Director of Nursing (RN) - Private Duty Home Care and Home Health

Director of Nursing (RN): Private Duty Home Care and Home Health

Kamaʻāina owned. Joint Commission accredited. Serving Oʻahu since 2010.

Lead the clinical department. Make a difference you can see.

BrightStar Care of Honolulu is hiring a Director of Nursing to lead clinical care for our clients across Oʻahu, from personal care through skilled nursing and infusion.

We’re a boutique private-duty agency focused on quality, without the size of a hospital system or the paperwork of Medicare-certified home health. That means no OASIS assessments or Medicare home health billing requirements.

You will know every nurse and every complex case by name, with direct access to leadership and the authority to act. You’ll see how your decisions affect the care a client receives, the confidence a family feels, and the growth of a nurse you’ve mentored.

We are looking for a leader who earns the trust of a team, brings out the best in people, and takes pride in following through. Over time, you will shape and grow the clinical team.

Experienced director looking for a different kind of leadership role? Or ready to become one?

Maybe you’ve spent years leading clinical teams and want to get back to the parts of nursing leadership you find most rewarding. Or maybe you’re an experienced RN supervisor, clinical manager, or assistant director who’s ready for your first director role.

We’d like to meet you either way. What matters most is your clinical judgment, how you lead people, and your ability to make a team better.

What Makes This Role Special

• Your clinical judgment is trusted. You guide when a client is ready to start care, when a caregiver is ready for a skill, and what safe care looks like in each home. We talk through decisions together, and when you raise a safety concern, leadership listens and supports you.
• A department to shape. You start with a strong clinical resource nurse and experienced field nurses. You will assess what the department needs, develop the people in it, and build our per diem (PRN) nursing pool so we can serve more clients well.
• Support from the top. You report to the COO, with a weekly one-on-one, full access to the information you need, and timely decisions when you bring something forward.
• A seat on the leadership team. You help shape which clients we serve, how we grow skilled services, including pediatric home health, and how the department grows with them.
• An opportunity to improve. Families trust the care we give. We are investing in stronger systems for tracking visits and documentation, and we want a leader to shape them. Your first weeks are for listening, shadowing, and getting to know our people and clients.

What You Will Lead

• Assessments, plans of care, orders, and supervisory visits, kept current and scheduled two weeks ahead
• Changes in condition: urgent concerns acted on immediately, and every routine alert reviewed by a nurse within 24 hours
• Your nurses: clear expectations, regular coaching, and honest feedback that helps them grow
• Developing your clinical team and growing our PRN nurse pool
• Caregiver training and skills validation
• Incidents and complaints, followed through until the solution holds
• Joint Commission readiness all year, including chart audits and quarterly quality meetings
• The clinical on-call roster
• Direct clinical care, assessments, and field support as needed, while keeping your primary focus on leading and developing the clinical department

What Success Looks Like

• Clients receive safe, excellent care, on time
• We stay fully compliant with Joint Commission, state, and BrightStar standards, and ready for a survey on any day
• Nurses and caregivers feel prepared, supported, and proud of their work
• Lessons from problems turn into lasting improvements
• Leadership always has a clear picture of how clinical care is going

What You Must Have

• Unrestricted Hawaiʻi RN license and current BLS
• You live in Hawaiʻi. Relocation is not offered.
• At least three years of RN clinical experience, plus demonstrated experience leading clinical staff and managing performance
• Current clinical skills and a willingness to work in the field alongside your team
• Reliable transportation and auto insurance

What We Look For

• You build trust first, and you treat caregivers, nurses, and office staff with the same respect
• You document like a professional, organize like an operator, and care like it’s your own family
• You have built or improved a clinical system, and you can walk us through it
• You have helped a team member grow, and made a hard call when it was needed

Nice to Have

• BSN
• Home health, home care, or hospice experience
• Joint Commission or state survey experience

If you don’t have every nice-to-have, apply anyway. We hire for judgment, leadership, and heart.

The Details

• Salary: $110,000 to $120,000 per year, depending on experience
• Schedule: Full-time, primarily on-site with some flexibility
• On-call: Shared clinical on-call rotation for after-hours questions
• Health benefits: 100% employer-paid medical, prescription, dental, and vision for eligible employees
• Additional benefits: 401(k) match, paid time off, and free continuing education

To Apply

Send your resume. We’d also love to hear about a clinical system you’ve built or improved, what changed because of it, and who helped you do it. We read every one.

Our Hokuʻalohi Promise

“We promise to provide the kind of care we would want for our own loved ones; to be compassionate, empathetic, patient and kind, while providing reliable, trustworthy, and top-notch, professional care at home.”