Clinical Director / DON

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 MSWsReview 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 PDGMSupport 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 QAPIStrong documentation review, clinical judgment, and leadership skills Valid Hawaii driver's license, reliable vehicle, and current auto insuranceCPR certification PreferredBSN 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