363 jobs found

Respiratory care practitioner Level I Associates (RCP IA) are those individuals who are credentialed at the Certified Respiratory Care Technician level and are not eligible to obtain an RRT credential because 1) they have a certificate of completion/graduation from a Respiratory Care training program, rather than an Associate's degree, or 2) they were eligible to sit for the exam and chose not to do so and are no longer eligible based on the National Board for Respiratory Care regulations. The RCP IA has been continuously employed by MMC Pulmonary Medicine Division since before 1990. The RCP IA has skill and knowledge in cardiopulmonary pathology, respiratory diagnostic techniques, treatment methods and equipment selection and maintenance for chronic, acute and emergency care in all hospital areas including intensive care and outpatient settings. An RCP IA must be adept at patient assessment, analysis of clinical data, and formulation of patient care plans. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: N/A License/Certifications: Licensed by the Maine Board of Respiratory Care Practitioners as a Certified Respiratory Technician (CRT). Holds and maintains credential in BLS. Experience: N/A

Inpatient Pharmacy Technicians are responsible for the distribution and preparation of medications for all patients located with Maine Medical Center. Pharmacy Technicians are trained to compound sterile and non-sterile medications, refill automated dispensing cabinets located throughout the hospital, pre-pack bulk medications into unit-dose preparations, assists pharmacists and nurses to ensure timely delivery of all patients’ medications and other duties related to the care of our patients.  Pharmacy Technicians are essential members of the pharmacy team at Maine Medical Center, providing support for multiple facets of the pharmacy, including exceptional customer service. The Pharmacy Technician II is a proficient pharmacy technician who has at least six months of experience as a pharmacy technician/intern at Maine Medical Center or one year of experience as a pharmacy technician at an external pharmacy. A Pharmacy Technician II assists the pharmacist by preparing and distributing medications, maintaining drug inventory and pertinent patient records. Pharmacy Technician II also identify opportunities for improvement in work processes and actively contributes to the implementation of improvement efforts. Additionally, the Pharmacy Technician II will perform other related and assigned duties. Required Minimum Knowledge, Skills, and Abilities (KSAs) A minimum of six (6) months of experience (internal pharmacy department) or one (1) year of experience (external pharmacy department) in a pharmacy setting. Excellent verbal and written communication skills are required. High school diploma or GED certificate required. Associates Degree preferred. PTCB certificate is preferred. Currently licensed as a pharmacy technician in the State of Maine or currently eligible consistent with the current State of Maine Board of Pharmacy requirements. Ability to assist in meeting the pharmaceutical care needs of all patients.

Inpatient Pharmacy Technicians are responsible for the distribution and preparation of medications for all patients located with Maine Medical Center.  Pharmacy Technicians are trained to compound sterile and non-sterile medications, refill automated dispensing cabinets located throughout the hospital, pre-pack bulk medications into unit-dose preparations, assists pharmacists and nurses to ensure timely delivery of all patients’ medications and other duties related to the care of our patients.  Pharmacy Technicians are essential members of the pharmacy team at Maine Medical Center, providing support for multiple facets of the pharmacy, including exceptional customer service. The Pharmacy Technician II is a proficient pharmacy technician who has at least six months of experience as a pharmacy technician/intern at Maine Medical Center or one year of experience as a pharmacy technician at an external pharmacy. A Pharmacy Technician I will automatically advance to a Pharmacy Technician II once all criteria are met. A Pharmacy Technician II assists the pharmacist by preparing and distributing medications, maintaining drug inventory and pertinent patient records. A Pharmacy Technician II also identifies opportunities for improvement in work processes and actively contributes to the implementation of improvement efforts. Additionally, Pharmacy Technician II will perform other related and assigned duties. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: High school diploma or GED certificate preferred. Associates Degree is preferred. License/Certifications: PTCB certificate is preferred. Currently licensed as a pharmacy technician in the State of Maine or currently eligible consistent with the current State of Maine Board of Pharmacy requirements. Experience: A minimum of six (6) months of experience as a pharmacy technician at Maine Medical Center or one (1) year of experience as a pharmacy technician at an external pharmacy department. Excellent verbal and written communication skills are required. Ability to assist in meeting the pharmaceutical care needs of all patients.

