What are the responsibilities and job description for the Clinical Director Designee (Alt DON( position at Always Best Care Senior Services?
Clinical Director Designee (RN) - Home Health | Oahu
$125,000 ANNUALLY
Lead clinicians. Support great care. Step into clinical leadership when needed.
Always Best Care is 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.
💙 Why Join Our Team?
$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
💼 What You’ll Do
Clinical Leadership & Staff Support
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
Patient Care Oversight
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
Documentation & Compliance
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
Quality Improvement & Clinical Operations
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
⭐ Additional Role: 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 responsibilities during the Clinical Director's absence
Provide clinical leadership and decision-making for day-to-day patient-care matters
Serve as the escalation point for urgent clinical issues
Support clinical staffing decisions and continuity of patient care
Provide guidance to clinical staff regarding patient-care and documentation concerns
Help ensure clinical operations continue in accordance with agency policies and applicable regulatory requirements
Communicate significant clinical, compliance, staffing, or patient-safety concerns to the Administrator and/or Clinical Director as appropriate
Exercise only those responsibilities that are within the RN's scope of practice and have been formally delegated by the agency
The designee function does not replace the Clinical Director position. The employee normally performs the Clinical Supervisor-level responsibilities described above and assumes designated Clinical Director responsibilities when coverage is required.
✅ Qualifications
Current Hawaii Registered Nurse (RN) license
Graduate of an accredited nursing program
Current CPR certification
Minimum 1 Year Of Home Health Experience Required
Supervisory or clinical leadership experience preferred
Strong knowledge of home health clinical operations and Medicare requirements
OASIS experience
Strong clinical judgment and decision-making skills
Strong communication and leadership abilities
Ability to supervise, coach, and mentor clinical staff
Ability to prioritize competing clinical and operational responsibilities
Ambulatory Care Experience Preferred
🚗 Hands-On Clinical Leadership
This is an active clinical leadership position, not an exclusively administrative role.
Candidates must have:
Valid driver's license
Reliable, insured vehicle
Ability to travel throughout Oahu
Ability and willingness to perform patient visits
Ability to provide clinical and field coverage when needed
Ability to respond to clinical issues and communicate appropriately after normal business hours when necessary
Ready for Your Next Step in Home Health Leadership?
If you're an experienced home health RN who enjoys supporting clinicians, solving clinical challenges, improving patient care, and developing into a higher level of clinical leadership, we'd love to meet you.
Apply today and help us continue building an exceptional home health team serving Oahu.
📍 Oahu, Hawaii
$125,000 ANNUALLY
Lead clinicians. Support great care. Step into clinical leadership when needed.
Always Best Care is 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.
💙 Why Join Our Team?
$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
💼 What You’ll Do
Clinical Leadership & Staff Support
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
Patient Care Oversight
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
Documentation & Compliance
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
Quality Improvement & Clinical Operations
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
⭐ Additional Role: 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 responsibilities during the Clinical Director's absence
Provide clinical leadership and decision-making for day-to-day patient-care matters
Serve as the escalation point for urgent clinical issues
Support clinical staffing decisions and continuity of patient care
Provide guidance to clinical staff regarding patient-care and documentation concerns
Help ensure clinical operations continue in accordance with agency policies and applicable regulatory requirements
Communicate significant clinical, compliance, staffing, or patient-safety concerns to the Administrator and/or Clinical Director as appropriate
Exercise only those responsibilities that are within the RN's scope of practice and have been formally delegated by the agency
The designee function does not replace the Clinical Director position. The employee normally performs the Clinical Supervisor-level responsibilities described above and assumes designated Clinical Director responsibilities when coverage is required.
✅ Qualifications
Current Hawaii Registered Nurse (RN) license
Graduate of an accredited nursing program
Current CPR certification
Minimum 1 Year Of Home Health Experience Required
Supervisory or clinical leadership experience preferred
Strong knowledge of home health clinical operations and Medicare requirements
OASIS experience
Strong clinical judgment and decision-making skills
Strong communication and leadership abilities
Ability to supervise, coach, and mentor clinical staff
Ability to prioritize competing clinical and operational responsibilities
Ambulatory Care Experience Preferred
🚗 Hands-On Clinical Leadership
This is an active clinical leadership position, not an exclusively administrative role.
Candidates must have:
Valid driver's license
Reliable, insured vehicle
Ability to travel throughout Oahu
Ability and willingness to perform patient visits
Ability to provide clinical and field coverage when needed
Ability to respond to clinical issues and communicate appropriately after normal business hours when necessary
Ready for Your Next Step in Home Health Leadership?
If you're an experienced home health RN who enjoys supporting clinicians, solving clinical challenges, improving patient care, and developing into a higher level of clinical leadership, we'd love to meet you.
Apply today and help us continue building an exceptional home health team serving Oahu.
📍 Oahu, Hawaii
Salary : $125,000