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Director of Health Care Services (RN required)

Job Details

100 - Concord, MA
Full Time
Graduate Degree
$107,000.00 - $117,000.00 Salary/year


The Guild utilizes the collaborative efforts of leading professionals, best-practice approaches, tailored curricula and unmatched care to treat the individuals we serve.

Mission: The mission of The Guild for Human Services is to educate, encourage and empower individuals with intellectual disabilities so they may achieve their full potential to lead high-quality lives and participate meaningfully in the community.

At The Guild you can join a workforce of creative, dedicated, and passionate employees working every day to enhance the lives of youth and adults with intellectual disabilities and other challenges.

Schedule: Full time, flexible schedule to include evening/weekend hours as needed.

Supervises: School Nursing Coordinator, Adult Nurse Case Managers and Dietician


Provide overall management of the health care services for individuals supported by The Guild for Human Services in the residential and day school programs and the adult residential program

Primary Job Responsibilities:

  • Develop a structure in the health services department to meet the requirements and regulations of all stakeholders including DEEC, DESE, DDS, DCF, MCB and DPH
  • Ensure high quality health services are provided to residential and day students
  • Ensure high quality health services are provided to individuals supported in the adult residential program
  • Lead the implementation of the DPH regulated medication delegation program in the under 22 residences
  • Lead the implementation of the DPH MAP (Medication Administration Program) in the adult homes
  • Coordinate the on-site dental clinic to meet the needs of students
  • Oversee dietician services and support the food service department in meeting the nutritional needs of students and staff.
  • Develop and oversee the implementation of all necessary tracking forms related to health care issues including body checks, food logs, seizure records and bowel monitoring sheets
  • Serve as part of the leadership/risk team to ensure the provision of quality adult residential services at The Guild
  • Ensure health care plans are completed for individuals served in the school and adult residential programs
  • Ensure all IEP and ISP documentation is completed by the appropriate nurse case manager
  • Ensure all specialized health needs are addressed and documentation completed as required based on strong clinical practice and DESE, DEEC and/or DDS regulation including seizure protocols, supportive and protective device forms, medication treatment plans and assistive device forms
  • Ensure all staff are trained on specific health care issues and needs of all students and individuals supported
  • Monitor nurse case managers to ensure completion of routine nursing duties: lab draws, medication changeover, ordering of medication and supplies, vital sign and weight monitoring, assist and follow-up on PCP and psychiatrist visits, etc.
  • Oversee the nursing on-call system
  • Ensure comprehensive preservice training in the area of health care is provided for all new agency staff and comprehensive annual health care training is provided for all staff
  • Monitor to ensure completion and quality of nursing documentation of all health-related issues and parental contacts for the residential and day school programs
  • Ensure that health services staff communicate clearly with all school day/residential staff and adult residential staff on individuals’ health care issues
  • Ensuring nursing support is provided for all on-site student medical services including primary care, psychiatry and dental
  • Ensure that nursing obtains consent for all medication changes for students in the residential school program
  • Work in collaboration with senior Guild leadership, medical and clinical staff to ensure effective communication with families, hospital staff and medical providers when a student or individual is hospitalized (either in an emergency room or inpatient setting)
  • Serve as a member of Internal Abuse Investigation Committee (IAIC)
  • Other duties as assigned by the Chief Program Officer


  • Licensed Registered Nurse who has a minimum of a Master’s degree. Preference for additional training/certification specific to nursing practice including CDDN (Certified Developmental Disabilities Nurse)
  • Ten (10) years of experience with individuals who have mental health diagnoses and/or developmental disabilities with a minimum of two plus year supervisory experience
  • Eligibility for licensure as a Registered Nurse in the Commonwealth of Massachusetts
  • Preferred candidate is a registered nurse authorized to provide medication administration training (MAP) having completed and is current in all requirements as required by the Massachusetts Department of Public Health and Department of Developmental Services
  • A high degree of effective oral and written communications skills in English
  • Must be able to organize, plan, and prioritize activities with specific attention to higher level strategies while ensuring that details are also effectively addressed
  • Knowledge of Massachusetts regulatory standards is required with preferred experience in regulatory compliance with standards from Department of Public Health (DPH), Department of Early Education and Care (DEEC), Department of Developmental Disabilities (DDS), Department of Children and Families (DCF), and Department of Elementary and Secondary Education (DESE)
  • Must be able to implement crisis intervention techniques as necessary, including Nonviolent Crisis Intervention (via certification through CPI) and working with Mobile Crisis Team
  • Excellent organization and time management skills.
  • Reliable transportation to 18+ locations in Massachusetts
  • Physical and mental capacity to work in stressful situations and de-escalate individuals who have limited cognition and complex needs
  • Proficiency in Microsoft Office Suite
  • Excellent health benefits-medical, dental, vision. We believe our benefits package is one of the most competitive.
  • Employer contribution to retirement plan after 2 years of employment
  • Generous paid time off
  • Collaborative work environment that values new insight and personal contributions
  • Opportunities for professional development and growth

Why Should You Apply: As a member of our team, you will be surrounded by an exceptional group of talented staff that is transforming the lives of the people we serve every day.  Staff members at The Guild are passionate about their work and appreciate the opportunity to make a real difference in the lives of the individuals we serve.