Job Summary: Maine Medical Partners is looking for a Physician Assistant (PA) or Nurse Practitioner (NP) to work with  team of seasoned Geriatricians providing primary care and rehab (skilled) medicine in area nursing homes and assisted living facilities. Assists Geriatricians by managing acute issues daily, triaging nursing requests as appropriate, and completing monthly patient visits as required. Either four, 10-hour days or five 8-hour days Monday – Friday Job Requirements: Bachelor's degree and successful completion of accredited PA or NP program Curernt unencumbered license issued by the State of Maine or eligible for licensure Excellent interpersonal, communication and customer service skills Ability to effectively triage, organize and prioritize Ability to function as part of a team Proficient computer skills with knowledge of electronic medical records Ability to maintain confidentiality

Oversees the operational and compliance aspects for Physician Services Point of Care testing under the guidance and direction of the Laboratory Director.  Performs duties of Medical Technologist in accordance with the Medical Technologist Job Description. This position is based at Maine Medical Center in Portland.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Knowledge of clinical laboratory functions, practices and procedures acquired through a Baccalaureate degree or Associates degree and certification by a recognized professional organization (e.g., ASCP, NCA) is required. In-Depth knowledge of CAP and CLIA regulatory requirements is necessary.  License/Certifications: See "Education." Certification by a recognized professional organization (ASCP, NCA) is required. Experience: N/A In-depth knowledge and understanding of Hospital Information and Laboratory Information systems.  Ability to build tests, troubleshoot, train and write procedures.  Excellent communication and training skills are required. Must be able to work any shift, holiday and/or weekend Must be able to travel among company sites.

Primarily responsible for operational aspects of the assigned program including development, implementation, maintenance, and evaluation. Works with other teams and ensures that all tasks are completed in a timely manner and in coordination with the work teams. Oversees the work of additional staff, if applicable. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Bachelor's degree in health care or related field required. Master's degree preferred.  Experience: Knowledge of project management, administrative practices and hospital/healthcare systems normally acquired during 3 to 5 years of related work experience. License/Certifications: Licensure may be preferred or required. A high level of analytical skills necessary to assist in the development and implementation of new systems techniques, to assess patient care and business workflow and/or procedures to help determine departmental needs, to support improvements in departmental functioning, and to prepare special and recurring reports or analysis. Ability to use a wide array of evaluative and analytic techniques, including quantitative and qualitative methods. Knowledge of healthcare systems, including but not limited to the organization and financing of health systems and healthcare, managed care systems, health policy, process improvement, and public health principals.

This position will plan, coordinate and implement the training and dissemination of A Matter of Balance, Lay Leader Model (MOB/LL).  Additionally, the incumbent plans and oversees processes that ensure program goals are measured, analyzed, evaluated, reported, and met. The position supports the operational aspects of assigned program, including development of program materials and tools.  The role is also accountable for implementing program work plan(s) and assuring the completion of day to day activities.  May manage 3 or more small programs, 2 medium or one large program.  The role mentors, oversees and directs other program resources and is accountable for cultivating a culture of engagement. Required Minimum Knowledge, Skills, and Abilities (KSAs) Bachelor's Degree in health care or related field preferred; Master's Degree preferred  2+ years of program management or related work experience 3-5 years of health or related work experience Licensure/certification may be preferred or required Strong facilitation skills Strong analytical and problem-solving skills Strong business acumen Strong collaboration skills and adaptability Strong organizational skills Strong written and oral communication skills Demonstrated ability to model professional behavior by working as a valuable team member, respecting others, and maintaining open and honest communications.

The Patient Service Representative (PSR) greets patients in a friendly and courteous manner, answers incoming telephone calls, schedules appointments, and performs other overall general office duties as assigned. The PSR collects, verifies, enters, and monitors patient data while complying with the federal, state and MaineHealth confidentiality policies. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: High School graduate or equivalent preferred. License/Certifications: N/A Experience: Previous office experience with medical office experience helpful. Knowledge and skills in using office equipment. Knowledge of customer service concepts and techniques. Excellent organizational skills with the ability to accomplish multiple tasks. Excellent communication and interpersonal skills with the ability to communicate clearly in person and on the phone. Strong computer skills. Ability to read, understand and follow oral and written instructions. Ability to maintain confidentiality. Ability to work independently and as a team member with minimal direct supervision. Ability to maintain a professional manner even under stressful situations.

