Community Medical Centers has been
providing central California with the highest level of care
available in the region. Community Regional Medical Center measures
up with top hospitals nationally and is the 3rd largest in
California! With 685 beds, we are home to the only comprehensive
Burn and Level I Trauma center between Los Angeles and Sacramento.
The 56,000 square-foot emergency department is one of the largest
and busiest in California! We have an 84-bed Level III NICU and
plan to significantly expand pediatric specialty care. Our hospital
serves 2.5 million people within 9 counties, averaging a daily
census of 641 patients. We're affiliated with UCSF as a teaching
facility; trained 3,000 Medical Doctors to date plus continuous
invests in research and training grants.
The Clinical Nurse Specialist (CNS) is a
leader and facilitator of change, coordinator of specialized care,
and implementer of evidence-based care within/between organizations
to facilitate quality improvement, patient safety, and lower
healthcare costs. Clinical practice is consistently directed toward
achieving quality, cost-effective, patient-focused outcomes across
all three spheres of impact, which include: Patient Direct Care,
Nurses and Nursing Practice, and Organizations and Systems. Patient
Direct Care: The CNS will provide direct interaction with patients,
families, and groups of patients to promote health and/or
well-being and improve quality of life. This is characterized by a
holistic perspective in the advanced nursing management of health,
illness, and disease states. Nurses and Nursing Practice: CNS
practice is the translation of advanced clinical expertise, expert
knowledge, complex decision-making skills, and clinical
competencies necessary for expanded practice to directly provide
and influence care and outcomes of individuals, categories of
patients, and/or communities. The CNS also advances nursing
practice to achieve optimal outcomes by ensuring that nurses and
associated interdisciplinary personnel utilize evidence-based
practices to meet the multifaceted needs of patients and/or
populations. Organizations and Systems: CNS practice transforms
systems (such as healthcare institutions, political systems, and
public and professional organizations) to mobilize and change
through expertly designed and implemented nursing interventions.
The CNS is a leader of change in healthcare organizations,
developers of scientific evidence-based programs to prevent
avoidable complications, and coaches of those with chronic diseases
to prevent hospital readmissions. Clinical Nurse Specialists are
facilitators of interprofessional teams in acute and chronic care
facilities to improve the quality/safety of care and patient
outcomes, including prevention of hospital-acquired conditions,
reducing lengths of stay, and preventing hospital readmissions.
1. PATIENT DIRECT CARE
2. Uses relationship-building communication to patients, families
and caregivers to promote health and wellness, healing, self-care,
and peaceful end-of-life, as applicable.
3. Conducts comprehensive health assessments in diverse care
settings including psychosocial, functional, physical, and
4. Creates evidence-based, cost-effective interventions, to meet
the multifaceted needs of complex patients.
5. Designs and employs educational strategies to patients, families
and caregivers that consider readiness to learn, complex learning
needs, individual preferences, atypical responses, and other social
determinants of health.
6. Provides expert patient/caregiver-centered consultation based on
a broad range of theories and evidence for patients with complex
healthcare needs. Is also able to use advanced communication skills
to navigate difficult conversations. As appropriate, facilitates
patient and family understanding of the risks, benefits, and
outcomes of proposed healthcare regimens to promote informed,
7. Evaluates impact of nursing interventions on patients’ aggregate
outcomes using a scientific approach.
8. Leads and facilitates coordinated care and transitions in
collaboration with the patient and interprofessional team.
9. Facilitates resolution of ethical conflicts in complex patient
care situations, including impact of scientific advances, cost and
clinical effectiveness, and influence on patient and family values,
preferences, and rights.
10. NURSES AND NURSING PRACTICE
11. Provides expert specialty consultation to nurses related to
complex patient care needs.
12. Promotes nursing interventions for clinical staff that
alleviate ethical conflicts, moral distress, and the impact of
implicit bias on relationship building and outcomes.
13. Assesses the nursing practice environment and processes for
improvement opportunities, using evidence-based knowledge as a
foundation to achieve optimal nurse-sensitive outcomes.
14. Fosters a healthy practice environment by exhibiting positive
regard, conveying mutual respect, acknowledging the contributions
of others, and employing positive negotiation skills to mediate
15. Mentors nurses and clinical staff in using evidence-based
practice principles, in order to foster knowledge, skills and
professional development. Uses reflective practice activities that
promote self-awareness and invites peer feedback to improve the
practice of nursing.
16. Leads nurses in the process of planning, implementing, and
evaluating change, considering intended and unintended
17. Mentors nurses to analyze and understand legislative,
regulatory, and organizational policies and procedures that affect
nursing practice and patient outcomes.
18. Evaluates the outcomes of nursing practice using methods that
provide valid data.
19. ORGANIZATIONS AND SYSTEMS
20. Uses leadership, team building, negotiation, collaboration, and
conflict resolution to build partnerships within and across the
organizational system and/or communities.
21. Consults with interdisciplinary healthcare team members to
integrate patient needs, preferences and strengths into healthcare
plan(s) to optimize clinical outcomes and the patient
22. Leads and participates in systematic quality improvement and
safety initiatives, based on precise problem/etiology
identification, gap analysis, and process evaluation.
23. Provides leadership within the interprofessional team in
identifying, translating, developing, implementing, evaluating and
disseminating evidence-based practices and research
24. Leads and participates in the process of selecting,
integrating, managing, and evaluating technology and products to
promote safety, quality, efficiency, and optimal health
25. Demonstrates stewardship of human and fiscal resources in
26. Disseminates CNS practice and clinical outcomes to internal
stakeholders and the public.
27. Promotes nursing’s unique contributions to advancing health to
stakeholders through policy and organizational projects.
28. Advocates for equitable healthcare by participating in
professional organizations, community outreach and/or public policy
• Master's Degree in Nursing required
• Graduate of a CNS program accredited by the National League of
Nursing Accrediting Commission (NLNAC) or the Commission on
Collegiate Nursing Education (CCNE) required
• Doctoral Degree in Nursing preferred
• 2 years of clinical or education experience in area of specialty
Licenses and Certifications
• RN - Current State of California Registered Nurse license
• CNS - Clinical Nurse Specialist required
• BLS - Current Basic Life Support (BLS) for Healthcare Providers
by American Heart Association (AHA) required
• NATIONAL - National Certification related to specialty and
applicable to role preferred
• Additional certifications may be required by certain
Please note: Per the CDPH
healthcare workers are required to be vaccinated for COVID-19 or
have an approved exemption
and test regularly.