State Director of Nursing

Mosaic•Rockford, IL
•Hybrid

About The Position

Mosaic is seeking a clinical leader to direct, assess, and elevate health services across its Illinois operations. The State Director of Nursing partners with state, regional, and national clinical teams to establish best practices, maintain regulatory excellence, and mentor nursing staff, supporting high-quality, personalized care for people with intellectual and developmental disabilities. The position is hybrid, based in Rockford, with travel to Pontiac and Macomb and frequent travel between community agency sites. The role is full-time, exempt, and primarily days, with some evenings and weekends to support health services. Mosaic is a faith-based nonprofit organization focused on empowering people with intellectual and developmental disabilities and helping them live meaningful lives in a caring community. The organization’s stated values are belonging, connection, faithfulness, and grit. The director leads nursing staff and Health Service Managers; implements operational systems, policies, and procedures across Illinois; analyzes health metrics and coordinated healthcare plan management; oversees service delivery, licensing readiness, regulatory compliance, and corrective-plan follow-up; collaborates with operations, quality, and national health services teams on clinical initiatives, mortality reviews, and onboarding; and ensures an effective on-call and emergency notification framework for people served, families, and staff 24/7. Mosaic offers a hybrid work model and access to a national network of health professionals and clinical resources. Benefits include a CHOICE medical allowance program, life, dental, and vision insurance, tax-free tuition assistance up to $1,000 per plan year, a 403(b) plan, and flexible time off.

Requirements

  • Bachelor’s degree in Nursing (BSN).
  • Active Registered Nurse (RN) license.
  • Valid driver’s license and willingness to travel frequently.
  • At least 5 years of progressive experience in a nursing or healthcare field.
  • At least 2 years in a health services supervisory or management capacity.
  • Deep understanding of regulatory standards, OSHA, and personnel laws.
  • Ability to analyze quality metrics, identify trends, and develop actionable operational solutions.
  • Expertise in adult learning principles to design and deliver training across multi-site teams.
  • Strong leadership, problem-solving, and communication skills.

Nice To Haves

  • Experience with habilitative services for individuals with intellectual and developmental disabilities (IDD) or in ICF/DD settings is highly preferred.

Responsibilities

  • Hire, train, supervise, and develop nursing staff and Health Service Managers to support employee engagement and clinical growth.
  • Lead implementation of operational systems, policies, and standard operating procedures to standardize nursing care across Illinois.
  • Analyze health metrics to identify improvement opportunities and optimize coordinated healthcare plan management.
  • Oversee health-related service delivery to ensure licensing readiness and regulatory compliance, and ensure swift follow-up on corrective plans.
  • Partner with State Operations, Quality teams, and National Health Services on clinical initiatives, mortality reviews, and onboarding programs.
  • Ensure an effective on-call and emergency notification framework supporting people served, families, and staff 24/7.

Benefits

  • CHOICE Arrangement (Custom Health Option and Individual Care Expense Arrangement), a tax-free allowance program for selecting a medical plan.
  • Life insurance.
  • Dental insurance.
  • Vision insurance.
  • Tax-free tuition assistance up to $1,000 per plan year.
  • 403(b) retirement plan.
  • Generous flexible time off.
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