Advanced Practice Provider (CNS) Clinical Nurse Specialist Pediatrics
The Rector & Visitors of the University of Virginia, Charlottesville, VA, United States
Clinical Nurse Specialist (CNS) Overview
The Clinical Nurse Specialist (CNS) is an advanced practice registered nurse with graduate (Masters or Doctorate) education and training in advanced physiology, pharmacology, and physical assessment, in addition to a particular area of specialty. The CNS may diagnose, treat, and prescribe, dispense, and/or administer medications, TPN, and blood products within the APP‑CNS's scope of practice, and consistent with the APP‑CNS's skill, training, competence, professional judgment and policies of UVA Health. The CNS helps integrate evidenced‑based care across UVA Health through three spheres of impact: Clinical Practice, Nursing/Nursing Teams, and System. A key focus of CNS practice is to apply advanced clinical knowledge through direct care, act as a clinical expert for specific clinical populations, support nursing and interprofessional staff in the review, synthesis, and implementation of evidence‑based practice by serving as an educator, mentor and consultant. The CNS, in collaboration with interprofessional leaders within the care continuum, identifies opportunities for improvement in patient outcomes, clinical competency of the interprofessional team as well as organization outcomes. Through providing direct patient care services as part of a healthcare team, the CNS translates advanced clinical expertise, expert knowledge, complex decision‑making skills, and clinical competencies to impact the care of patients, families, and populations.
Responsibilities
Expert Caring/Clinical Practice:
Evaluates and provides care, treatment, and consultation for patients with unique or complex health concerns within specialty scope of practice, utilizing advanced assessment skills
Develops treatment plans and provides education/coaching to patients and families with complex needs
Performs designated procedures after demonstrated competency and approval through UVA Health Clinical Staff credentialing and privileging
Prescribes and recommends pharmacological and non‑pharmacological interventions within the APP CNS's scope of practice, and consistent with the APP CNSs skill, training, competence, professional judgment and policies of UVA Health
Uses advanced communication skills to facilitate collaboration among patient, family, and clinicians to address complex care needs and promote ethical decision‑making
In collaboration with patients/families and interprofessional team, leads and facilitates coordinated care for individuals and populations to improve and promote health care outcomes
Acts as a clinical resource and mentor, utilizing both formal and informal opportunities for the education and coaching of nurses and other members of the interdisciplinary team
Partners with interprofessional clinical leadership to evaluate nursing and patient outcomes, contributing to establishment of strategic plans to optimize outcomes
Works with diverse population as an advocate for a patient's unique preference
Nursing/Nursing Practice:
The CNS upholds the highest personal and professional standards with adherence to the principles and goals of the Health System's core ASPIRE values: Accountability, Stewardship, Professionalism, Integrity, Respect and Equity
Conducts clinical consultation, including coaching with bedside nurses, regarding performance of complex patient care interventions
Designs evidence‑based, cost‑effective interventions, including advanced nursing therapies, to meet the multifaceted needs of complex patients
Provides leadership interprofessional and nursing teams in identifying, developing, implementing, and evaluating evidence‑based practices and research opportunities
Facilitates education to nurses, students and the interprofessional team to garner greater competency and professional growth
Promotes a healthy work environment through expert communication, facilitation skills and conveying mutual trust and respect to others on the healthcare team
Participates in, supports, and leads quality improvement initiatives to advance patient care delivery and improve outcomes through best practice implementation
Evaluates the implications of access, quality, safety, and cost on the delivery of healthcare
Collects and analyzes patient data to document the impact of nursing practice on outcomes, efficiency, and cost‑effectiveness
Mentors and engages nurses and the clinical team as a role model encouraging their own professional development and competency
Health System:
Demonstrates leadership in the development, mentorship, and empowerment of others within the healthcare community
Promotes the professional practice of the Advanced Practice Provider through responsible interfaces with the public and health care community
