Physical Therapist - Clinic Director

CLS Health PLLC•Webster, TX

About The Position

CLS Health is seeking an experienced physical therapist to lead the development and operation of its orthopedic physical therapy and cardiac rehabilitation program in Houston, Texas. The role is approximately 70% management and 30% direct patient care, with management time built into the schedule and patient volume adjusted to reflect that allocation. The Clinic Director will help build the department, including hiring staff, establishing workflows, and setting team expectations. The position works directly with the physician lead and referring providers while maintaining a PT caseload. A dedicated cardiac rehab coordinator oversees daily cardiac program responsibilities alongside the medical director; prior cardiac rehab experience is helpful, while successful outpatient clinic or department management is the primary focus. The director is responsible for patient experience, provider support, clinic efficiency, and financial performance. This includes reviewing operational and financial results, identifying issues, explaining performance drivers, and recommending actions.

Requirements

  • Licensed physical therapist authorized to practice in Texas.
  • At least five years of outpatient experience.
  • Two to three years of clinic management or comparable leadership experience.
  • Experience managing multiple clinicians, including hiring, scheduling, productivity, and performance reviews.
  • Strong understanding of Medicare Part B therapy requirements, including plan-of-care certification, the KX modifier, the 8-minute rule, and documentation standards.
  • Ability to read a profit and loss statement, discuss cash flow confidently, and connect financial performance to daily clinic operations.
  • Direct communication, reliable follow-through, and comfort having difficult conversations.
  • Understanding that patient outcomes, provider development, and financial performance all require attention.
  • Current BLS certification.

Nice To Haves

  • Previous cardiac rehabilitation experience.

Responsibilities

  • Manage daily operations, staffing, scheduling, coverage, and clinic capacity.
  • Hire and onboard staff, set expectations, and provide regular coaching and performance feedback.
  • Maintain a physical therapy caseload within the 30% patient-care portion of the role.
  • Support clinical reasoning, case discussions, and communication between therapists and referring providers.
  • Establish expectations for patient communication, education, and engagement in the plan of care.
  • Oversee documentation and chart audits, including medical necessity, treatment progression, coding accuracy, required signatures, and timely completion.
  • Review program financials and cash flow with billing and finance, including net revenue, collections, expenses, labor costs, margins, accounts receivable, and denials.
  • Present monthly financial and operational reviews, explain performance drivers, identify concerns, and recommend specific actions.
  • Monitor visits per FTE, schedule utilization, referral conversion, clinician productivity, coding utilization, and documentation compliance.
  • Track patient access, cancellations, no-shows, plan-of-care adherence, clinical outcomes, and patient satisfaction.
  • Monitor staff development, retention, and workload; address performance concerns while supporting provider questions and improvement.
  • Work with patient services, authorization staff, and billing to resolve issues affecting access, continuity of care, or payment.
  • Handle patient and provider concerns, incident reports, and operational escalations.
  • Oversee equipment, supplies, safety procedures, staff education, and competency tracking.
  • Coordinate with the cardiac rehab coordinator and medical director to maintain appropriate clinical coverage and program standards.
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