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Mosaic
Pontiac, Illinois

State Director of Nursing-Illinois

Registered NurseIncludes callFull-Time

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.

Posted 35m ago · Verified live

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 leadershipStaff supervisionSystem developmentHealth services managementIntellectual and developmental disabilities careStrategic planningMentorshipPolicy development

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).

Nursing Leadership RN by the numbers
MeasureThis jobMarket
Listed pay$95k–$110kNursing Leadership RN median $87k (middle half $80k–$108k)11 comparable listings, Nov 2026
Cost-of-living adjusted pay~$103k in purchasing powerIllinois index 100.0 (US = 100)BEA Regional Price Parities (2024)
Nursing Leadership listings in Illinois8 active—live on WeekdayDoc, Nov 2026
All nursing leadership listings in Illinois189 active5,729 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 27% remote · 49% no call · 80% no weekends45 benchmarked listings
Sign-on & loan repaymentnot statedIllinois 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 listings148 in the last 30 days191 the 30 days before (−23%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Illinois figures use all nursing leaderships: too few Illinois Nursing Leadership postings state pay.

Top Registered Nurse Jobs

29 matches · ranked by pay

Salary Distribution

29 jobs · 24 employers
10
<$100k
7
$100k-120k
6
$120k-140k
6
$140k-160k

Annual compensation range

Benefits & Perks

21 jobs
401k / retirement match
100%
Sign-on bonus
29%
Loan repayment
10%
CME allowance
10%

Share of similar jobs offering each benefit

#1

Registered Nurse - Case Manager w/sign-on bonus - 5403

Vantage Search Group · Twentynine Palms, California

$125k-$156k
#2

Assistant Director of Nursing - Mental Health 616

Telecare · San Leandro, California

$125k-$155k
#3

Psychiatric Nurse Manager - Women's Mental Health

$150,000 a year
#4

Case Manager Registered Nurse (Remote, RN Illinois)

$67k-$143k
+ 27 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
Mosaic logo

About Mosaic

Hospitals and Health Care
Omaha, NE
1,001-5,000 employees

Living in Pontiac

Typical 3-bedroom home value
$172k≈ 1.8× annual pay
Median resident rent
$842/mo≈ 11% of gross pay
Residents’ average commute
17 min
State income tax
Up to 5%
Sources & methodology

Sources: Zillow home values (Sep 2026), U.S. Census ACS 2024 five-year.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.