Pursues opportunities for active engagement in research, research implementation, and analysis of evidence‑based practice
Mentors nurses and nursing staff to analyze research findings that affect nursing practice and patient outcomes
Disseminates specialty knowledge through outreach to the public and the Advanced Practice Provider community at local, state, and/or national forums
Evaluates system strategies and outcomes
Contributes to the dissemination of CNS practice outcomes to both internal and external stakeholders
Adheres to Virginia Board of Nursing and/or Medicine, national certifying organizations, and institutional continuing education requirements necessary to maintain professional licensure, DEA registration (as applicable), and Advanced Practice certification and practice agreements (as applicable)
Advocates for equitable healthcare by active participation in professional organizations and public policy initiatives
Actively pursues own professional growth and development via opportunities at local, regional and national level
Success Factors:
Demonstrates actualization of three spheres of CNS impact with agility as measured by APP Ongoing Professional Practice Evaluations and supervisory feedback
Actively engaged in the sharing of clinical expertise as evidenced by patient outcomes, employee engagement survey
Willingness to embrace and lead change when change is necessary, and ability to effectively communicate and work with staff and management
Ability to work and lead collaboratively within teams
Customer Service and Community Engagement
Excellent organizational, analytical, verbal and written communication skills
Exceptional patient care and service skills
In addition to the above job responsibilities, other duties may be assigned
Minimum Requirements
Education: Master's Degree as an Advance Practice Provider (Clinical Nurse Specialist)
Experience: None
Certification: Advanced Practice CNS Certification (ANCC or AACN) in respective specialty population (Adult‑Gero, Neonatal, Pediatric)
Licensure: License or license eligible as an Advance Practice Provider (Clinical Nurse Specialist) as set forth by the state of Virginia. Must demonstrate and maintain all applicable credentialing and licensing requirements of the UVA Medical Center, Virginia Board of Nursing, and appropriate certifying bodies.
Current Basic Life Support (BLS) required.
Current Pediatric Advanced Life Support (PALS/NRP), as required specific to position.
Current Advanced Cardiac Life Support (ACLS), as required specific to position.
Physical Demands
Job requires standing for prolonged periods, frequently traveling/bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20‑50lbs. May be exposed to chemicals, blood/body fluids and infectious disease. Position requires physical capabilities that may include lifting, prolonged standing and walking. Some travel may be required as related to specific responsibilities.
Compensation
The starting base rate for this role is $115,045.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long‑term and Short‑term Disability, Retirement Savings
Health Saving Plans, and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
Equal Opportunity Employment
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non‑discrimination and equal opportunity employment.
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The Clinical Nurse Specialist (CNS) is an advanced practice registered nurse with graduate (Masters or Doctorate) education and training in advanced physiology, pharmacology, and physical assessment, in addition to a particular area of specialty. The CNS may diagnose, treat, and prescribe, dispense, and/or administer medications, TPN, and blood products within the APP‑CNS's scope of practice, and consistent with the APP‑CNS's skill, training, competence, professional judgment and policies of UVA Health. The CNS helps integrate evidenced‑based care across UVA Health through three spheres of impact: Clinical Practice, Nursing/Nursing Teams, and System. A key focus of CNS practice is to apply advanced clinical knowledge through direct care, act as a clinical expert for specific clinical populations, support nursing and interprofessional staff in the review, synthesis, and implementation of evidence‑based practice by serving as an educator, mentor and consultant. The CNS, in collaboration with interprofessional leaders within the care continuum, identifies opportunities for improvement in patient outcomes, clinical competency of the interprofessional team as well as organization outcomes. Through providing direct patient care services as part of a healthcare team, the CNS translates advanced clinical expertise, expert knowledge, complex decision‑making skills, and clinical competencies to impact the care of patients, families, and populations.
