Director of Rehab

Cascadia Services•Portland, OR

About The Position

Cascadia Healthcare is seeking an experienced Director of Rehabilitation to oversee an established in-house therapy department at a skilled nursing and rehabilitation facility. This full-time leadership role is intended for a licensed physical or occupational therapist with experience in clinical supervision, program development, and team performance management in long-term care. The Director leads therapy operations and a multidisciplinary team, establishes systems for quality outcomes, operational excellence, and regulatory compliance, drives program growth, and builds partnerships with referring providers and internal clinical teams. The role offers flexible scheduling and a collaborative, team-based therapy environment. Productivity expectations are aligned with industry standards, with leadership support and an emphasis on quality care over burnout.

Requirements

Bachelor’s, Master’s, or Doctorate in Physical Therapy or Occupational Therapy.
Active PT or OT license in the state of Oregon.
CPR certification and a valid driver’s license.
Minimum 3 years of rehabilitation experience.
Proven leadership, staff supervision, and program management experience.
Strong knowledge of rehabilitation-related billing, documentation, and regulatory requirements.
Ability to foster a high-performing, resident-centered therapy culture.

Nice To Haves

MDS (RAC-CT) or another advanced certification.
Six or more months of experience in a skilled nursing or long-term care setting.
Experience in a Director of Rehabilitation role.

Responsibilities

Lead and manage therapy staff, including PTs, PTAs, OTs, SLPs, COTAs, and Rehab Aides.
Build and maintain a supportive and collaborative team environment.
Ensure therapy services meet state, federal, and payer compliance standards.
Develop special clinical programming to strengthen therapy services, such as dementia care, restorative programming, and fitness.
Drive census and revenue growth through caseload development and community outreach.
Oversee therapist scheduling, patient assessments, treatment planning, and clinical documentation.
Participate in interdisciplinary care planning, clinical rounds, insurance meetings and reviews, and discharge planning.
Conduct internal audits and performance reviews to support excellent service delivery.
Maintain current knowledge of Medicare, Medicaid, Part B, and private insurance reimbursement guidelines.
Represent the department in facility leadership meetings and QAPI initiatives.