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Job Summary

The Clinical Nurse Specialist will be responsible for providing expert clinical leadership to the nursing staff in Childrens Emergency Services at Mott Hospital.

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.


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 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.


  • 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.


Direction is received from the Chief Nursing Officer (CNO) or designated official of Mott Hospital.


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.
  • CNS certification recognized by NCSBN or Master’s degree in nursing with an adult or pediatric clinical focus is required
  • Current RN licensure to practice nursing and current CNS specialty licensure in the State of Michigan is required.
  • Minimum of five (5) years of RN experience in a pediatric emergency room.

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*

  • Recent experience in assessing, treating and evaluating patients typically cared for in a Level 1 Adult Emergency Department in a tertiary healthcare environment, including the use of devices and pharmaceutical treatment modalities.
  • Recent RN or CNS experience caring for patient populations typically seen in a Level 1 Adult ED, including adult trauma RN experience.
  • CNS Advanced Practice Certification
  • Certification in Emergency Nursing, Advance Cardiac Life Support Instructor, Trauma Nursing Core Course Instructor and/or Emergency Nursing Core Course Instructor.
  • Computer skills using various applications: Internet, email, word processing, presentation, and database.
  • Previous experience with and demonstrated ability to interact with internal and external personnel at all levels of an academic, tertiary care healthcare environment.
  • 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, including recent experience implementing keystone quality improvement initiatives.
  • Previous experience as principle or co-investigator on a research project(s).
  • Experience in implementation of service initiatives at the unit level.
  • Demonstrated experience of professional writing and being published in professional periodicals.
  • Eligibility for appointment in the School of Nursing.
  • Competence with basic computer functions is desired.

Work Schedule

Hours per week: 40
Hours & days will vary and need to flex to the needs of the units
Location: Childrens Emergency Services at Mott Hospital

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 For a current listing of all open APRN job opportunities at Michigan Medicine, please visit  

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.


U-M COVID-19 Vaccination Policy

COVID-19 vaccinations are now required for all University of Michigan students, faculty and staff across all three campuses, including Michigan Medicine.  This includes those working or learning remotely.  More information on this policy is available on the Campus Blueprint website or the U-M Dearborn and U-M Flint websites.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.


U-M COVID-19 Vaccination Policy

COVID-19 vaccinations are now required for all University of Michigan students, faculty and staff across all three campuses, including Michigan Medicine.  This includes those working or learning remotely.  More information on this policy is available on the Campus Blueprint website or the U-M Dearborn and U-M Flint websites.