REGIONAL DIRECTOR OF THERAPY SERVICESPOSITION SUMMARYThe Regional Director of Therapy Services (RDOT) is an exempt leadership position employed by Cambridge Healthcare Services and responsible for the regional oversight, performance optimization, and continuous improvement of rehabilitation services across assigned Cambridge-affiliated skilled nursing facilities.
The primary and most significant duties of this role include the exercise of independent clinical and operational judgment; strategic oversight of therapy performance; analysis of financial, clinical, and compliance data; and the consultation, mentoring, and performance oversight of facility-based Directors of Rehabilitation (DORs).
The RDOT serves as a regional consultant and provides dotted-line oversight to Directors of Rehabilitation within assigned facilities. While this position does not hold direct hire or termination authority over facility-based therapy staff, all therapy performance expectations including clinical quality, regulatory compliance, staffing effectiveness, financial stewardship, documentation integrity, and ethical practice fall within the RDOT's scope of responsibility.
This position requires advanced knowledge in a recognized healthcare profession, customarily acquired through prolonged specialized instruction and state licensure, combined with operational leadership expertise. The RDOT's role is fundamentally administrative and professional in nature and centers on the consistent exercise of discretion and independent judgment in matters of significance affecting multiple facilities.
ESSENTIAL DUTIES AND RESPONSIBILITIESRegional Clinical and Operational OversightProvide regional consultation and oversight to Directors of Rehabilitation to ensure delivery of high-quality, compliant, and financially responsible rehabilitation services.
Monitor and evaluate facility-level and aggregate regional performance in the areas of:
- Clinical quality and outcomes
- Medical necessity and appropriateness of services
- Documentation timeliness and accuracy
- Regulatory compliance and survey readiness
- Revenue performance relative to budget
- Cost per treatment minute and labor efficiency
- Staff retention and workforce stability
Analyze therapy dashboards, financial reports, and clinical outcome data to identify trends, risks, and opportunities for improvement.
Guide DORs in establishing corrective action plans when performance expectations are not met.
Ensure therapy operations align with CMS regulations, state requirements, payer guidelines, and company policies.
These duties constitute the most significant and primary functions of the position and require advanced knowledge, operational expertise, and consistent independent judgment consistent with an exempt leadership role.
Leadership and Performance AccountabilityProvide dotted-line oversight and professional guidance to Directors of Rehabilitation across assigned facilities.
Establish clear expectations for therapy performance and operational standards.
Conduct routine regional meetings to review key performance indicators, regulatory updates, and operational priorities.
Provide coaching, mentorship, and performance feedback to DORs to support professional growth and accountability.
Collaborate with facility Administrators and regional operational leaders to align therapy strategy with overall facility objectives.
Provide performance input and recommendations to the Vice President of Ancillary Services and facility leadership regarding DOR effectiveness and departmental performance.
Compliance and Quality AssuranceEnsure rehabilitation services across assigned facilities maintain compliance with all federal, state, and local regulations.
Monitor documentation practices to ensure services reflect medical necessity, accurate coding, proper authentication, and timeliness.
Support audit preparedness and mitigate regulatory and reimbursement risk.
Ensure completion of required screenings, evaluations, and compliance processes in accordance with company standards.
Participate in survey processes and serve as a regional subject-matter expert for therapy services when required.
Operational and Resource ManagementPromote efficient and appropriate use of therapy staffing and resources across facilities.
Guide DORs in aligning staffing levels with census, acuity, and budget expectations.
Identify operational efficiencies while maintaining clinical quality and regulatory compliance.
Support implementation and optimization of therapy systems, dashboards, and electronic medical record platforms.
Participate in annual planning, budget development, and strategic initiatives related to therapy services.
Culture and Professional DevelopmentFoster a culture of accountability, collaboration, and continuous improvement.
Encourage retention strategies and workforce stability within therapy departments.
Identify leadership development opportunities for DORs and emerging therapy leaders.
Model professionalism, calm leadership, responsiveness, and solution-oriented communication.
QUALIFICATIONSCurrent state licensure as a Physical Therapist, Occupational Therapist, Occupational Therapy Assistant, or Speech-Language Pathologist, as required by regulation.
Minimum of five (5) years of progressive clinical experience in a skilled nursing facility or comparable healthcare setting.
Minimum of two (2) years demonstrated leadership experience, preferably in a Director of Rehabilitation or multi-site capacity.
Strong understanding of Managed Care, Medicare Part A, and Part B therapy regulations, reimbursement methodologies, and compliance standards.
Proven ability to analyze clinical and financial performance data.
Strong communication, leadership, and interpersonal skills.
Ability to travel to assigned facilities as required.
WORKING CONDITIONSFrequent travel to affiliated facilities.
Regular interaction with administrators, clinical staff, corporate leadership, and regulatory agencies.
May be required to work beyond scheduled hours.
Subject to interruptions and shifting priorities.
May be exposed to clinical environments including infectious diseases, disinfectants, and healthcare-related hazards.
PHYSICAL REQUIREMENTSAbility to move intermittently throughout facilities and corporate offices.
Ability to sit for extended periods while reviewing reports and electronic data.
Ability to lift to 25 pounds; lifting greater weight requires assistance.
CLASSIFICATION STATEMENTThis position is classified as exempt under the Fair Labor Standards Act (FLSA).
The Regional Director of Therapy Services qualifies for exemption under both the learned professional and administrative exemptions. The primary duties require advanced knowledge in a field of science or learning customarily acquired through prolonged specialized intellectual instruction and state licensure. In addition, the role includes the performance of office or non-manual work directly related to management or general business operations and requires the consistent exercise of discretion and independent judgment with respect to matters of significance affecting multiple facilities and substantial financial and regulatory interests.
