Become a Clinical Nurse Leader (CNL) – Degree, Licensure & Salary

Clinical nurse leaders (CNLs) serve a vital role in the healthcare system by effectively utilizing resources, improving patient outcomes, and leading interprofessional teams. These nurses bridge the gap between direct bedside care and administrative decision-making, allowing for a holistic approach to patient care. By staying current on evidence-based practices and collaborating with other healthcare professionals, CNLs can improve patient satisfaction and overall healthcare outcomes. As healthcare evolves, CNLs will become more crucial in ensuring quality and efficient patient care.

The role of a CNL is relatively new and was first introduced in 2004 by the American Association of Colleges of Nursing (AACN). This role was developed with two purposes in mind. The first was to improve the quality of patient care, and the second was to better prepare nurses to thrive in the current healthcare ecosystem. According to the AACN, “this clinician functions as part of an interprofessional team by communicating, planning, and implementing care directly with other healthcare professionals, including physicians, pharmacists, social workers, clinical nurse specialists, and nurse practitioners.” 

CNLs work in hospitals, clinics, and other healthcare settings to improve patient outcomes by coordinating care and overseeing the work of other nurses. To become a CNL, students must have an associate’s or bachelor’s degree in nursing and obtain an RN license. They will also need to complete an eligible master’s degree or post-master’s certificate CNL program, which typically takes two to three years to complete. After completing the program, candidates can take the national CNL certification exam. Once they have passed the exam, they can use the CNL credential after their name. 

Use the guide below to learn more about becoming a CNL, including details on certification and licensing. 

What Does a Clinical Nurse Leader (CNL) Do?

A CNL works anywhere a registered nurse may work. This includes hospitals, clinics, long-term care facilities, and acute care. The place of employment, patient population, and title will determine day-to-day duties for CNLs, but typical responsibilities can include:

• Coordinating interdisciplinary healthcare teams
• Analyzing patient data and identifying areas for improvement
• Developing and implementing evidence-based clinical protocols and guidelines
• Facilitating communication between healthcare providers, administrators, and patients
• Developing educational materials for clinical staff
• Assisting patients as the transition care
• Performing risk assessments

Clinical Nurse Leader (CNL) Licensure and Certification Requirements

CNL Licensing

All CNLs must be licensed registered nurses to practice. Each state licensing board has its own requirements to obtain licensure. Typical requirements include:

• Complete a general nursing education program; this degree must be accredited or approved by the state or be substantially similar
• Pass a drug screening and background check
• Sit for and obtain a passing score on the NCLEX-RN exam
• Fill out an application
• Pay applicable licensing and application fees
• Attest to a good moral character or answer questions about 

CNL Certifications and Eligibility

To be a designated CNL, nurses must earn the Clinical Nurse Leader (CNL) certification through the Commission on Nurse Certification (CNC). It is possible to work in a CNL role without this certification. To qualify for this credential, aspiring CNLs must have a qualifying master’s degree or post-master’s certificate.

However, earning an official CNL certification demonstrates a high level of competency in this role and can help with employment or advancement opportunities. To be eligible to sit for this exam, candidates must have completed or be in their final semester of an eligible CNL program. 

CNL Certification Renewal

CNL certifications must be renewed every five years. To renew, certificate holders must:

• Pay a $310 renewal fee
• Have a current, active, and unencumbered RN license in the state where they practice
• Adhere to the CNC standards of conduct
• Attest to 2,000 of employment in the past years
• Complete 50 hours of continuing education coursework