State Director of Nursing-Illinois
Listed compensation
$95k-$110k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
Lead Nursing Teams & Help People with Disabilities Live
Healthy, Meaningful Lives!
Position: State Director of Nursing
Location: Rockford, IL (Primary Office w/future hybrid flexibility)
Travel: Monthly to Pontiac, IL | Bi-monthly to Macomb, IL
Position Type: Full-Time, Salaried / Exempt
Compensation: starting range $95,000-$110,000 (commensurate with experience)
About Mosaic
At Mosaic, we believe in Real life. Real possibilities. We are a faith-based, non-profit organization dedicated to relentlessly pursuing opportunities that empower people with intellectual and developmental disabilities. As One Mosaic, our team works together to provide the people we support with a meaningful life in a caring community—ensuring they have a voice to advocate for their rights and share their needs.
We live by our core values of belonging, connection, faithfulness, and grit, and we are seeking an impactful clinical leader who shares our passion for empowering lives and guiding exceptional nursing care.
Lead Clinical Excellence. Build Statewide Systems. Empower Lives.
Are you a dynamic RN leader who loves turning big-picture strategy into smooth, everyday systems? Do you thrive on coaching nursing teams, driving culture change, and elevating health outcomes for individuals with intellectual and developmental disabilities?
Mosaic is looking for a visionary, highly organized, and accountable State Director of Nursing to lead clinical operations across Illinois. In this key working-leadership role, you will bridge our regional teams—unifying three previously autonomous agencies (Rockford, Pontiac, and Macomb) into one collaborative, high-performing statewide health services department.
If you are passionate about system-building, mentor-style leadership, and advocacy, we’d love to welcome you to team Mosaic!
What You'll Do: the Impact You’LL Make
- Unify & Standardize Clinical Systems: Assess current daily nursing workflows across our 27 community homes (Rockford, Pontiac, Macomb) to design standard operating procedures (SOPs), job aides, and quality assurance processes.
- Lead & Inspire Teams: Directly supervise, coach, and develop nursing staff and Health Services Assistants (HSAs) across the state. Cultivate an open, transparent culture where teams solve problems together and feel supported.
- Ensure Regulatory Readiness: Serve as the statewide subject matter expert on state regulations and Mosaic standards. Oversee compliance, audit readiness, quality metrics, and health data analysis to catch health trends early and intervene proactively.
- Educate & Train: Facilitate medication administration training and complete your Illinois Rule 116 Nurse-Trainer certification within your first 6 months.
- Collaborate Nationally: Work alongside Mosaic’s National Health Services team on clinical initiatives, quality reviews, and mortality reviews.
- Strategic Leadership Support: Provide executive-level on-call guidance for complex medical decision-making across regional departments.
Your First 90 Days
- Month 1: Complete an initial environmental scan, build relationships with your nursing teams in Rockford, Pontiac, and Macomb, and map out existing operational workflows.
- Months 2–3: Identify system gaps, establish a clear statewide operational framework, and align nursing daily practices with Mosaic’s high-quality care standards.
Ready to Build Something Great?
If you are ready to apply your clinical leadership to transform systems and empower lives across Illinois, we want to hear from you! Apply today to connect with our talent acquisition team.
Commitment to Mosaic Values
At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the right thing to do.
ER Lives.
Qualifications
Bachelor's Degree in Nursing or license required. Minimum of five years of experience in a related field. Supervisory or management experience required.
Previous successful experience in budget management and human resources is helpful. Some states require may require QMRP certification and experience in an ICF/DD.
Key Responsibilities
The State Director of Nursing will unify and standardize clinical systems across 27 community homes while supervising and developing nursing staff. They are responsible for ensuring regulatory compliance, facilitating training, and providing strategic leadership for health services across Illinois.
Qualifications
- Education
- Bachelor degree
- Experience
- 5+ years of experience
Key Skills
Nursing Leadership — Registered Nurse Career Context
Of the 45 active Nursing Leadership listings this role was benchmarked against, 27% are remote, 49% have no call, 80% require no weekends.
The cost-of-living index for Illinois is 100.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$103k midpoint carries the purchasing power of roughly $103k in an average-cost state. 62.6% of Illinois clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $95k–$110k | Nursing Leadership RN median $87k (middle half $80k–$108k)11 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$103k in purchasing power | Illinois index 100.0 (US = 100)BEA Regional Price Parities (2024) |
| Nursing Leadership listings in Illinois | 8 active | —live on WeekdayDoc, Nov 2026 |
| All nursing leadership listings in Illinois | 189 active | 5,729 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 27% remote · 49% no call · 80% no weekends45 benchmarked listings |
| Sign-on & loan repayment | not stated | Illinois registered nurse listings (all specialties): 12% state a sign-on bonus (median $8k) · 10% offer loan repayment189 active listings, Nov 2026 |
| New Nursing Leadership RN listings | 148 in the last 30 days | 191 the 30 days before (−23%)U.S., first seen on WeekdayDoc, Nov 2026 |
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