The Patient Service Representative (PSR) will greet patients in a friendly and courteous manner, answer telephones, schedule appointments, and perform other overall general office duties as assigned. The PSR will also collect, verify, enter, and monitor patient data while complying with the federal, state and MaineHealth confidentiality policies. Required Minimum Knowledge, Skills, and Abilities (KSA's) Education: High School graduate or equivalent preferred. License/Certifications: N/A Experience: Previous office experience with medical office experience helpful. Knowledge and skills in using office equipment. Knowledge of customer service concepts and techniques. Excellent organizational skills with the ability to accomplish multiple tasks. Excellent communication and interpersonal skills with the ability to communicate clearly in person and on the phone. Strong computer skills. Ability to read, understand and follow oral and written instructions. Ability to maintain confidentiality. Ability to work independently and as a team member with minimal direct supervision. Ability to maintain a professional manner even under stressful situations.

The Patient Service Representative will greet patients in a friendly and courteous manner, answer telephones, schedule appointments, and perform other overall general office duties as assigned. The PSR will also collect, verify, enter, and monitor patient data while complying with the federal, state and MaineHealth confidentiality policies. Required Minimum Knowledge, Skills, and Abilities (KSA’s) Education: High School graduate or equivalent preferred. License/Certifications: N/A Experience: Previous office experience with medical office experience helpful. Knowledge and skills in using office equipment. Knowledge of customer service concepts and techniques. Excellent organizational skills with the ability to accomplish multiple tasks. Excellent communication and interpersonal skills with the ability to communicate clearly in person and on the phone. Strong computer skills. Ability to read, understand and follow oral and written instructions. Ability to maintain confidentiality. Ability to work independently and as a team member with minimal direct supervision. Ability to maintain a professional manner even under stressful situations.

The Barbara Bush Children’s Hospital at Maine Medical Center (MMC), is recruiting for a Neonatal Nurse Practitioner (NNP) for its Level III NICU.  MMC is a 637-bed Academic Medical Center located in Portland Maine with expansive views of Maine’s breathtaking coast.  MMC is the State’s only Level 1 Trauma Center, has achieved its third consecutive Magnet designation and named the first and pioneer practice setting recognized by The Honor Society of Nursing Sigma Theta Tau International’s Kappa Zeta-at-Large Chapter.  With a long history of excellence in healthcare MMC is looking for a candidate that exhibits the behaviors of excellence, collaboration, innovation, respect, commitment to community and accountability in order to support MMC’s mission, vision, and values. The world-class, 51-bed, Level III, Neonatal Intensive Care Unit admits nearly 1,000 infants and performs nearly 300 critical care neonatal transports each year and is the largest NICU in northern New England.  The dynamic interdisciplinary professional healthcare team is dedicated to delivering the highest quality care for all newborns, ranging from healthy neonates to sick or premature newborns requiring close observation or intensive care.  The NNP will provide detailed and comprehensive assessment and treatment of neonatal patients within the framework of safe patient and family centered care. The scope of practice encompasses the development and recording of a plan for care in collaboration with family, multidisciplinary team members, and community resources for both chronic and episodic illnesses. Minimum Knowledge, Skills, and Abilities Required New and pre-graduation NNPs welcome to apply. Excellence in interpersonal and communication skills to interact effectively with all MMC departments, families and members of the multidisciplinary health care team. Advanced knowledge of nursing theory and practice, and additional specialized medical training, in order to provide expanded nursing practice at a level generally acquired through completion of concentrated study and clinical internship leading to a Master's Degree. Analytical abilities necessary to obtain medical histories, conduct physical examinations, prepare complex treatment plans, and provide care for assigned patients with minimal guidance and direction. Education: Completion of accredited NNP, Masters preferred. Licensure:  Current license for Advanced Practice in the state of Maine or pending license.

