Clinical Director / DON

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 How to Apply Send your resume and a short cover letter to [email protected] with the subject line "Clinical Director" Mahalo for your interest in joining our ohana. Tyler Kimura, Owner Always Best Care | Kimura Home Health LLC