Pivot Director of Rehabilitation - Occupational Therapist (OT)
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, the work setting, call expectations and time off.
Job Description
The Director of Rehabilitation provides leadership, management, and operational oversight for therapy services. This role is responsible for supervising therapists, therapy assistants, rehabilitation support staff, and departmental operations to ensure the delivery of high-quality, patient-centered care.
The Director of Rehabilitation promotes clinical excellence, regulatory compliance, staff development, positive patient outcomes, operational efficiency, and departmental performance while supporting organizational rehabilitation goals.
Responsibilities
- Direct and oversee the daily operations of the therapy department.
- Supervise therapists, therapy assistants, rehabilitation technicians, and support personnel.
- Monitor patient outcomes, departmental performance metrics, and quality improvement initiatives.
- Conduct employee evaluations, competency assessments, coaching sessions, and performance reviews.
- Ensure compliance with regulatory requirements, accreditation standards, reimbursement guidelines, and organizational policies.
- Manage staffing schedules, workload distribution, productivity expectations, and resource utilization.
- Monitor documentation quality, billing compliance, and clinical accuracy within the department.
- Participate in budget preparation, expense management, and departmental financial oversight activities.
- Lead quality assurance initiatives, chart reviews, clinical audits, and corrective action plans as needed.
- Assist with recruitment, onboarding, retention, and professional development of rehabilitation personnel.
- Address patient concerns, service recovery opportunities, and operational issues in a timely and professional manner.
- Participate in organizational committees, leadership meetings, and strategic planning activities.
- Perform additional duties as assigned to support rehabilitation services and organizational objectives.
Qualifications
- Bachelor’s, Master’s, or Doctoral degree in Occupational Therapy from an accredited occupational therapy program required.
- Current and unrestricted Occupational Therapist (OT/COTA) license in the state of practice required.
- Knowledge of Medicare, Medicaid, Joint Commission standards, accreditation requirements, healthcare reimbursement, and regulatory compliance.
- Proficiency with electronic health records (EHR), rehabilitation documentation systems, and Microsoft Office applications.
- Current CPR certification preferred.
Benefits/EEO
What We Offer You
- Competitive Wages
- 401k with match
- Medical, Dental, Vision & Supplemental Insurance
- Vacation, Sick, Personal Holiday & Paid Holidays
- Short-Term Disability
- Life Insurance
- Tuition & CEU Reimbursement
- Rewards & Recognition Program
EEOC
We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.
Qualifications
- Experience
- 5+ years of experience
Certifications
Key Skills
Occupational Therapist Career Context
In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (221 salary observations; 3,012 listings), vs ~$97k nationally (5,263 salary observations; 28,727 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Occupational Therapy median $96k (middle half $89k–$103k)11 comparable listings, Nov 2026 |
| Texas vs national | $94k median in Texas | $97k nationally (−3%)221 state / 5,263 national salary observations |
| Cost of living | Texas index 97.1 | US average = 100BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Texas | 905 active | 8,930 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 6% remote · 30% no call · 68% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Texas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,211 in the last 30 days | 1,611 the 30 days before (+99%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +4.4% vs prior quarter | —through Oct 2026 |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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