Licensed Therapist Compliance Partner (OT, PT, SLP)
Listed compensation
$100K - $110K
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Licensed Therapist Compliance Partner (OT, PT, SLP)
Position Type: Full Time.
Salary: $100,000 to $110,000, 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: Dallas, TX or Lubbock, TX.
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 Texas 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 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 1709
Key Responsibilities
The therapist will perform compliance audits, conduct internal investigations, and analyze medical records to ensure adherence to regulatory standards. They will also track 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.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 5+ years of experience
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Licensed Therapist Compliance Partner (OT, PT, SLP) at Ensign Services a 6.6 out of 10 for work-life balance — classified as good. This places the position in the Above average in Mental Health Therapy (Counseling) — ranked against 7,454 active Mental Health Therapy (Counseling) listings on WeekdayDoc.
Counselor Career Context
Of the 43 active Mental Health Therapy listings this role was benchmarked against, 5% are remote, 49% have no call, 40% require no weekends.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$105k midpoint carries the purchasing power of roughly $108k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.6 / 10 · above average in mental health therapy (counseling) | ranked against 7,454 Mental Health Therapy (Counseling) listingslisting-based score, 0–10 |
| Cost-of-living adjusted pay | ~$108k in purchasing power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Mental Health Therapy listings in Texas | 412 active | 7,476 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 5% remote · 49% no call · 40% no weekends43 benchmarked listings |
| Sign-on & loan repayment | not stated | Texas counselor listings (all specialties): 8% state a sign-on bonus · 22% offer loan repayment649 active listings, Nov 2026 |
| New Mental Health Therapy listings | 2,630 in the last 30 days | 1,390 the 30 days before (+89%)U.S., first seen on WeekdayDoc, Nov 2026 |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$105k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.
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