Clinical Director / DON

Always Best Care Senior Services; Honolulu (HI); On-site; USD 120,000 - 140,000; Full time

Benefits offered by this job

Paid time off

Holidays

Mileage reimbursement

Professional development support

Job summary

Always Best Care in Honolulu, HI seeks a Clinical Director (RN) to lead all clinical operations for our Medicare-certified home health agency. You will own quality, compliance, and staff performance, reporting to the Administrator.

Responsibilities include overseeing care teams, coordinating plans of care, and driving performance improvement while partnering with intake, payer sources, and leadership to ensure timely starts of care.

Qualifications

• Active, unrestricted Hawaii RN license.
• Minimum 3 years 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.

Responsibilities

• 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.
• Partner with intake and referral sources to ensure timely starts of care.
• Manage clinical utilization and PDGM-related workflow improvements.

Skills

Clinical leadership

Quality & compliance

Staff management

Care coordination

Medicare CoPs knowledge

OASIS-E knowledge

PDGM knowledge

Documentation review

CPR certification

Education

Hawaii RN license

BSN or higher (preferred)

Tools

Kinnser/WellSky Home Health

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 supportAdditional benefits discussed at offer