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 [email protected] with the subject line "Clinical Director" Mahalo for your interest in joining our ohana. Tyler Kimura, Owner Always Best Care | Kimura Home Health LLC