Director of Nursing / Clinical Director

Registered NurseFull-Time

Listed compensation

$120k-$145k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago · Verified live

Job Description

Director of Nursing / Clinical Director

Always Best Care – Honolulu, HI Pay: $120,000 – $145,000 per year Job Type: Full-time

About Us

Always Best Care is a home health and home care agency serving Oahu with the aloha spirit — treating every client like ohana. We're growing and looking for an experienced clinical leader to help guide our team to the next level.

Position Summary

The Clinical Director/Director of Patient Care Services leads the overall direction of our home health clinical services — setting and evaluating goals that meet quality standards and support our mission. This role also serves as Clinical Manager for purposes of meeting Medicare Conditions of Participation.

What You'll Do

  • Oversee all direct and indirect patient care services
  • Guide and mentor Clinical Supervisors and coordinators
  • Support patient/family assessment, planning, and care evaluation
  • Assist with budget preparation and administration
  • Monitor census and volume trends impacting staffing and revenue
  • Hire, evaluate, and manage clinical personnel
  • Conduct annual (or more frequent) clinical performance evaluations
  • Oversee clinical records compliance with local, state, and federal law
  • Manage inventory/equipment needed for patient services
  • Develop and run new-hire orientation and ongoing in-service training
  • Drive performance improvement and quality/safety initiatives
  • Develop and recommend agency policies and procedures
  • Ensure compliance with licensure, certification, and ACHC Home Care standards
  • Stay current on nursing and home health regulations/best practices
  • Promote referrals within the healthcare community
  • Step in as acting Executive Director/Administrator when needed
  • Other duties as assigned

What You Bring

  • Active RN license in Hawaii (or licensed physician)
  • Bachelor's degree in Nursing (or Medicine) from an accredited program; Master's in healthcare preferred
  • 3+ years management experience in home health or related healthcare setting
  • Proven ability to supervise and direct clinical/administrative staff
  • Strong communication skills — verbal, written, and interpersonal
  • Working knowledge of business management, government regulations, and ACHC standards
  • Comfortable representing the agency to clients, partners, and the community

Why Always Best Care

  • Competitive salary: $120,000–$145,000/year
  • Leadership role with real impact on patient care across Oahu
  • Supportive, ohana-style team culture

To schedule an interview, go to: abcoahu.com or email your resume to homehealth@abcoahu.info [homehealth@abcoahu.info]

Office: 808-207-8558

Always Best Care is an Equal Opportunity Employer.

Key Responsibilities

The Clinical Director oversees all direct and indirect patient care services while ensuring compliance with Medicare and state regulations. This role involves mentoring clinical staff, managing budgets, and driving quality improvement initiatives to support the agency's mission.

Requirements

Candidates must hold an active RN license in Hawaii and possess a Bachelor's degree in Nursing or Medicine. A minimum of 3 years of management experience in a home health or related healthcare setting is required.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Clinical leadershipStaff supervisionQuality assurancePatient care managementRegulatory complianceClinical documentationTraining and developmentInterpersonal communicationHealthcare managementStrategic planning

Ambulatory Care Nursing — Registered Nurse Career Context

Of the 49 active Ambulatory Care Nursing listings this role was benchmarked against, 27% are remote, 61% have no call, 76% require no weekends.

The cost-of-living index for Hawaii is 110.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$133k midpoint carries the purchasing power of roughly $120k in an average-cost state. 64.8% of Hawaii clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Ambulatory Care Nursing jobs are remote?
MeasureThis jobMarket
Work-life score3.0 / 10 · above average in nursing leadershipranked against 1,187 Nursing Leadership listingslisting-based score, 0–10
Listed pay$120k–$145kAmbulatory Care Nursing median $110k (middle half $96k–$130k)135 comparable listings, Oct 2026
Cost-of-living adjusted pay~$120k in purchasing powerHawaii index 110.0 (US = 100)BEA Regional Price Parities (2024)
Work settingon-sitepeers: 27% remote · 61% no call · 76% no weekends49 benchmarked listings
Ambulatory Care Nursing pay trend−1.1% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (1,187 Nursing Leadership listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Registered Nurse Jobs

25 matches · ranked by pay

Salary Distribution25 jobs · 19 employers

7
<$95k
6
$95k-115k
7
$115k-135k
4
$135k-155k
1
$165k

Annual compensation range

Benefits & Perks21 jobs · 19 employers

401k / retirement match
100%
Sign-on bonus
24%
CME allowance
14%
Loan repayment
5%

Share of similar jobs offering each benefit

#1

Director of Nursing DON - Acute Inpatient Mental Health 264

Telecare · Shelton, Washington

$144k-$165k
#2

Assistant Director of Nursing - Mental Health 616

Telecare · San Leandro, California

$125k-$155k
#3

Asst. Director of Nursing - Ambulatory Care - Newkirk Avenue

$136,708 - $150,000
#4

Psychiatric Nurse Manager - Women's Mental Health

$150k
+ 23 more · ranked by pay

Work-life snapshot

median 1.5this job 3.0
Better work-life than 60% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

Living in Honolulu

Typical 3-bedroom home value
$1.20M≈ 10.0× annual pay
Typical market rent
$2,733/mo≈ 27% of gross pay
Metro price indexU.S. average = 100
111.0
State income tax
Up to 11%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026).

BEA 2024 · Urban Honolulu, HI metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.