CLINICAL NURSE SPECIALIST (CNS) Von Voigtlander Women's Hospital Birth Center - Full-time / Part-time

Job Summary The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff of the Birth Center within the UMHS Von Voigtlander Women's Hospital. The Birth Center provides expert nursing care to both low and high-risk antepartum, intrapartum, perioperative and post-partum mothers and to the normal newborn.

Responsibilities* The clinical nurse specialist (CNS) is the clinical leader for a program or area of nursing practice within UMHS. 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 and the Nurse Manager are partners in leading the nursing clinical practice area. 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, inter-shift reports, 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 Pediatric, Perinatal, and Psychiatric Nursing.

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* Current (RN) licensure to practice nursing in the State of Michigan is required. Master's degree in nursing with a clinical focus is required. Completion of an accredited graduate-level Clinical Nurse Specialist Program. Adult/Adult-Gerontology, Family or Women's Health certification as a Clinical Nurse Specialist through ANCC or AACN. Population focused certification as a Clinical Nurse Specialist recognized by NCSBN* 3-5 years current inpatient experience as an RN in a high-risk LDRP environment. Demonstrated leadership experience within an inpatient perinatal environment. Experience in assessing, treating and evaluating perinatal patients, in a tertiary care environment, including patients who require the use of advanced treatment modalities such as intrauterine/fetal surgery and relevant pharmaceutical treatment modalities. Completion of the AWHONN Intermediate FM Course. Demonstrated ability to apply evidence-based clinical knowledge into the patient care setting via protocols, standards, and outcomes measurement. High level of ability to communicate and connect with team members, especially RNs. Excellent written and verbal communication skills as evidenced by positive feedback through references and/or evaluations. Ability to function independently and as a team member. High level of self-motivation to stay current in a rapidly changing environment. 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. Competence with basic computer functions. Demonstrated ability to consistently, positively contribute to a group/unit work setting. Demonstrated ability to consistently work collaboratively with manager/ leadership team. Previous experience with and demonstrated ability to interact with internal and external personnel at all levels of an academic, tertiary care healthcare environment. *Internal UMHS employees currently in a Clinical Nurse Specialist role will be considered for this job opening and CNS certification will not be required.

Note: Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

Employment is contingent upon successful completion of the credentialing and privileging process.

RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications* Certification in inpatient obstetrics, fetal monitoring or other applicable certification. Advanced computer skills. Experience with computerized nursing documentation. Three 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. Strong teaching skills as evidenced by the ability to demonstrate a teachable moment, development of class content, staff education materials and patient education materials. Demonstrated analytical skills necessary to gather data, collate to present recommendations for solutions to identified problems. Demonstrated knowledge of and experience with the Continuous Quality Improvement process. Experience in implementation of service initiatives at the unit level. Eligible for appointment with the School of Nursing is desired.

Work Schedule Hours per week: 40

Shift: Primarily dayshift with flexibility to the needs of the nursing team

Location: Von Voigtlander Women's Hospital Birth Center, within the Children's and Women's Hospital of the University of Michigan Health System.

Background Screening University of Michigan Health System 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.

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 nurserecruit_umhs@med.umich.edu . For a current listing of all open APRN job opportunities at UMHS, please visit www.UMnursing.org .

Mission Statement The University of Michigan Health System 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.

Application Deadline Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement The University of Michigan is an equal opportunity/affirmative action employer.