What are the responsibilities and job description for the Clinical Director / DON position at Always Best Care Senior Services?
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
Required
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
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
- 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, AlohaCare, VA, TriWest)
- Help build and refine automated workflows - we value people who improve processes, not just follow them
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
- 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
- $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
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
Salary : $120,000 - $140,000