Installs, inspects, tests, troubleshoots and repairs all heating, ventilation and air conditioning systems and equipment in the operation of the hospital. Serves as primary contact person between Engineering and other hospital departments on evenings, nights and weekends. Maintains the Boiler room functions. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: High school education or equivalent preferred. Must be able to read and follow written and oral procedures, as well as some basic technical training in heating and ventilation. Knowledge of the use and care of tools, safety practices, blueprint reading as well as mathematics, mechanical drawings, electricity, applied physics, and air-conditioning and refrigeration theory at a level generally acquired through completion of a two year (post secondary) formal apprenticeship training program. License/Certifications: A State of Maine Journeyman's Oil Burner license preferred and State of Maine Boilers Operator's License required within first year of employment. Experience: Knowledge of installation, maintenance and repair of heating, ventilation and air conditioning systems at a level generally acquired during two to three years on-the-job training and experience. A comprehensive understanding of boilers, burners, pumps, chillers, HVAC and other related equipment, at a level generally acquired through two to three years on-the-job training and experience. Must have color vision, be able to spend hours on feet, bending, lifting and other motor skills. Analytical ability required in order to detect, diagnose and repair defective or faulty heating, ventilation and air conditioning equipment.  Must determine appropriate methods and proper sequence of work as well as tools, equipment and materials required. Ability to stand and walk for up to seventy-five percent of work time. Must have a complete knowledge of piping systems, air, medical gas, water, fire protection, steam and all other utilities and their bypass systems Good communication skills required.

Under general supervision and according to established procedures and practices: operates, maintains and repairs facility/plant systems and equipment. Responsible for training and scheduling of persons providing off shift coverage for Engineering. Assists the Supervisor in the oversight of the construction, repair and maintenance of HVAC equipment and systems by internal and external groups. Relieves the Supervisor for vacations, illnesses, etc. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: 2-year technical degree or equivalent experience. License/Certifications: State of Maine High Pressure Boiler Operator License required, ability to read blueprints and understand complex technical information related to HVAC equipment and systems. Experience: See "Education." 5 years in a healthcare or facility setting with specific knowledge of HVAC systems.

The Medical Assistant (MA) is assigned duties and responsibilities related to patient care in a team-based ambulatory practice environment. The MA functions under the license of the provider when performing clinical and other patient care tasks. The MA must demonstrate competency in all skills related to the performance of patient care within their scope of practice and according to organizational policies, accrediting and licensing bodies. Required Minimum Knowledge, Skills, and Abilities (KSAs) Ability to excel in a team-based care environment. Maintain personal and professional records that include evaluation and validation of clinical competence/proficiency, continuing education, and any certification or verification of special skill sets. Skill in time management, problem solving, multitasking, prioritizing and medical care coordination. Ability to maintain a professional manner. Ability to maintain privacy and confidentiality. Proficient computer skills and knowledge of the electronic medical record. Knowledge of medical terminology and medical office procedures. Applicants must have graduated with an Associates Degree in Medical Assisting from an accredited college or a graduate of an accredited Medical Assistant Program. AND Completion of 160 hours clinical experience acquired through an externship or working as a medical assistant OR Credentialed and have a minimum of 1 year clinical Medical Assisting experience* in a multi-physician medical practice preferred. Other relevant clinical experience will be evaluated on a case by case basis. Current BLS required. *Current MaineHealth employees not eligible for this sign on bonus. Must be separated from MaineHealth system for 3 months to be eligible.

