Ensign Services logo
Ensign Services
Spokane, Washington

Licensed Therapist Compliance Partner (OT, PT, SLP)

Occupational TherapistFull-Time

Listed compensation

$105k-$115k

Confirm guaranteed pay, incentives and eligibility with the employer.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 1h ago · Verified live

Job description

Licensed Therapist Compliance Partner (OT, PT, SLP) 
Position Type: Full Time, Employee.
Salary: $105,000 to $115,000, annually, DOE.
Location: This is a field resource‑based role requiring regular travel to assigned facilities. Candidates must reside near a major airport in one of the following areas: Spokane, WA.
Schedule: Typical business hours but may vary depending on workload and travel needs - 40 hours/week.
About the Company: 
Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations.  What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously.  We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
Ensign Services, Inc.’s (ESI) Compliance Department is seeking a Therapy Billing Compliance Partner.  Must be an Occupational Therapist, Physical Therapist or Speech Therapist with at least five years’ experience in the skilled nursing environment. Primary responsibilities will involve performing compliance audits, conducting internal investigations under direction of associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or quality issues.  
Our compliance philosophy is to work as closely with field facilities, agencies and resources as possible to develop solid relationships that allow us to enhance and foster compliance throughout the organization.  We not only provide training, oversight and auditing functions, but we also serve as partners to our providers to assist them in building successful businesses in an ethical and compliant manner.
Job Duties and Responsibilities include, but are not limited to:
* Performs Medicare claim review portion of internal compliance audits.
* Conducts internal investigations involving compliance issues.
* Track corrective action plans related to any adverse findings.
* Facilitate other required compliance activities.
* Travel required 70% of the time within Washington and surrounding areas/states.

Preferred Qualifications

* Occupational, Physical or Speech Language Pathologist Therapy License. * A minimum of five years of SNF experience. * Expertise in MDS/PDPM coding rules and regulations. * Understanding of the legal and regulatory framework governing the skilled nursing industry. * Ability to work with all levels of management on potentially complex compliance/regulatory issues.

Desired Skills

* Superior interpersonal communication skills. * Strong writing skills required to write compliance reports, and other communications. * Works well independently in a home office environment on long term projects and as a member of an interdisciplinary team. * An engaging and informative teacher for regular training of facility personnel regarding Medicare requirements. * Possesses and conveys high degree of credibility and integrity. * A desire to constantly improve Medicare management systems and organizational compliance. * Understands and accepts the unpredictable nature and needs of the compliance function in a large organization. * Exhibits analytical skills and an understanding of operational processes. * Basic to intermediate knowledge of Microsoft Office/Excel.

Additional Information

Any offer of employment may be contingent upon the successful completion of job-related post-offer requirements, which may include background checks, reference checks, and/or other screenings or examinations as permitted by applicable law.   What We Offer:  We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. Additionally, enjoy access to our fully equipped onsite gym (San Juan Capistrano office location).  We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www. ensignbenefits. com [http://www. ensignbenefits. com/].   Ensign Services, Inc. is an equal opportunity employer.  If you need assistance or accommodation during the application process, please contact us at 888-659-3616.    Job ID 1763

Key Responsibilities

The therapist will perform compliance audits, conduct internal investigations, and analyze medical records to ensure adherence to regulatory standards. They will also facilitate corrective action plans and provide training to facility personnel regarding Medicare requirements.

Requirements

Candidates must hold a valid Occupational, Physical, or Speech Therapy license and possess at least five years of experience in a skilled nursing environment. Expertise in MDS/PDPM coding and the ability to travel 70% of the time are essential for this role.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Key Skills

Compliance auditingMedical record analysisClaims reviewMDS codingRegulatory complianceTechnical writingSkilled nursing operations

Mental Health Therapy — Occupational Therapist Career Context

Of the 50 active Occupational Therapist listings this role was benchmarked against, 38% have no call, 78% require no weekends.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$110k midpoint carries the purchasing power of roughly $103k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$110k midpoint, that is roughly $4k–$8k a year versus a typical 4–7% state rate.

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Annual compensation range

Benefits & Perks47 jobs · 35 employers

401k / retirement match
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CME allowance
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Sign-on bonus
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Loan repayment
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Relocation assistance
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Work-life snapshot

3.0/ 10
Listing-based score

A signal to investigate—not a guarantee about the workplace.

Ensign Services logo

About Ensign Services

Hospitals and Health Care
San Juan Capistrano, California
1,001-5,000 employees

Benefits & Perks

Medical/Dental/Vision Coverage
Company-Provided Life Insurance
401(k) with Company Match
Sick/Vacation Plans
Onsite Gym (San Juan Capistrano office)
Learning Management System
Training Sessions and Seminars