Director District Operations (Physical Therapist)

Job Overview & Responsibilities

Summary

The Director of District Operations serves as a lead for up to eight (8) points of service in a geographic region. Develop and manage highly functioning clinics that consistently deliver the best in patient care and customer service. Supports the strategic direction set by the Regional Vice President with strategic regional management of all points of service and personnel. Serves as a clinical expert resource to clinics regarding patient needs and clinical oversight. Facilitates

implementation of company initiatives and changes in policy/regulations/processes/procedures. Will provide accurate and timely communication to RVP and relevant leadership of PT Solutions concerning business operations, employeeperformance and development direction. Ensures an  active pipeline of new therapists and potential leaders is maintained through planned and unplanned recruiting activities. Serves as mentor and/or instructor to clinic leaders, developing

therapists, and students. Ensures compliance of all points of service with federal, state, and local therapy practice guidelines. Responsible for regular review of mock JCAHO survey audits where applicable. Oversees weekly reporting from Clinic Managers and Senior Clinic Managers. Supervises the implementation of PT Solutions’ business direction and business practices daily. Time dedicated to patient care will be required and used as a tool to further train and develop others or

reduce barriers to patient care where they exist. As a clinician, facilitate and manage patient care duties following the guidelines established by practice act, licensing board, and under direction of and referral by physician in respective state.

To oversee and provide, where qualifications exist, quality patient care according to practice standards of American Physical Therapy Association appropriate to age and disability related to limitation in function. To document and perform charge related functions. To be responsible for acting as a representative of profession, PT Solutions, and person in positive outlook. To market patient care services to community, physicians, other referral sources. To oversee patient care and clinic billing practices.

Essential Functions

Operational Precision and Standardization

• Create and implement actions plans impacting district engagement, environment, and staff performance.

• Responsible for prioritizing an effective use of time and scheduling in clinic presence and patient care.

• Responsible for structured treatment time with a minimum expectation of 36 visits per week

• Spend 50% of time in district clinics and maintain meaningful presence in the clinic when interacting with staff and

  patients. This time is not intended as time to multitask (meetings in treatment room, etc.). It is to focus on clinic

  engagement/culture health, observation and coaching on customer service standards, develop personal relationship

  development with all staff and to demonstrate quality care & side by side coaching.

• Responsible for financial performance of district and inform creation of district budget.

• Act as a hiring manager for all open clinical positions. This includes interviewing, final decisions and compensation

  packages. Educate and involve SCM when appropriate.

• Provide coaching to CM-I and CM-II team throughout the district on: productivity performance, quality care best practices, physician relationships and people management.

• Identify talent to sustain practice success.

• Accountable for physician relations and marketing in district.
• Participate in regional/national recruiting and educational events. 
• Perform monthly 1:1s with all CMs and SCMs and quarterly skip level 1:1s 
• Responsible for cross clinic PTO management. 
• Accountable for all employee engagement events including quarterly town halls. 
• Responsible for community engagement events by planning with sales team, sourcing opportunities, budgeting for events and encouraging staff participation by establishing the “why” and the marketing request form submission.
• Responsible for regular meeting cadence with front office leadership, TA Team, Director of Sales, Rev Cycle, Student/University Team, Regional Leadership and other applicable departments. 
• Responsible for facility maintenance for all clinics within district.
• See patients for evaluation or follow up where access to care limitation exists. 
• Participates in Regional Operational Review calls with RVP. 
• Host Operational Review calls with District Clinic Managers. 
• Accountable for educating region on best billing practices. 
• Attend 2 CEU courses annually and encourage staff participation. 
• Responsible for responding to clinic review. 
• Responsible for student program feedback and information gathering. 
• Accountable for making sure that Clinical Practice Map expectations are communicated with clinicians within district and hold accountability for utilization. 
• Monitor financial performance of every clinic regularly by: Analyzing financial provided by finance team, establishing action plans, relaying action plans and coaching clinic leaders to execute, understand EBITDA calculations, manage labor expense, support education of clinic leaders and incentive approvals. 
• Participate in developing budget annually. 
• Track regional FOTO performance (quality and patient satisfaction) monthly. Will participate in CEU course strategy based on FOTO performance data and in side-by-side mentoring/coaching of staff struggling or matching high performers with mentees for side-by-side opportunities. 
• Responsible for making sure KPI’s are met within all clinics in their districts

Qualifications & Pay Range

Required Skills & Abilities

• Strong attention to detail
• Ability to build referral sources.
• Comfortable with conflict

Required Credentials

• Graduate of approved Program of Physical Therapy by APTA and CAPTE or related field of study

• 5+ years of progressive therapy practice experience, with at least 5 years in a management role.

• Previous experience in facility or health care management or business school related training.

• Licensure appropriate to governing body of state licensing board.

• Current American Heart Association BLS certification required.

• No previous or current sanctions by federal payors (CMS, Federal Blue Cross, Blue Shield, Champus/Tricare) or other payors inclusive of state workers compensation system.

Compensation & Bonus Structure 

• Base Salary: $100,000 - $125,000/year (based on experience and market factors) 
• Sign-On Bonus: Up to $10,000 available in select locations!

Company Overview

A Top Workplace

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. 

PT Solutions has been named a 2026 USA Today Top Workplace for the fifth consecutive year, based entirely on employee feedback. We’ve also earned five Culture Excellence Awards for Innovation, Professional Development, Work-Life Flexibility, Appreciation, and Purpose & Values. This recognition reflects a culture built around supporting our people. It’s not just what we do, but how we make people feel. Through human connection, intentional care, and being all in for one another, we create experiences that make a difference. Because together, we do great better.

Let’s go further together and transform care. Join the #PTSLife today!  To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn. 

We are an equal opportunity employer and welcome all qualified candidates to apply!