RN 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 expert patient care including service to patients with complex needs. The level III nurse has increased responsibilities that may include staff orientation, patient care coordination, or other unit/service activities. The level III nurse participates in formal and informal educational activities that support evidenced based care and outcomes. Senior Level 3 Mentor Nurse The Senior Level III Mentor Nurse is accountable for the provision of expert patient care, including service to patients with complex needs. The Senior Level III serves as a unit staff mentor and has increased responsibilities that may include staff orientation, patient care coordination and or other unit/service/nursing practice activities. The Senior Level III nurse identifies learning needs of others and patient safety issues, and develops an appropriate plan of action based on best practices. 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. He/she 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. He/she 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.