Director of Nursing / Clinical Director
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.
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
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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 3.0 / 10 · above average in nursing leadership | ranked against 1,187 Nursing Leadership listingslisting-based score, 0–10 |
| Listed pay | $120k–$145k | Ambulatory Care Nursing median $110k (middle half $96k–$130k)135 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$120k in purchasing power | Hawaii index 110.0 (US = 100)BEA Regional Price Parities (2024) |
| Work setting | on-site | peers: 27% remote · 61% no call · 76% no weekends49 benchmarked listings |
| Ambulatory Care Nursing pay trend | −1.1% vs prior quarter | —through Sep 2026 |
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