Clinical Nurse Specialist Jobs in North Carolina

Clinical Nurse Specialist jobs in North Carolina are in steady demand, with active hiring concentrated in acute care hospital systems, oncology, behavioral health, and diabetes management programs at every level from new graduate to senior CNS. Charlotte, Raleigh-Durham, and Greensboro account for the largest share of openings, where major employers such as Atrium Health, Duke University Health System, and UNC Health maintain consistent CNS recruitment across their networks. Population-facing specialties including pediatric acute care, cardiac care, and psychiatric-mental health are among the most sought-after in the state. Find a role that fits below and apply directly.

Find Jobs

Overview

Open roles10
Top employerUNC Health
Top cityChapel Hill, NC
Cities hiring5
Work type100% On-site
Top credentialMaster's degree in nursing

Showing 5 of 10+ Clinical Nurse Specialist jobs

RN Clinical Nurse Education Specialist - Children's Peri-Op Services
We won't show you this job again
New 15h ago
RN Clinical Nurse Education Specialist - Children's Peri-Op Services
UNC Health
Chapel Hill, North Carolina
Biotech & Life Sciences
Clinical Trials
Healthcare Administration
$38.55 - $55.43/hr
On-Site
Master's degree in nursing
10,000+

Have you applied for this role?

RN Clinical Nurse Education Specialist - Critical Care
We won't show you this job again
New 15h ago
RN Clinical Nurse Education Specialist - Critical Care
UNC Health
Chapel Hill, North Carolina
Biotech & Life Sciences
Clinical Trials
Healthcare Administration
$38.55 - $55.43/hr
On-Site
Master's degree in nursing
10,000+

Have you applied for this role?

Clinical Nurse Specialist - Emergency Department
We won't show you this job again
Added 1w ago
Clinical Nurse Specialist - Emergency Department
Atrium Health
Charlotte, North Carolina
Healthcare Administration
Nursing
Patient Services & Wellbeing
$51.05 - $76.6/hr
Master's degree in nursing
10,000+

Have you applied for this role?

Clinical Nurse Specialist - Emergency Department
We won't show you this job again
Added 1w ago
Clinical Nurse Specialist - Emergency Department
Advocate Aurora Health
Charlotte, North Carolina
Healthcare Administration
Nursing
Patient Services & Wellbeing
$51.05 - $76.6/hr
Master's degree in nursing
10,000+

Have you applied for this role?

RN Clinical Nurse Specialist- CTCCU UNC Medical Center Nights
We won't show you this job again
Added 3w ago
RN Clinical Nurse Specialist- CTCCU UNC Medical Center Nights
UNC Health
Chapel Hill, North Carolina
Business Strategy
Consulting & Professional Services
Strategy & Corporate Development
$41.45 - $59.58/hr
On-Site
Master's degree in nursing
10,000+

Have you applied for this role?

See All 10 Clinical Nurse Specialist Jobs in North Carolina

Find roles in North Carolina that match your experience and apply in just a few clicks.

Find Jobs

Clinical Nurse Specialist Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Chapel Hill
4 jobs
Raleigh
2 jobs
Charlotte
2 jobs
Durham
1 job
Greenville
1 job

Clinical Nurse Specialist Job Market in North Carolina

A snapshot from current North Carolina openings, updated as new roles post.

Who's Hiring

UNC Health5 open roles
Duke Health2 open roles
ECU Health1 open role

What North Carolina Employers Look For

The qualifications that appear most often in clinical nurse specialist jobs across North Carolina.

  • Active North Carolina RN license and CNS recognition issued by the North Carolina Board of Nursing
  • Master of Science in Nursing or Doctor of Nursing Practice with a CNS concentration
  • National CNS certification from AACN, ANCC, or a specialty-recognized certifying body
  • Minimum clinical nursing experience in the applicable specialty population or practice area
  • Demonstrated ability to lead quality improvement initiatives and translate evidence into practice
  • Strong interprofessional collaboration skills within multidisciplinary inpatient or outpatient care teams

Clinical Nurse Specialist Jobs in North Carolina: Frequently Asked Questions

How do you become a clinical nurse specialist in North Carolina?

To become a clinical nurse specialist in North Carolina, you must first hold an active North Carolina RN license and then complete a graduate-level nursing program, either a Master of Science in Nursing or a Doctor of Nursing Practice with a CNS concentration. After graduating, you obtain national CNS certification from a body such as AACN or ANCC, then apply to the North Carolina Board of Nursing for official CNS recognition, which is required to practice and prescribe in the state.

How much do clinical nurse specialists make in North Carolina?

Clinical nurse specialists in North Carolina earn a median of about $84,350 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $67,660 for the lowest 10% to over $110,220 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire clinical nurse specialists in North Carolina?

Employers hiring clinical nurse specialists in North Carolina right now include UNC Health, Duke Health, and ECU Health, based on current listings on Migrate Mate as of October 2026. North Carolina's large academic medical centers and regional hospital networks drive the bulk of consistent CNS demand, particularly for specialty-focused and system-wide clinical education roles.

Which North Carolina cities have the most clinical nurse specialist jobs?

Chapel Hill, Raleigh, and Charlotte have the most clinical nurse specialist openings in North Carolina. Charlotte leads because of Atrium Health's sprawling multi-hospital footprint, Raleigh-Durham reflects the density of Duke Health and UNC Health's academic medical campuses, and Greensboro draws demand from Cone Health and the broader Triad region's growing health system infrastructure.

Are there remote clinical nurse specialist jobs in North Carolina?

Yes, but they're rare. Clinical nurse specialists are primarily hands-on clinicians embedded in patient care settings, so most roles require on-site presence. About 0% of clinical nurse specialist openings tied to North Carolina are remote or hybrid as of October 2026, and those positions tend to concentrate in telehealth consultation, utilization review, or system-wide clinical education functions rather than direct bedside practice.

How can I get hired as a clinical nurse specialist in North Carolina with little or no experience?

The most realistic entry path is applying to new-graduate CNS or advanced practice nurse residency programs, which Atrium Health, Duke University Health System, and UNC Health all offer to support graduates transitioning from clinical RN roles. Lateral entry from a staff RN or charge nurse position in your target specialty strengthens your application considerably, and securing your ANCC or AACN CNS certification before applying gives you a clear competitive edge over uncertified candidates.

Where can I find and apply to clinical nurse specialist jobs in North Carolina?

You can find and apply to clinical nurse specialist jobs in North Carolina on Migrate Mate, which lists current openings across the state. Search the listings for roles that match your specialty and experience level, then apply directly to the ones that fit.

See All 10 Clinical Nurse Specialist Jobs in North Carolina

Find roles in North Carolina that match your experience and apply in just a few clicks.

Find Jobs