Clinical Nurse Specialist Jobs
Clinical Nurse Specialist jobs are open across hospitals, health systems, outpatient clinics, and long-term care settings, from staff-level to lead and director roles, with common specializations in oncology, pediatrics, and critical care. Find a role that fits from the openings below and apply directly.
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Day Shift (United States of America)Pay Range:
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$31.00 - $46.25Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
The RN-Clinical Documentation Specialist (CDI) reviews medical records to ensure accuracy and completeness of the medical records to ensure accurate coding of the record. CDI role is complex and requires expert knowledge of clinical care and applicable coding guidelines, as well as an ability to communicate effectively with the clinical team. This role collaborates with clinicians, physicians, and HIM coding staff to ensure timely and accurate documentation and provides training and education as needed. Demonstrates a willingness to maintain awareness of the business of medicine and transitional healthcare changes including but not limited to value-based purchasing, accountable care organizations and the readmission reduction program.
What you will do
- Accurately reviews the entire inpatient medical record (dictation, templates, lab, orders, and nursing notes) to determine appropriate coding utilizing: ICD-9-CM, ICD-10 (CM and PCS), DRG Grouper and APR-DRG Grouper for strategizing SOI, ROM and DRG assignment.
- Utilizing advanced experience and in-depth knowledge, accurately determines the appropriate sequence of principle diagnosis code, procedure codes, MS-DRG/APR- DRG, SOI, ROM and POA reporting on Inpatient Coding Product Lines. Concurrent coding may be required on all product lines.
- Familiarity with Inpatient Prospective Payment System (IPPS), including new CMS guidelines related to clinical documentation, coding and reimbursement.
- Serves as a resource and provides subject matter expertise to Providers, HIM and/or coders, and other clinical entities as needed. Prompts providers/physicians/residents regarding missing, unclear, or conflicting medical record documentation and obtains additional documentation with the medical record when needed.
- Devoted to ongoing, continuous learning and provides relevant updates and happenings in the business of medicine directly impacting physicians such as documentation, CDI guidelines, coding guidelines, and CDI and coding policies.
- Maintains personal quality and production statistics in accordance to CDI standards.
- Ability and willingness to seek out changes in healthcare reform and coding regulations then incorporate those changes into chart review and educational responsibilities.
- Ability to conduct independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics.
- Performs and participates in performance improvement activities, such as identifying documentation requirements for the legal record.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:
- Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) within 3 Years
- Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire
Preferred Education, License/Certification, or Work Experience:
- 4-6 years Related inpatient clinical experience Knowledge of hospital revenue cycle and the electronic health record.
Expectations and Standards
- Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
- Promote Avera’s values of compassion, hospitality, and stewardship.
- Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship
Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .
Clinical Nurse Specialist Jobs by Experience Level
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Find JobsClinical Nurse Specialist Job Market
Who's Hiring
- Option Care Health13

- Naven Health8

- OU Health6

- UW Health5

- Penn Medicine5

Top Industries Hiring
- Healthcare & Medical Services56
- Education11
- Science & Research3
- Non-Profit & Social Services3
- Biotechnology & Pharmaceuticals3
What Employers Look For
The qualifications that appear most often in clinical nurse specialist jobs.
- Active APRN license and CNS certification from AACN or NACNS in a recognized specialty
- Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited program
- Minimum two to three years of clinical experience in the relevant patient population or specialty area
- Demonstrated experience leading quality improvement initiatives, protocol development, or evidence-based practice projects
- Strong skills in staff education, clinical coaching, and interdisciplinary team collaboration
- Familiarity with electronic health record systems such as Epic, Cerner, or Meditech
Tips for Your Clinical Nurse Specialist Job Search
Tailor your resume to population focus
Recruiters scan for your patient population and setting immediately. Separate your clinical experience by specialty area, such as acute care or geriatrics, so hiring managers see the match before they read past your summary. Generic nursing resumes get passed over fast.
List your CNS certifications prominently
Your APRN license, CNS certification from AACN or NACNS, and any specialty board credentials belong near the top of your resume, not buried in a footer. Many applicant tracking systems filter on these exact terms before a human ever sees your application.
Target postings that name your specialty scope
Filter openings by the specific population or system focus you are trained in, whether that is neonatal, psychiatric, or cardiac. Applying broadly dilutes your candidacy. A role written for your exact specialty scope is where your application will be most competitive.
Apply early to roles that fit
Migrate Mate lists clinical nurse specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare outcome-based clinical examples
Interviewers for clinical nurse specialist roles ask you to walk through a quality improvement initiative or a protocol you developed. Have two or three ready with measurable outcomes, such as reduced readmissions or shorter ICU stays, described in plain language your panel can follow.
Negotiate beyond base compensation
When you reach the offer stage, ask about continuing education allowances, professional membership reimbursement, and research time, since these directly support your CNS role and are often negotiable even when base pay is fixed. Many candidates overlook this entirely.
Clinical Nurse Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most clinical nurse specialists?
The companies hiring the most clinical nurse specialists right now include Option Care Health, Naven Health, and OU Health, with the largest share of openings in California, Ohio, and Wisconsin, based on current listings on Migrate Mate as of August 2026. Health systems and academic medical centers consistently account for the majority of postings.
How many clinical nurse specialist jobs are remote?
About 6% of clinical nurse specialist openings are fully remote or hybrid as of August 2026, which is lower than many other advanced practice roles because most positions require hands-on patient contact. Sub-specialties with the strongest remote presence include informatics consultation, telehealth care coordination, and population health management roles within large health systems.
How do you become a clinical nurse specialist?
You start by earning a registered nurse license and building clinical experience in your target population, then complete a graduate CNS program at the MSN or DNP level accredited by CCNE or ACEN. After graduating, you apply for APRN licensure in your state and sit for a CNS certification exam through AACN or NACNS in your chosen specialty. Most states then require periodic renewal of both your license and certification.
Can you get hired as a clinical nurse specialist with limited experience?
Yes, some health systems hire new CNS graduates into structured residency or fellowship programs designed to bridge the gap between graduate training and independent practice. Your strongest asset is alignment between your clinical placement specialty and the role you are targeting. Highlighting any quality improvement projects, evidence-based practice work, or preceptorship experience from your graduate program gives your application concrete weight beyond your degree.
What does the clinical nurse specialist interview process look like?
Most CNS interviews run across two or three rounds. The first is typically a phone or video screen with a recruiter or nurse manager focused on your specialty background and licensure. A second round often involves a panel with nursing leadership, a medical director, and sometimes a quality or education team member who will ask you to walk through a clinical scenario or a past improvement project. Some employers add a brief skills or case review as a final step.
Where can I find and apply to clinical nurse specialist jobs?
You can find and apply to clinical nurse specialist jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that match your specialty, experience level, and preferred setting, then apply directly to each listing that fits.
See All 195+ Clinical Nurse Specialist Jobs
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