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

• 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

What We're Looking For

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

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

Compensation & Benefits

• $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

How to Apply

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