The Center for Nursing Excellence and Innovation (CNEI) is a Nursing support department with five main divisions: Nursing Professional Development, Nursing Quality and Analytics, Clinical Practice, Nursing Continuous Improvement and Research, and Magnet. The Professional Development team includes Nursing Professional Development Specialists who oversee all training and education needs. The Nursing Practice team includes Clinical Nurse Specialists and Advanced Practice Specialists, who oversee evidence-based practice standards that optimize quality and safety patient outcomes. The Nursing Continuous Improvement team oversees continuous improvement and evidence-based practice processes across the system. The Research team includes Nurse Scientists who oversee the infrastructure for clinical inquiry, research, and innovation. The Nursing Quality and Analytics team includes nursing quality analysts who oversee data production, dissemination, and analytics. The Magnet Program Director collaborates with CNEI, Nursing leaders, and the Nursing Department to advance excellence in accordance with Magnet standards. The mission of the CNEI team is to prepare and support UCSF nurses to be expert clinicians and authentic leaders who provide high-quality, compassionate care, foster the spirit of clinical inquiry, promote professional development, and enhance a culture of diversity and inclusivity.
The Diabetes-Medical Clinical Nurse Specialist (CNS)/Advanced Practice Specialist (APS) serves as a nurse expert in the diabetes/glycemic care of hospitalized patients with newly diagnosed or chronic diabetes, leader, consultant, educator, and mentor for the nursing staff and teams at UCSF Health. The specialized knowledge and advanced skills required for this role include clinical expertise in the glycemic management of adult inpatients with Type 1 and 2 diabetes and related nursing care; design and implementation of evidence-based practice (EBP); education and mentorship; consultation; performance improvement; and team leadership. The role has three spheres of impact across the health system’s adult services that include the patient/family, nursing/interprofessional teams, and the organization/health system. This role works collaboratively with the clinical and administrative teams to support and ensure high quality standards of nursing care and professional practice to optimize patient, team, and system outcomes.
Involves specialty knowledge and advanced clinical expertise in assessment, diagnosis, and intervention to prevent, remediate, or alleviate illness and promote health with a defined specialty patient population, such as oncology, pediatrics, geriatrics, psychiatric / behavioral health, adult health, acute / critical care, pain management, among others. Provides direct patient care including assessment, diagnosis, and management, leadership for systems improvements, teaching, mentoring, consulting, utilization of evidence-based practice including implementation and research appraisal skills, and team leadership and management. Impacts outcomes by providing expert consultation to patients/families, nurses and interdisciplinary team colleagues, and to the organization/health system including leading implementation of improvements in clinical care and health care delivery systems.
Key Responsibilities
% of time | Essential Function (Yes/No) | Key Responsibilities (To be completed by Supervisor) |
50 | Yes | Direct Patient Care Applies advanced clinical expertise and specialty knowledge to conduct comprehensive health assessments in care settings including psychosocial, functional, physical, and environmental factors. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology and health assessment within the diabetes and medical patient population to contribute to the plan of care. Conducts complex patient assessments, synthesizes assessment findings using advanced knowledge, clinical expertise, critical thinking, and clinical judgment to formulate differential diagnoses; formulates an evidence-based nursing plan of care; and evaluates patient response to care interventions. Collaborates with the interdisciplinary team to contribute the advanced nursing perspective to the plan of care and advocate for the patient’s preferences. Documents clinical care and consultations in the medical record to ensure clear communication of assessment, diagnosis, recommended plan of care, and evaluations to the clinical team. Initiates and/or coordinates care conferences or programs for individual patients or populations including transitions for complex and vulnerable patients with diabetes and medical patient population needs. Evaluates the impact of nursing care and the plan of care elements on fiscal and human resources. Assesses learning needs, designs and evaluates innovative educational programs for patients, families, and groups. Identifies, collects, and analyzes data that serve as a basis for program design and outcome measurement for improvements in the care of the diabetes and medical patient population. Establishes methods to evaluate nursing care and methods for feasible and meaningful documentation of nursing care.
