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

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/Well Sky), and a commitment to doing right by our patients, families, and clinicians.

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.

• 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

• 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

• 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

• 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, Aloha Care, VA, Tri West)
• Help build and refine automated workflows - we value people who improve processes, not just follow them

• 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

• 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/Well Sky Home Health and Microsoft 365 (Teams, SharePoint)
• Experience with Hawaii payers and local referral community

• $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