Clinical Director Designee; Alt DON
Listed on 2026-09-21
-
Nursing
Director of Nursing, Clinical Nurse Specialist, RN Nurse, Nurse Educator
Clinical Director Designee (RN) – Home Health | Oahu $125,000 ANNUALLY
Lead clinicians. Support great care. Step into clinical leadership when needed.
Always Best Careis seeking an experienced Registered Nurse (RN) to join our clinical leadership team as a Clinical Director Designee
.
This position combines the hands-on responsibilities of a Clinical Supervisor with an important additional leadership responsibility:
serving as the designated backup to the Clinical Director when the Clinical Director is unavailable.
You’ll work closely with the Clinical Director to support our clinicians, oversee patient care, strengthen clinical operations, and maintain high standards for quality and compliance.
This is not strictly a desk position
. The Clinical Director Designee remains actively involved in patient care, supervisory visits, clinical problem-solving, and field coverage when needed.
$125,000 annual salary
Key clinical leadership position within a growing home health agency
Work directly with and support the Clinical Director
Opportunity to develop experience in higher-level clinical operations and leadership
Mentor and support RNs, LPNs, therapists, and home health aides
Remain connected to patients and field clinicians
Help shape clinical processes, quality, compliance, and patient outcomes
Join a locally operated agency serving patients throughout Oahu
Supervise, mentor, and support clinical staff
Serve as a clinical resource for RNs, LPNs, therapists, and home health aides
Provide clinical guidance and help resolve patient-care concerns
Assist with staff orientation, training, competencies, and ongoing development
Conduct supervisory visits and competency evaluations
Promote accountability, communication, and high standards of patient care
Review patient assessments and plans of care
Ensure services are delivered according to provider orders and the established plan of care
Assist with complex, high-risk, or changing patient situations
Coordinate with physicians, providers, facilities, and interdisciplinary team members as appropriate
Perform patient visits, including SOCs, ROCs, recertifications, supervisory visits, skilled nursing visits, and other clinical visits as needed
Provide field coverage when necessary to maintain continuity of care
Review OASIS and other clinical documentation for accuracy, completeness, and timeliness
Help ensure documentation supports medical necessity and skilled need
Monitor compliance with Medicare requirements, agency policies, and applicable regulatory standards
Identify documentation or clinical deficiencies and assist staff with corrections and education
Collaborate with QA staff on audits, trends, corrective actions, and performance improvement
Participate in QAPI and performance improvement initiatives
Identify clinical trends and opportunities for improvement
Assist with implementation of corrective actions and process improvements
Support staffing coordination and continuity of care
Help ensure timely completion of clinical documentation, orders, assessments, and required follow-up
Support communication between field clinicians, clinical leadership, intake, scheduling, and operations
Participate in on-call responsibilities and provide appropriate after-hours clinical availability as needed
Clinical Director Designee
In addition to the responsibilities above, the Clinical Director Designee serves as the agency's designated clinical leadership backup when the Clinical Director is unavailable
.
When functioning in the designee capacity, responsibilities may include:
Assume delegated Clinical Director…
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