Clinical Director DON

Always Best Care Kimura Home Health LLC Honolulu Oahu Hawaii Full-Time $120000 $140000/year

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.

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

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 drivers 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

• $120000 $140000 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@ with the subject line Clinical Director

Mahalo for your interest in joining our ohana.

Tyler Kimura Owner Always Best Care Kimura Home Health LLC