Minimum 3 years of home health experience, including at least 1 year in a supervisory 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 and reliable vehicle.
Responsibilities
Oversee all patient care delivered by clinical staff.
Review and approve patient Plans of Care and physician orders.
Lead case conferences for interdisciplinary care coordination.
Serve as clinical escalation point for field staff and families.
Ensure compliance with Medicare and accreditation standards.
Lead performance improvement and quality assurance initiatives.
Recruit, train, supervise, and evaluate clinical staff.
Benefits
Paid time off and holidays.
Mileage reimbursement.
Professional development and continuing education support.
Full Job Description
Clinical Director (RN) - Medicare-Certified Home Health
Always Best Care | Kimura Home Health LLC Honolulu, Oahu, Hawaii | Full-Time | $120,000 - $140,000/year 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 with the subject line "Clinical Director"
Mahalo for your interest in joining our ohana.
Tyler Kimura, Owner Always Best Care | Kimura Home Health LLC
