RN Career Advancement Levels
Level 1 Novice Nurse
The Level I registered Nurse, under the direction of the Nurse Manager, is accountable for provision of direct care to assigned patients. The Level I Registered Nurse contributes to unit activities and supports enhancement of the care delivery system at the unit level. The Level I Registered Nurse supports peers in the delivery of patient care services.
Level 2 Proficient Nurse
The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent patient care based on established standards. The Level II Registered Nurse assumes an expanded role, which may include charge nurse, preceptor, and committee member responsibilities.
Level 3 Expert Nurse
The Level III Registered Nurse is accountable for the provision of proficient patient care, including service to patients with complex needs. The Level III Registered Nurse assumes an expanded charge nurse role and is responsible for unit orientation of new staff. The Level III Registered Nurse may assume the role of care coordinator for a given group of patients, monitoring and evaluating patient care based on the unit standards of care. The Level III Registered Nurse is actively involved in unit or service activities, contributing to outcomes achieved by those groups.
Senior Level 3 Mentor Nurse
The Senior Level III Mentor Registered Nurse is accountable for the provision of proficient patient care, including service to patients with complex needs. The Senior Level III Registered Nurse assumes an expanded charge nurse role and responsibilities may include unit orientation of new staff. The Senior Level III Registered Nurse may assume the role of care coordinator for a given group of patients, monitoring and evaluating patient care based on the unit standards of care. The Senior Level III Registered Nurse is actively involved in unit or service activities, contributing to outcomes achieved by those groups.
Level 4 Nurse Leader
The Nurse Leader is accountable for supporting standards of care and providing consultation and expertise in the delivery of patient care. The Nurse Leader is involved in activities at the service, nursing practice and institutional level, and contributes to goal achievement through personal action and the facilitation of others. The Nurse Leader participates in community and professional organizations, demonstrating commitment to the promotion of nursing’s visibility and future. The Nurse Leader provides expert patient care, serves as a resource, consults as requested, and communicates effectively within the unit and service. The Nurse Leader also participates in the management of human resources, the development and evaluation of recruitment and retention strategies, and the monitoring of patient outcomes. The focus of the Nurse Leader’s responsibilities reflects the expectations for appointment at unit, program, or service level.
All positions require a Diploma, Associate or Bachelor’s degree from an accredited Nursing Program and an active New York State RN license in good standing
Meliora Award
Child Psychiatry Team honored with the URMC Meliora (Ever Better) Award for innovations in their approach to children. Team 1-9200 adopted a new philosophy—Kids Do Well if They Can—and transformed its approach patients and families. The change has delivered increase patient, family and staff satisfaction!



