Director of Nursing (RN) - Home Health and Home Care
About The Position
BrightStar Care of Honolulu is seeking a Director of Nursing (RN) to lead clinical care for clients across Oahu, encompassing personal care through skilled nursing. This role offers clinical authority, allowing the Director to stop unsafe tasks, restrict staff from certain skills, require retraining, and hold the start of care until clinically ready, with operations not overriding clinical safety decisions. The position involves working directly with a small clinical department, performing assessments, supervisory visits, and skilled visits when needed, with the goal of building a department where hands-on time is a deliberate decision rather than the default. The Director reports to the COO, with weekly one-on-ones, access to performance data, and timely decision-making on escalations. They will also have a seat on the leadership team, contributing to decisions on client intake, growth of skilled services, and team expansion. The role involves improving existing systems for visit tracking and documentation, with an initial focus on listening and learning before implementing changes.
Requirements
- Unrestricted Hawaii RN license and current BLS/CPR.
- Three or more years of nursing leadership, clinical management, or supervisory experience, including direct accountability for staff performance.
- Experience with a Joint Commission or state survey.
- Current clinical skills and willingness to work in the field alongside the team.
- Ability to earn trust before using authority and treating all staff with respect.
- Experience building or fixing a clinical system, with the ability to explain the process.
- Experience dealing directly with a performance problem and its resolution.
- Reliable transportation and auto insurance.
Nice To Haves
- BSN preferred.
- Home health, home care, or hospice experience preferred.
Responsibilities
- Own assessments, plans of care, orders, and supervisory visits, ensuring they are current and scheduled two weeks ahead.
- Manage changes in condition, ensuring urgent concerns are acted on immediately and routine alerts are reviewed by a nurse within 24 hours.
- Provide clear expectations, coaching, checked work, and direct performance feedback to nurses.
- Oversee caregiver training and skills validation.
- Investigate incidents and complaints promptly and follow through until the fix is sustainable.
- Ensure Joint Commission readiness year-round, including chart audits and quarterly quality meetings.
- Manage the clinical on-call roster.
- Perform direct clinical work when necessary.
Benefits
- $100,000 per year
- 100% employer-paid medical, prescription, dental, and vision for eligible employees
- 401(k) match
- Paid time off
- Free continuing education
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What This Job Offers
Job Type
Full-time
Career Level
Manager
