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Healthcare Practitioners

Clinical Nurse Specialists

Also called: APN (Advanced Practice Nurse), Board Certified Clinical Nurse Specialist (CNS-BC), CNS (Clinical Nurse Specialist), Critical Care CNS (Critical Care Clinical Nurse Specialist)

US median pay

$97,550

per year, 2025

Job growth 2025–35

+5.6%

faster than average

Openings a year (US)

180,800

3,465,400 employed

Typical entry education

Bachelor's degree

Preparation 5/5 · Extensive preparation

What this job is

Direct nursing staff in the provision of patient care in a clinical practice setting, such as a hospital, hospice, clinic, or home. Ensure adherence to established clinical policies, protocols, regulations, and standards.

What they do day to day

  • Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty, such as obstetrics, neurology, oncology, or neonatal care.
  • Collaborate with other health care professionals and service providers to ensure optimal patient care.
  • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.
  • Develop, implement, or evaluate standards of nursing practice in specialty area, such as pediatrics, acute care, and geriatrics.
  • Maintain departmental policies, procedures, objectives, or infection control standards.
  • Instruct nursing staff in areas such as the assessment, development, implementation, and evaluation of disability, illness, management, technology, or resources.
  • Develop and maintain departmental policies, procedures, objectives, or patient care standards, based on evidence-based practice guidelines or expert opinion.
  • Evaluate the quality and effectiveness of nursing practice or organizational systems.
  • Observe, interview, and assess patients to identify care needs.
  • Provide coaching and mentoring to other caregivers to help facilitate their professional growth and development.

Skills and knowledge that matter most

Skills

  • Social Perceptiveness4.0/5
  • Service Orientation4.0/5
  • Judgment and Decision Making4.0/5
  • Coordination3.9/5
  • Complex Problem Solving3.9/5
  • Time Management3.6/5
  • Persuasion3.6/5
  • Instructing3.5/5

Knowledge

  • Medicine and Dentistry4.8/5
  • Education and Training4.4/5
  • Psychology4.3/5
  • English Language4.3/5
  • Biology4.0/5
  • Therapy and Counseling4.0/5

Importance rated by people working in the job (1 = not important, 5 = extremely important).

Education and preparation

Preparation level 5 of 5 — Extensive preparation. Usually a graduate degree (master's, PhD, MD, JD) and extensive experience.

Typical entry education (BLS): Bachelor's degree.

Highest education of people in this job:

  • Master's degree86%

Who this job suits

Mostly Social

Helping, teaching and caring for people

Investigative

Ideas, research and solving problems

Conventional

Organising data, details and procedures

Based on the Holland (RIASEC) interest profile for this occupation.

Job titles you'll see in postings

APN (Advanced Practice Nurse)Board Certified Clinical Nurse Specialist (CNS-BC)CNS (Clinical Nurse Specialist)Critical Care CNS (Critical Care Clinical Nurse Specialist)Emergency Clinical Nurse Specialist (Emergency CNS)ICU CNS (Intensive Care Unit Clinical Nurse Specialist)Neuroscience Clinical Nurse Specialist (Neuroscience CNS)Pediatric Clinical Nurse Specialist (Pediatric CNS)Psychiatric Adult Clinical Nurse Specialist (Psychiatric Adult CNS)Trauma ICU CNS (Trauma Intensive Care Unit Clinical Nurse Specialist)