Weekend position.  Team members have a pleasant personality, demonstrate a positive attitude and the willingness to provide exceptional customer service, and work as part of a team. Customer service includes working closely with their leaders and teammates, to ensure that standards of cleanliness and safety are achieved in every area of the hospital. All interactions with staff, patients and family are carried out with high regard for respect and confidentiality. This position performs a variety of project cleaning tasks mostly in the pharmacy and a few other assigned areas of the hospital. The tasks include the preventive, corrective and salvage cleaning processes for ceiling, wall and floor care in a variety of difficult and demanding patient settings, which may include precaution rooms for patients with highly communicable illnesses. Required Minimum Knowledge, Skills, and Abilities (KSAs) The ability and willingness to provide exceptional customer service 100% of the time. The ability to learn and perform the skills required to clean in an occupied healthcare environment. Ability to learn and perform cleaning tasks involving multiple steps and a variety of cleaning tools, equipment and chemicals. Required to wear uniform and/or personal protective equipment and to work with cleaning chemicals including disinfectants and bleach. The ability to read, communicate in English, and basic use of a computer. Able to demonstrate advanced skills and knowledge of special cleaning techniques, such as stripping and refinishing floors and shampooing carpeting to achieve the desired result. Operate auto scrubber/rotary machine, extractor and other various equipment. Must be mechanically inclined for minor repair of equipment used. Ability to work independently without constant direct supervision. High School Diploma or GED required. Flexibility in work assignments and requirement to work on weekends and holidays. Current employees and former employees that have been employed within the past 3 months are not eligible for sign-on bonus.   As part of our Commuter Choice Program we offer FREE bus trips to our employees traveling on the Greater Portland Metro (including BREEZ and HUSKY lines), South Portland Bus Service, and ShuttleBus-ZOOM. Our program is designed to support employee transportation needs, reduce traffic congestion, and improve air quality in the great Portland region!

: The Community Family Navigator (CFN) is an individual who has a family member who is receiving or has received services and support related to a diagnosis of mental health illness, and who is willing to self-identify on this basis. The CFN works closely with family/caregivers who have a loved one who lives in Cumberland County based on referrals from the hospital Family Navigator (HFN) and other Maine Health providers. The individual works to provide post hospitalization support to family/caregivers in the community, offering family counseling, structured group supports, psychoeducation and referrals to other supports in the community for family as needed. The CFN is a licensed Master’s prepared clinician (LCSW) who will help families understand what is happening within their family system when a loved one has been discharged from the hospital and to assist family supporting their loved one’s recovery. The schedule will be flexible to meet the needs of the families, some evening hours and travel to family homes will be required. Required Minimum Knowledge, Skills, and Abilities (KSAs): Master’s degree in Social Work from an institution accredited by the Council on Social Work Education Knowledge of social work theories, therapies and techniques, as used with family systems, group work as well as principles of social welfare Self-identify as a person who has a family member who is either currently involved or has past experiences receiving services/support related to mental health diagnosis 2+ years of work experience in a health or mental health setting preferred Considerable knowledge of community resources and agencies and how to use them in resolving complex problems related to health, illness and disability Licensure by the Maine State Board of Social Worker Licensure as a Licensed Clinical Social Worker (LCSW) Membership in Academy of Certified Social Workers preferred Licensure by the Maine Board of Counseling Professionals Certification by the American Board of Examiners in Clinical Social Work preferred Excellent critical thinking skills Valid driver’s license and reliable transportation

Serves as a vital first contact for many MMC patients, visitors, or other in MMC's lower intensity entrances and waiting areas (Bramhall Entrance, Connector Entrance, and Scarborough Surgery Center, NICU/CCN, SCU, and CTICU). May be called upon to provide all customer service functions and must convey a friendly, caring, and professional attitude. Responsible for meeting, greeting, and assessing needs of customers, providing specific information and assistance, and ensuring that customers' needs are met. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: A high school diploma is preferred. License/Certifications: N/A Experience: One to three years of experience in a health care setting is desirable but not required. This position requires the employee to have experience with or the capability to be trained to a high degree of skill in analytical and complex problem solving. The employee needs an understanding of basic customer service principles, to a level that would be acquired through at least two years of prior customer service experience and six months of on the job training. The employee must have the discipline to follow through thoroughly to ensure that customers' concerns and needs are addressed. Must have strong customer service skills and the sensitivity and intuition to detect stresses and problems, and to be resourceful and creative in resolving them. Must maintain a positive outlook, high energy level, and pleasant demeanor. Must be able to maintain poise and calm in dealing with a wide variety of people under stress, and deal effectively and safely with unhappy or difficult customers. Must understand and be able to maintain privacy and confidentiality, and be comfortable interacting with a diverse population. Ability to learn, remember, and explain the complex layout of Maine Medical Center and the locations of services. Ability to work independently (without direct supervision). Ability to understand, interpret, and explain institutional policies and procedures. Outstanding organizational and communication skills. Basic computer skills sufficient to use Microsoft Word and email and internet programs.

