Lead Respiratory Therapist (Contract)
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.
Job Description
About the Role
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 in Norfolk and Richmond, VA
- 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
- 5+ years of experience
Key Skills
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 3,875 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, 53% have no call, 57% require no weekends.
The cost-of-living index for West Virginia is 89.5 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$71k midpoint carries the purchasing power of roughly $79k in an average-cost state. 62.5% of West Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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