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Crosswalk Health
Houston, Texas

Lead Respiratory Therapist (Contract)

Respiratory TherapistNo weekendsContract

Listed compensation

$64k-$78k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Position Overview

The Regional Lead is an experienced Respiratory Therapist who serves as the primary operational contact for an assigned region. This working leadership role combines scheduled spirometry services with RT scheduling, coverage coordination, clinic relationship management, and day-to-day operational support.

The goal is to ensure reliable clinic coverage, strong communication, and consistent service for clinic partners and patients.

Key Responsibilities

Scheduling & Coverage: Manage regional RT schedules, coordinate absences and schedule changes, resolve call-out coverage needs, and arrange backup or float coverage when available.

RT Support: Serve as the primary contact for routine operational questions, communicate updates and expectations, support new RTs, and escalate recurring performance or attendance concerns to Operations Leadership.

Clinic Relationships: Maintain strong relationships with clinic managers, address routine scheduling and operational concerns, and communicate changes affecting clinic operations.

Clinical Support: Continue performing scheduled spirometry services while serving as a resource for routine workflow, equipment, technology, and documentation questions.

Regional Oversight: Monitor staffing and coverage needs, identify potential service disruptions, participate in operational check-ins, and provide weekly updates to Operations on staffing, coverage, clinic concerns, and other relevant issues.

Other duties may be assigned as necessary to meet business and operational needs.

Decision-Making & Escalation

The Regional Lead is expected to independently resolve routine operational issues, including scheduling adjustments, call-out coverage, routine clinic communication, and coordination with available float RTs.

Hiring and termination decisions, formal discipline, payroll, compensation, contract negotiations, major client escalations, and HR matters remain the responsibility of Operations leadership. Significant or unresolved issues should be escalated promptly.

Qualifications

  • Active Respiratory Therapist credentials and all required state licensure
  • Strong clinical performance and understanding of spirometry
  • Demonstrated reliability and attendance
  • Excellent communication and organizational skills
  • Ability to manage changing schedules and priorities
  • Strong problem-solving and decision-making skills
  • Comfortable communicating directly with clinic managers and healthcare professionals
  • Ability to remain calm and solution-oriented when unexpected issues occur

Strong Knowledge of Crosswalk Workflows and Expectations

  • Must have weekday availability and be willing and able to provide backup clinical coverage when needed.
  • What Success Looks Like
  • Consistent and dependable clinic coverage.
  • Timely resolution of routine scheduling and operational issues.
  • Strong relationships with RTs and clinic partners.
  • Proactive identification and communication of regional concerns.
  • Consistent clinical quality and minimal need for day-to-day intervention from Operations.

Compensation Structure

Regional Leads receive a recommended starting leadership stipend of $750 bi-weekly, in addition to their established daily rate of $245-$300 for clinical spirometry service.

Regional Lead stipends may vary based on the size and complexity of the assigned region, including the number of clinics, RTs, scheduled clinic days, customers, and overall operational workload.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Respiratory TherapyStaff SchedulingClinical DocumentationWorkflow ManagementEquipment Maintenance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Lead Respiratory Therapist (Contract) at Crosswalk Health a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Respiratory Therapy — ranked against 3,913 active Respiratory Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Respiratory Therapy Career Context

Of the 40 active Respiratory Therapy listings this role was benchmarked against, 50% have no call, 50% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$71k midpoint carries the purchasing power of roughly $73k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Respiratory Therapy by the numbers
MeasureThis jobMarket
Work-life score6.0 / 10 · top 25% in respiratory therapyranked against 3,913 Respiratory Therapy listingslisting-based score, 0–10
Listed pay$64k–$78kRespiratory Therapy median $78k (middle half $66k–$81k)24 comparable listings, Oct 2026
Cost-of-living adjusted pay~$73k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Respiratory Therapy listings in Texas229 active3,930 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 50% no call · 50% no weekends40 benchmarked listings
Sources: WeekdayDoc live listing index (3,913 Respiratory Therapy listings), BEA Regional Price Parities (2024); as of Oct 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. At the posted ~$71k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top contract/1099 Respiratory Therapist Jobs

19 matches · ranked by pay

Salary Distribution19 jobs · 16 employers

6
<$100k
8
$100k-115k
3
$115k-130k
2
$130k-145k

Annual compensation range

Benefits & Perks15 jobs

401k / retirement match
93%
Sign-on bonus
47%
Loan repayment
27%
PSLF eligible
20%
Relocation assistance
13%

Share of similar jobs offering each benefit

#1

Respiratory Therapist – CRT/RRT

Garnet Health · Middletown, New York

$45.05 - $63.70/hr
#2

Respiratory Therapist II

Olympic Medical Center · Port Angeles, Washington

$41.41-$62.92/hr
#3

Respiratory Therapist (RT), Cardiopulmonary Rehab - Full Time (36hrs/week), Egg Harbor Township

$36.14-$56.23/hr
#4

Respiratory Therapist - Providence Kodiak Island

$37.08-$55.62/hr
+ 17 more · ranked by pay

Work-life snapshot

median 3.0this job 6.0
Better work-life than 80% of Respiratory Therapy listings

Listing-based score, 0–10, across 3,913 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
Crosswalk Health logo

About Crosswalk Health

Hospitals and Health Care
11-50 employees

Benefits & Perks

Leadership stipend of $750 bi-weekly
Daily rate of $245-$300 for clinical spirometry service

Living in Houston

Typical 3-bedroom home value
$245k
Typical market rent
$1,542/mo
Residents’ average commute
27 min
State income tax
None
Sources & methodology

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

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