Lead health care where relationships still matter. The Guild for Human Services is seeking an accomplished nurse leader to serve as our Chief Health Services Officer, leading an integrated health services system for approximately 180 children and adults with intellectual and developmental disabilities, autism, and complex medical and behavioral health needs. This is not a traditional nursing executive position. Our size allows our Chief Health Services Officer to operate at the executive level while still knowing the people behind the care. You will have the opportunity to build long-term relationships with individuals, families, nurses, physicians, psychiatrists, pharmacists, and other providers. Many of the people we support are with The Guild for years, allowing our health team to understand their histories, recognize subtle changes in their health, and coordinate care across providers and over time. For a nurse leader who believes that exceptional health care begins with knowing the person, this is a rare opportunity. The Opportunity Reporting directly to the CEO and serving as a member of the Executive Leadership Team, the Chief Health Services Officer provides organization-wide leadership for nursing, medical, psychiatric, medication administration, nutrition, dental, and related health services. You will lead a strong interdisciplinary health services team that includes school and residential nurses, nurse case managers, a psychiatric nurse practitioner, dietitian, Medical Director, psychiatrist, pharmacy partners, dental providers, and other community specialists. The CHSO will have the opportunity to shape how health care is delivered across The Guild, developing systems that provide excellent clinical care while supporting something equally important: the autonomy, dignity, safety, and quality of life of the people we serve. What You'll Lead Nursing and health services across The Guild's educational, youth residential, and adult residential programs. The organization's Massachusetts Medication Administration Program (MAP) and medication safety systems. Coordination of primary, specialty, psychiatric, dental, nutrition, pharmacy, and other health services. Individualized health planning and care coordination for people with complex and often highly specialized needs. Clinical quality, patient safety, health-related risk management, and performance improvement. Health-services compliance with Massachusetts DPH, DDS, DESE, DEEC, DCF, MAP, contractual, and CARF requirements. Recruitment, development, and mentorship of nursing and Health Services professionals. Continued development of innovative approaches to improving access, continuity, and quality of care. Why This Role Is Different You can know the people you serve. With approximately 180 individuals across the organization, this is health-care leadership at a human scale. Relationships are central to the work. Our population benefits from providers who know them well. You will help build and sustain long-term partnerships among individuals, families, nurses, physicians, specialists, and community providers. The clinical work is meaningful and complex. The people we serve may have intellectual and developmental disabilities, autism, behavioral health conditions, communication differences, and significant medical needs. Excellent care requires curiosity, judgment, collaboration, and an ability to see the whole person. You will have a seat at the table. This is a true executive role reporting to the CEO. Health Services is an organization-wide function, and the CHSO will help shape strategy, operations, quality, risk management, and the future of care at The Guild. You can build, not simply maintain . We are looking for a leader who wants to strengthen systems, develop people, expand partnerships, and think creatively about how health care can better support people with disabilities throughout their lives. Who We're Looking For We are looking for an experienced nurse leader who combines strong clinical judgment with warmth, curiosity, and an ability to build trusted relationships. The successful candidate will be a Massachusetts-licensed Registered Nurse with a master's degree or higher and significant progressive leadership experience. Experience in intellectual and developmental disabilities, complex care, residential services, special education, behavioral health, MAP, or Massachusetts human-services systems is highly valued. Just as important, we are looking for someone who still cares deeply about the people behind the systems they lead: a nurse executive who wants to know the individuals receiving care, support the professionals providing it, and build a health-services system in which excellent care and meaningful relationships reinforce one another. If you have reached the point in your nursing career where you are ready to lead at the executive level but do not want to lose your connection to patients, families, and clinical care, The Guild may be the place for you. The Guild offers : 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