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30 | Yes | Nursing/Nursing Practice Exerts influence with nursing staff through role modeling, consultation, and education to improve patient care and outcomes. Provides expert specialty consultation to nurses related to complex patient care needs. Assesses nursing practice, workflows, and the environment for improvement opportunities and to ensure evidence-based practice is incorporated into practice and procedures. Leads clinical practice and quality improvement initiatives for a unit, division/department, or a program. Collects and analyzes data regarding patient care processes and outcomes, trends Employs conflict management and negotiation skills to promote a healthy work environment. Facilitates opportunities for nurses and other staff to acquire knowledge and skills that foster professional development. Creates and revises nursing policies, procedures, standards of care incorporating evidence-based practice to impact optimal patient/family outcomes. Collaborates with and coaches nurses to develop practice environments that support shared decision-making/shared governance Provides mentorship to nurses in the use of evidence-based practice principles and methods for practice change and evaluation. Provides clinical consultation to nurses, providers, and interprofessional team colleagues regarding nursing care of the diabetes and medical patient population. Collaborates with Nurse Professional Development team and others on content and operational design of orientation, clinical competencies, and other educational program development. Provides mentorship for new skill acquisition, leadership, and supports professional development of the nursing staff. Collaborates with the interprofessional team and nurse leaders to ensure implementation of evidence-based patient care, optimal communication methods, and continuous quality improvement. Designs, implements, and evaluates innovative educational programs for patients/families and nursing staff. Provides formal and informal education for nurses and other health care professionals and health professional students. Evaluates the impact of nursing practice and care models on fiscal and human resources.
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15 | Yes | Organization/System Leadership Leads health system teams to advance the clinical practice of nurses and improve patient outcomes. Leads value analysis of new or alternate supplies and devices including safety and feasibility evaluations/trials with key stakeholders. Leads the design, implementation, and evaluation of innovative models or programs of clinical care or care delivery models across units/departments/campuses. Partners with the Center for Nursing Excellence and Innovation teams and operational nursing leaders to meet department and health system strategic goals to advance nursing practice at UCSF. Serves as clinical expert consultant or content manager for patient safety, risk management, regulatory affairs, and patient relations needs. Partners with medical center departments or teams across the health system to improve care delivery and patient outcomes
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5 | Yes | Professional Practice Advocates for nurses to practice to the full extent of their role in the delivery of health care across the health system. Engages in formal processes to seek feedback on practice from CNS/APS peers and other colleagues. Facilitates opportunities for students to acquire knowledge and skills that foster professional development. Participates in professional organizations and contributes to advancing professional nursing practice through scholarly activities (presentations, publications, innovations) Increases the visibility of UCSF Health Nursing at local, regional, national and international levels through professional involvement/engagement. Responsible for the written document for Magnet submission regarding clinical practice exemplars within content area. Performs other duties as assigned.
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100% | |
Required qualifications:
- Minimum of five (3) years of recent clinical RN experience in the specialty area
- In-depth knowledge of one or more clinical specialty areas, to include diagnoses, treatments, standards of practice and patient / family educational consulting and resources.
- Advanced knowledge of skill for conducting evidence-based practice, data collection, analysis, and reporting.
- Advanced critical thinking and problem-solving skills to assess highly-complex issues and develop multiple options for resolution.
- Advanced interpersonal skills, with the ability to provide education, training, and direction to nursing staff, and to develop positive working relationships with patients, families, providers, employees, and outside agencies as required.
- Advanced written and verbal communication skills, with the ability to convey complex and / or sensitive information in a clear and concise manner.
Preferred qualifications:
- Current CNS license in the State of California (CA BRN)
Education, Licensure and Certifications:
- Master’s or Doctorate degree (PhD or DNP) from an accredited Nursing program
- Current Registered Nurse (RN) license in the State of California (CA BRN)
- Current American Heart Association CPR certification
- Clinical Nurse Specialist, APRN specialty certification (e.g. ACCNS-AG, AGCNS-BC) or Diabetes certification (e.g. CDCES) obtained within one year of hire
