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Clinical Director / DON

Always Best CareHonolulu, HI

$120,000 - $140,000 / year

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Overview

Schedule
Alternate-schedule
Full-time
Education
Nursing (RN, LPN)
Career level
Executive
Remote
On-site
Compensation
$120,000-$140,000/year
Benefits
Paid Holidays
Paid Vacation
Career Development

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

How to Apply

Send your resume and a short cover letter to homehealth@abcoahu.info with the subject line "Clinical Director"

Mahalo for your interest in joining our ohana.

Tyler Kimura, Owner Always Best Care | Kimura Home Health LLC

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FAQs About Clinical Director / DON Jobs at Always Best Care

What is the work location for this position at Always Best Care?
This job at Always Best Care is located in Honolulu, HI, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Always Best Care?
Candidates can expect a pay range of $120,000 and $140,000 per year.
What employment applies to this position at Always Best Care?
Always Best Care lists this position under the following employment categories:
  • Alternate-schedule
  • Full-time
What experience level is required for this role at Always Best Care?
Always Best Care is looking for a candidate with "Executive" experience level.
What education level is required for this job?
The education requirement for this position is Nursing (RN, LPN). Candidates with relevant qualifications or equivalent experience may also be considered.
What benefits are offered by Always Best Care for this role?
Always Best Care offers following benefits: Paid Holidays, Paid Vacation, Career Development, and Tuition/Education Assistance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Always Best Care?
You can apply for this role at Always Best Care either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.