Clinical Director / DON
About The Position
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 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.
Requirements
- 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
Nice To Haves
- 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
Responsibilities
- 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
Benefits
- Paid time off and holidays
- Mileage reimbursement
- Professional development and continuing education support
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What This Job Offers
Job Type
Full-time
Career Level
Manager