Serves as a vital first contact for many MMC patients, visitors, or other in MMC's lower intensity entrances and waiting areas (Bramhall Entrance, Connector Entrance, and Scarborough Surgery Center, NICU/CCN, SCU, and CTICU). May be called upon to provide all customer service functions and must convey a friendly, caring, and professional attitude. Responsible for meeting, greeting, and assessing needs of customers, providing specific information and assistance, and ensuring that customers' needs are met. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: A high school diploma is preferred. License/Certifications: N/A Experience: One to three years of experience in a health care setting is desirable but not required. This position requires the employee to have experience with or the capability to be trained to a high degree of skill in analytical and complex problem solving. The employee needs an understanding of basic customer service principles, to a level that would be acquired through at least two years of prior customer service experience and six months of on the job training. The employee must have the discipline to follow through thoroughly to ensure that customers' concerns and needs are addressed. Must have strong customer service skills and the sensitivity and intuition to detect stresses and problems, and to be resourceful and creative in resolving them. Must maintain a positive outlook, high energy level, and pleasant demeanor. Must be able to maintain poise and calm in dealing with a wide variety of people under stress, and deal effectively and safely with unhappy or difficult customers. Must understand and be able to maintain privacy and confidentiality, and be comfortable interacting with a diverse population. Ability to learn, remember, and explain the complex layout of Maine Medical Center and the locations of services. Ability to work independently (without direct supervision). Ability to understand, interpret, and explain institutional policies and procedures. Outstanding organizational and communication skills. Basic computer skills sufficient to use Microsoft Word and email and internet programs.

Job Summary: Under the direction of the Vice President of Outpatient Services, the Director of ACT Services is responsible for performance and daily operations of ACT programing within the organization ensuring that services provided meet fidelity of the ACT model of care, are complaint with appropriate regulatory requirements, adhere to budgeting guidelines and are delivered according to the Core Values of the organization. The Director of ACT Services participates in the implementation of overall strategic goals and actively assumes responsibility for policies, standard operating procedures and meeting program budget. He/she supports the clinical development of each team so that the individuals served by these teams are effectively supported in identifying and meeting treatment goals. This involves supporting program managers in setting and maintaining both clinical and administrative systems to allow for partnerships with program clients that effectively shape behavioral changes according to each client’s clinical plan.   Required Minimum Knowledge, Skills, and Abilities (KSAs): Master's degree in social work, psychiatric nursing, psychology or clinical counseling Independently licensed to practice in Maine and provide supervision to all staff within area of responsibility Evidence of leadership qualities and strong interpersonal and organizational skills are required 5+ years of progressive mental health care management and broad based clinical experience is required Demonstrates sensitivity to cultural variables and respect for diversity Able to think creatively, analytically and conceptually for planning, organizing and coordination of major functional areas Able to represent MBH in the larger MH system and in the community Thorough knowledge of program and organization requirements Commitment to personal and programmatic continued education and the development of clinical skills

The Clinical Nurse supports Maine Medical Center's mission, vision, and values by exhibiting the following behaviors: excellence, competence, collaboration, innovation, respect, patient and family centered care, commitment to our community, and accountability.  In accordance with national standards of nursing practice and within the guidelines and policies and procedures of both Maine Medical Center and the Maine State Board of Nursing, the Clinical Nurse is responsible for assessment, diagnosis, outcome identification, planning, implementation, documentation, and evaluation of the effects of nursing care.  Care delivery and coordination of patient and family care begins with the initial contact with the health care system and may continue across the continuum.  Services may be provided on an inpatient, outpatient, ambulatory, and/or community basis.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: A Bachelor of Science Degree in Nursing is preferred. Evidence of 10 hours of ongoing education per year. License/Certifications: N/A Experience: Meets all requirements of Clinical Nurse I. Completion of Level I usually achieved by 12 months of employment. Demonstrates a caring nursing practice and promotes a healing environment for patients and families. Demonstrates the required knowledge and technical skills to care for most patient populations on the unit. Interpersonal and communication skills to interact effectively with patients, families, and healthcare team members. Ability to identify potential crisis situations involving patients and/or families and to initiate appropriate action. In accordance with the Clinical Nursing Advancement Program, a Clinical Nurse II may choose to remain at Level II as opposed to seeking advancement to Level III.