
    • Mentoring of nurses to translate research into practice
  • Facilitates development of critical thinking in health care team members.
  • Leads and participates in interprofessional teams examining data and trends to identify system opportunities as well as gaps/barriers due to both internal and external factors.
  • Conducts cost/benefit and cost avoidance analysis of programs, processes, and technologies.

  • Participates with interprofessional teams in conducting and implementing research/clinical inquiry.
  • Analyzes research findings and other evidence for application to clinical practice.
  • Participates in development, implementation, and monitoring of system-level strategies and objectives in collaboration with executive leaders.
  • Demonstrates expertise through dissemination of CNS work via presentations or publications.

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, stopping, bending, pushing and pulling. Working in fast-paced clinical setting. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak and understand English fluently and have an intact sense of sight, hearing, smell, and finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patients and/or program conditions.

Education, Experience and Certifications

Master's Degree in Nursing in the CNS track required; Current license to practice as a RN in the applicable state. CNS certification from a national credentialing body approved by the applicable state Board of Nursing (NCBON) required; if no CNS certification available in the specialty, must meet requirements determined by the NCBON to be recognized as a CNS. Recognition as a CNS must be maintained in accordance with the requirements of NCBON. Appropriate practice area certification strongly recommended within 1 year of eligibility for certification exam.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The Clinical Nurse Specialist (CNS) is an advanced practice nurse who influences patient care outcomes through three spheres of impact: patient and family, nurses and nursing practice, and organizations & systems. Within the patient sphere, the CNS provides and supports safe, evidenced based and culturally sensitive care. Within the nursing sphere, the CNS leads the advancement of nursing practice to drive nursing excellence and promote a positive practice environment. Within the organizational sphere, the CNS designs initiatives that improve outcomes, optimize resources and drive system strategic goals. Core Elements of CNS Practice: Promotes patient safety and quality outcomes through clinical inquiry and clinical judgment. Demonstrates specialty/advanced practice clinical expertise in caring for diverse patient populations. Optimizes resource utilization and coordination of care throughout the patient encounter and across the continuum. Supports and designs processes for patients and families to safely navigate a complex health care system. Creates and translates best evidence into clinical practice. Supports a just culture by identifying the root causes of issues to differentiate among failures in the system, educational needs, and/or compliance issues. Collaborates to facilitate interprofessional safe practice through shared decision making. Fosters an inclusive and respectful workplace culture through authentic leadership and intentional communication. Diagnoses and manages patients' acute and chronic health problems within an advanced practice nursing framework. Collaborates with senior executive leaders to design and support the nursing strategic plan. Aligns CNS led initiatives with the organization's strategic plan, mission, and vision. Advocates for equitable healthcare by designing and employing initiatives that consider individual preferences and social determinants of health.

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Guides the staff in understanding and compliance with state and federal laws concerning healthcare services and practice, compliance with the Nursing Practice Act, and company policies and procedures Assists with coordination of communication at regular intervals throughout the shifts via huddles, rounds, or other types of meetings to exchange information and promote dialogue Assists with appropriate utilization of resources to meet patient care needs Supervises the performance of nursing personnel, identifies problems, initiates corrective action, and communicates/provides documentation of actions/investigative findings to the appropriate department manager, Nurse Leader and/or the Administrator-On Call Provides advice and assistance to nurses in administering new or unusual treatments or medications, interprets policies and procedures for teammates, patients/families, and visitors, and responds and assists with emergencies Coordinates shift management of patient flow/throughput including participation with patient placement meetings/huddles or other departmental meetings to accommodate and plan for new admissions/transfers throughout the shift as well as working with interdisciplinary teams to facilitate timely admissions and discharges Monitors staffing for the current and upcoming shifts through continuous assessment of volume/acuity needs utilizing resources such as the Float Pool and PRN personnel or reallocation of personnel when indicated to assist in provision of appropriate staffing resources Physical Requirements Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak and understand English fluently. Intact sense of sight, hearing, smell, & touch. Finger dexterity. Critical thinking & ability to concentrate Education, Experience and Certifications Graduate from an accredited School of Nursing. Current RN licensure in appropriate state. Two years nursing experience preferred. Previous management experience preferred. BSN required. RN candidates for external hire or internal promotion without BSN must be enrolled in a BSN program within 1 year of hire/transfer date and must complete program within 3 years of enrollment in the program. BLS required per policy guidelines. CPI certification required within 90 days of hire date. Appropriate professional certification (either clinical or leadership) is required within 1 year of eligibility for professional certification exam. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. Supervises and coordinates hospital activities with emphasis upon communications, patient throughput, patient experience, rounding for quality, safety and operational efficiency, performance improvement activities, service recovery, and compliance with regulatory requirements interacting with nursing and hospital teammates in daily operations. Authorized to act as the administrative designee on behalf of and in cooperation with Administration responding to immediate needs or as requested by the Administrator-On-Call to investigate or respond to requests for information, follow-up or assistance with complaint investigations or emergency events. Promotes a safe environment and performs all related job responsibilities in a safe manner. Maintains clinical and professional competency in the supervision of patient care.