CLINICAL NURSE SPECIALIST (CNS) Von Voigtlander Women's Hospital Birth Center

171771
Nursing- Advanced Practice Professional
Ann Arbor, MI
August 19, 2019
04/26/2019 – 09/16/2019

Job Summary

The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff of the Birth Center within Von Voigtlander Women’s Hospital (VVWH). VVWH is a dynamic 50 bed hospital, home to obstetric services in the Children’s and Women’s building. VVWH performs 4,600+ deliveries per year. While many of these deliveries are routine and uncomplicated, we are uniquely qualified to handle cases that are complicated by maternal or fetal high-risk conditions. VVWH is a Level III Perinatal Center — which means we have specialists available around the clock to care for both maternal and neonatal emergencies and high risk patients — as well as caring for those with low risk pregnancies wishing for a "low intervention" labor and delivery process. We are staffed by a diverse group of professionals, including Certified Nurse Midwives, Obstetricians, Family Practice Physicians, Maternal-Fetal Medicine Specialists, Professional Registered Nurses, and ancillary staff. We are honored to assist families from Michigan — as well as from across the country — in their care during this important time in their lives. As part of our philosophy of care, we are committed to providing family-centered care. This is the delivery of safe, satisfying, quality health care which meets the psychosocial needs of the family. It is a cooperative effort of families and caregivers which recognizes the strength and integrity of the family.

The perinatal team exists to provide families with safe, satisfying, family-centered health care within the childbearing continuum. We are guided by values of caring, teamwork, integrity, innovation, and excellence.

Michigan Medicine is a Magnet recognized hospital. We have been named #1 hospital in Michigan and #5 hospital in the nation by US News and World Report for 2018-2019.

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.

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 Clinical Nursing Director 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*

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  • Master’s degree in nursing with a clinical focus is required.
  • Completion of an accredited graduate-level Clinical Nurse Specialist Program.
  • Family or Women’s Health population focused national certification as a Clinical Nurse Specialist through ANCC or AACN, and recognized by NCSBN.
  • Current RN licensure to practice nursing and current CNS specialty licensure in the State of Michigan is required.
  • Experience as a CNS in an inpatient obstetric setting.
  • Recent experience in assessing, treating, and evaluating patients typically cared for in a perinatal setting.
  • Demonstrated leadership experience within an inpatient perinatal environment.
  • 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.

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*

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  • Certification in inpatient obstetrics, fetal monitoring or other applicable certification.
  • 3-5 years inpatient experience as an RN in a high-risk LDRP environment.
  • Experience in assessing, treating and patients in a perinatal setting who require the use of advanced treatment modalities such as intrauterine/fetal surgery and relevant pharmaceutical treatment modalities.
  • AWHONN Fetal Monitoring Course Instructor
  • 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

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

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.