About this role
Job DetailsJob Location: Waco - Waco, TX 76712Position Type: Full TimeJob Category: Director Of RehabilitationDirector of Rehabilitation (DOR) Job Description
I. Purpose and Overall Duties
The Director of Rehabilitation (DOR) is responsible for the overall management, coordination, and supervision of rehabilitation services within a long-term care or related setting. The role ensures the delivery of high-quality therapy services, regulatory compliance, operational efficiency, and achievement of clinical and financial performance goals.
II. Essential Job Functions
A. Program Management / Operations
Plan, organize, and direct rehabilitation services to ensure efficient and effective operations
Develop and monitor staffing schedules to meet patient care needs and productivity standards
Oversee daily therapy operations, including caseload management and service delivery
Ensure appropriate utilization of resources, equipment, and staff
B. Clinical Oversight / Quality Assurance
Ensure delivery of high-quality therapy services in accordance with clinical standards and best practices
Monitor patient outcomes and implement strategies to improve quality and performance
Conduct chart reviews and audits to ensure accuracy, completeness, and compliance
Support evidence-based practice and continuous quality improvement initiatives
C. Regulatory Compliance / Documentation
Ensure compliance with all federal, state, and payer regulations, including Medicare guidelines
Maintain readiness for surveys, audits, and inspections
Oversee accuracy and timeliness of clinical documentation and billing processes
Implement and enforce company policies and procedures
D. Leadership / Supervision / Team Development
Supervise, direct, and evaluate therapy staff, including PTs, OTs, SLPs, assistants, and support personnel
Provide coaching, training, and performance feedback to team members
Support recruitment, onboarding, and retention of therapy staff
Foster a positive work environment and promote teamwork and employee engagement
E. Communication / Interdisciplinary Coordination
Collaborate with facility leadership, nursing, and interdisciplinary team members to coordinate patient care
Communicate effectively with physicians, patients, families, and external stakeholders
Participate in facility meetings, care conferences, and leadership discussions
F. Financial / Productivity Management
Monitor productivity, staffing efficiency, and financial performance of the rehabilitation department
Analyze key performance indicators (KPIs) and implement strategies to achieve operational goals
Manage departmental budgets and control costs while maintaining quality care
G. Professional Development
Maintain current licensure and leadership competencies (if applicable)
Participate in continuing education and leadership development activities
Stay current with regulatory changes and industry best practices
In addition to the responsibilities of the Director of Rehabilitation, employees are expected to perform the essential functions of their respective licensed or support role (e.g., PT, OT, SLP, PTA, OTA, or Rehabilitation Technician), as applicable, based on their credentials and operational needs.
III. General Skills Required
Strong leadership and team management skills
Effective communication (verbal and written)
Organizational and time management skills
Problem-solving and decision-making abilities
Ability to analyze data and drive performance improvement
Interpersonal and relationship-building skills
IV. Minimum Experience, Education, and Licensure
Licensed Physical Therapist, Occupational Therapist, or Speech-Language Pathologist (as required by state and facility)
Bachelor’s, Master’s, or Doctorate degree in a related field
Minimum of three (3) years of clinical experience
Prior supervisory or management experience preferred
V. Essential Physical Demands
Ability to move throughout the facility to supervise staff and patient care activities
Ability to sit, stand, and walk for extended periods throughout the workday
Occasional bending, reaching, or positioning as needed for oversight or assistance
Ability to use proper body mechanics in accordance with safety standards
VI. Work Environment
Long-term care or clinical setting
Primarily indoor environment with frequent interaction with staff, patients, and facility leadership
May require occasional travel between facilities or locations
VII. Additional Information
The items listed above cover the essential duties and requirements of this position. This job description shall not be construed as a complete listing of all miscellaneous, incidental, or similar duties that may be required as part of this job. This job description and job conditions are subject to change as needed in accordance with company or client requirements.
VIII. Reasonable Accommodation Statement
Employees are expected to be able to perform the essential duties and responsibilities of this position with or without reasonable accommodation. If an employee believes a reasonable accommodation is needed, they should contact Human Resources so that a review can be conducted. The company complies with the Americans with Disabilities Act (ADA), Title VII of the Civil Rights Act, the Pregnant Workers Fairness Act, and all applicable federal, state, and local laws.
IX. Acknowledgment
X. Reminder
This job description describes the expected outcomes of the position. The actions and activities required to achieve these outcomes are evaluated through performance management processes. The attitudes and actions performed by all employees are the foundation of our business.Qualifications
This position may be filled by a licensed OT, PT, SLP, OTA, PTA, or an experienced Rehabilitation Technician.
Licensed clinicians and assistants must maintain a current, unrestricted state license in good standing.
A therapy license is not required. Candidates who are not licensed therapists or therapy assistants must have experience in a skilled nursing facility (SNF). Prior rehabilitation leadership or management experience is preferred.
Knowledge of Medicare regulations and skilled nursing rehabilitation practices is required.
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