Pivot Director of Rehabilitation - Occupational Therapist (OT)

Occupational TherapistFull-Time

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.

Posted 33m ago · Verified live

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

CPR (preferred)

Key Skills

Staff supervisionPerformance managementBudgetingEHR proficiency

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).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Listed paynot listedOccupational 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 livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas905 active8,930 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 6% remote · 30% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas 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 listings3,211 in the last 30 days1,611 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
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Occupational Therapist Jobs

39 matches · ranked by pay

Salary Distribution

37 jobs · 27 employers
5
<$95k
17
$95k-115k
7
$115k-135k
6
$135k-155k
2
$156k

Annual compensation range

Benefits & Perks

34 jobs · 27 employers
401k / retirement match
97% this job
CME allowance
65% this job
Sign-on bonus
29%
Loan repayment
15%
Relocation assistance
3%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational Therapist (OT) – Flexible ScheduleContract

Concierge Home Care · Brandon, Florida

$70-$75/hr
#3

School-Based Occupational Therapist (OT)

$67-$73/hr
#4

Occupational Therapist Marlboro NJ

$140k
+ 37 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,068 comparable listings. Shaded area = the share scoring below this one.

Pivot Rehabilitation logo

About Pivot Rehabilitation

Hospitals and Health Care
11-50 employees

Benefits & Perks

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

Living in Plano

Typical 3-bedroom home value
$403k
Typical market rent
$1,736/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
103.1
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Dallas-Fort Worth-Arlington, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.