Clinical Director / DON

Oahu; Honolulu (HI); On-site; USD 120,000 - 140,000; Full time

Benefits offered by this job

Paid time off

Mileage reimbursement

Professional development

Job summary

Always Best Care | Kimura Home Health LLC in Honolulu, HI is seeking a Clinical Director (RN) to lead clinical operations for a Medicare-certified agency. You will own quality, compliance, and clinical staff performance, reporting to the Administrator.

You will supervise nurses, therapists, HHAs, and MSWs; review plans of care, ensure coding integrity, and drive QAPI initiatives while coordinating with payers and referrals. A Hawaii RN license is required.

Qualifications

• Active, unrestricted Hawaii RN license is required.
• Minimum 3 years of home health experience with supervisory/management exposure.
• Strong knowledge of Medicare CoPs, OASIS-E, PDGM, and QAPI.
• Excellent documentation review and clinical leadership abilities.
• Valid Hawaii driver’s license, reliable vehicle, and current auto insurance.
• CPR certification is required.

Responsibilities

• Lead clinical operations for the Medicare-certified home health agency.
• Oversee all patient care and coordinate care across disciplines.
• Ensure compliance with Medicare Conditions of Participation and state licensure; lead readiness for surveys.
• Recruit, onboard, and supervise clinical staff; manage productivity and on-call coverage.
• Partner with intake/referral sources to ensure timely starts of care and PDGM optimization.

Education

BSN or higher

Leadership experience

Clinical leadership

Documentation & compliance

Medicare CoPs knowledge

OASIS knowledge

PDGM knowledge

QAPI understanding

Tools

Kinnser/WellSky

Microsoft 365 (Teams, SharePoint)

Job description

Clinical Director (RN) - Medicare-Certified Home Health

Always Best Care | Kimura Home Health LLC Honolulu, Oahu, Hawaii | Full-Time | $120,000 – $140,000/year

About Us

Always Best Care is a locally owned Oahu agency providing Medicare-certified home health (skilled nursing, PT, OT, ST, HHA, MSW) and non-medical home care to kupuna across the island. We are a small, close-knit team that runs on the aloha spirit, modern tools (Microsoft 365, Kinnser/WellSky), and a commitment to doing right by our patients, families, and clinicians.

The Role

The Clinical Director (Director of Nursing) leads all clinical operations of our Medicare-certified home health agency. You will own quality, compliance, and clinical staff performance, and serve as the primary clinical decision-maker for the agency. Reports directly to the Administrator.

What You'll Do

Clinical Leadership

• Oversee all patient care delivered by nurses, therapists, HHAs, and MSWs
• Review and approve Plans of Care, OASIS assessments, and physician orders
• Lead case conferences and ensure care coordination across disciplines
• Serve as clinical escalation point for field staff, patients, and families

Compliance & Quality

• Ensure ongoing compliance with Medicare Conditions of Participation (42 CFR 484), Hawaii DOH licensure, and accreditation standards
• Lead survey readiness and represent the agency during state/CMS/accreditation surveys
• Direct the QAPI program – track outcomes, Star Ratings, HHCAHPS, and drive performance improvement
• Oversee OASIS accuracy, timely submission (iQIES), and coding/documentation integrity
• Maintain policies, procedures, and clinical competencies

Staff Management

• Recruit, onboard, train, supervise, and evaluate clinical staff
• Conduct supervisory visits, competency checks, and annual evaluations
• Manage clinician productivity and scheduling standards
• Coordinate on-call coverage and participate in the administrative on-call rotation

Operations & Growth

• Partner with intake and referral sources (hospitals, SNFs, physicians) to ensure timely starts of care
• Manage clinical utilization, episode management, and LUPA avoidance under PDGM
• Support payer requirements (Medicare, Medicare Advantage, HMSA, AlohaCare, VA, TriWest)
• Help build and refine automated workflows – we value people who improve processes, not just follow them

What We're Looking For

Required

• Active, unrestricted Hawaii RN license
• Minimum 3 years of home health experience, including at least 1 year in a supervisory or management role
• Working knowledge of Medicare CoPs, OASIS-E, PDGM, and home health QAPI
• Strong documentation review, clinical judgment, and leadership skills
• Valid Hawaii driver's license, reliable vehicle, and current auto insurance
• CPR certification

Preferred

• BSN or higher
• Prior Clinical Director / DON / Clinical Manager experience in a Medicare-certified home health agency
• Home health survey experience (state or accreditation)
• OASIS certification (COS-C or HCS-O)
• Experience with Kinnser/WellSky Home Health and Microsoft 365 (Teams, SharePoint)
• Experience with Hawaii payers and local referral community

Compensation & Benefits

• $120,000 – $140,000 annual salary, based on experience
• Paid time off and holidays
• Mileage reimbursement
• Professional development and continuing education support
• Additional benefits discussed at offer