Responsibilities
Expert Caring/Clinical Practice:
Evaluates and provides care, treatment, and consultation for patients with unique or complex health concerns within specialty scope of practice, utilizing advanced assessment skills
Develops treatment plans and provides education/coaching to patients and families with complex needs
Performs designated procedures after demonstrated competency and approval through UVA Health Clinical Staff credentialing and privileging
Prescribes and recommends pharmacological and non‑pharmacological interventions within the APP CNS's scope of practice, and consistent with the APP CNSs skill, training, competence, professional judgment and policies of UVA Health
Uses advanced communication skills to facilitate collaboration among patient, family, and clinicians to address complex care needs and promote ethical decision‑making
In collaboration with patients/families and interprofessional team, leads and facilitates coordinated care for individuals and populations to improve and promote health care outcomes
Acts as a clinical resource and mentor, utilizing both formal and informal opportunities for the education and coaching of nurses and other members of the interdisciplinary team
Partners with interprofessional clinical leadership to evaluate nursing and patient outcomes, contributing to establishment of strategic plans to optimize outcomes
Works with diverse population as an advocate for a patient's unique preference
Nursing/Nursing Practice:
The CNS upholds the highest personal and professional standards with adherence to the principles and goals of the Health System's core ASPIRE values: Accountability, Stewardship, Professionalism, Integrity, Respect and Equity
Conducts clinical consultation, including coaching with bedside nurses, regarding performance of complex patient care interventions
Designs evidence‑based, cost‑effective interventions, including advanced nursing therapies, to meet the multifaceted needs of complex patients
Provides leadership interprofessional and nursing teams in identifying, developing, implementing, and evaluating evidence‑based practices and research opportunities
Facilitates education to nurses, students and the interprofessional team to garner greater competency and professional growth
Promotes a healthy work environment through expert communication, facilitation skills and conveying mutual trust and respect to others on the healthcare team
Participates in, supports, and leads quality improvement initiatives to advance patient care delivery and improve outcomes through best practice implementation
Evaluates the implications of access, quality, safety, and cost on the delivery of healthcare
Collects and analyzes patient data to document the impact of nursing practice on outcomes, efficiency, and cost‑effectiveness
Mentors and engages nurses and the clinical team as a role model encouraging their own professional development and competency
Health System:
Demonstrates leadership in the development, mentorship, and empowerment of others within the healthcare community
Promotes the professional practice of the Advanced Practice Provider through responsible interfaces with the public and health care community
Pursues opportunities for active engagement in research, research implementation, and analysis of evidence‑based practice
Mentors nurses and nursing staff to analyze research findings that affect nursing practice and patient outcomes
Disseminates specialty knowledge through outreach to the public and the Advanced Practice Provider community at local, state, and/or national forums
Evaluates system strategies and outcomes
Contributes to the dissemination of CNS practice outcomes to both internal and external stakeholders
Adheres to Virginia Board of Nursing and/or Medicine, national certifying organizations, and institutional continuing education requirements necessary to maintain professional licensure, DEA registration (as applicable), and Advanced Practice certification and practice agreements (as applicable)
Advocates for equitable healthcare by active participation in professional organizations and public policy initiatives
Actively pursues own professional growth and development via opportunities at local, regional and national level
Success Factors:
Demonstrates actualization of three spheres of CNS impact with agility as measured by APP Ongoing Professional Practice Evaluations and supervisory feedback
Actively engaged in the sharing of clinical expertise as evidenced by patient outcomes, employee engagement survey
Willingness to embrace and lead change when change is necessary, and ability to effectively communicate and work with staff and management
Ability to work and lead collaboratively within teams
Customer Service and Community Engagement
Excellent organizational, analytical, verbal and written communication skills
Exceptional patient care and service skills
In addition to the above job responsibilities, other duties may be assigned
Minimum Requirements
Education: Master's Degree as an Advance Practice Provider (Clinical Nurse Specialist)
Experience: None
Certification: Advanced Practice CNS Certification (ANCC or AACN) in respective specialty population (Adult‑Gero, Neonatal, Pediatric)
Licensure: License or license eligible as an Advance Practice Provider (Clinical Nurse Specialist) as set forth by the state of Virginia. Must demonstrate and maintain all applicable credentialing and licensing requirements of the UVA Medical Center, Virginia Board of Nursing, and appropriate certifying bodies.
Current Basic Life Support (BLS) required.
Current Pediatric Advanced Life Support (PALS/NRP), as required specific to position.
Current Advanced Cardiac Life Support (ACLS), as required specific to position.
Physical Demands
Job requires standing for prolonged periods, frequently traveling/bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20‑50lbs. May be exposed to chemicals, blood/body fluids and infectious disease. Position requires physical capabilities that may include lifting, prolonged standing and walking. Some travel may be required as related to specific responsibilities.
Compensation
The starting base rate for this role is $115,045.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long‑term and Short‑term Disability, Retirement Savings
Health Saving Plans, and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
Equal Opportunity Employment
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non‑discrimination and equal opportunity employment.
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