The Director of District Operations provides strategic and clinical leadership for multiple points of service within a designated geographic region in the practice. This role is responsible for developing and supporting high-performing clinics that consistently deliver exceptional patient care and customer service, while aligning with the strategic vision set by the Regional Vice President (RVP).
This leader acts as a clinical expert, operational driver, and mentor across their region—ensuring the successful execution of company initiatives, regulatory compliance, and growth through talent development and engagement.
Lead daily operations across the district, ensuring clinical excellence and consistency in care delivery.
Implement and support company-wide initiatives, policies, and procedural changes in alignment with strategic goals.
Communicate regularly and effectively with the RVP and relevant leadership on business performance, employee development, and clinic needs.
Oversee weekly reporting and financial performance of each clinic, participating in the annual budgeting process and maintaining accountability for district EBITDA and labor expenses.
Monitor and respond to district KPI and FOTO data; use insights to drive coaching, CEU strategy, and quality improvement efforts.
Dedicate time to direct patient care (minimum of 36 visits per week) to support clinic needs, reduce access barriers, and coach staff through hands-on development.
Ensure clinics follow all state practice acts, licensing board guidelines, and American Physical Therapy Association standards.
Conduct evaluations and follow-up care as needed to maintain patient access in underserved clinics.
Act as hiring manager for all clinical roles in the district—including interviewing, final decision-making, and compensation offers.
Maintain an active pipeline of emerging talent and internal leaders through strategic recruiting and succession planning.
Mentor and support Clinic Managers (CMs), Senior Clinic Managers (SCMs), therapists, and students through regular 1:1s, coaching, and developmental feedback.
Provide coaching to CM-Is and CM-IIs on clinic operations, physician relationships, productivity, and leadership best practices.
Ensure that all clinic leaders are aligned on Clinical Practice Map expectations and holding teams accountable for execution.
Foster a positive clinic culture by spending at least 50% of time in-clinic, focused on employee engagement, team morale, patient experience, and coaching—not administrative multitasking.
Oversee employee engagement initiatives, including quarterly town halls and regular team-building events.
Organize and support community engagement in collaboration with the sales team—sourcing and budgeting events, encouraging participation, and sharing purpose with staff.
Host regular operational review calls with Clinic Managers and participate in regional reviews with the RVP.
Maintain ongoing communication with cross-functional teams including Talent Acquisition, Sales, Revenue Cycle, Front Office, University Relations, and Facilities.
Oversee clinic maintenance and ensure compliance with facility standards across all sites.
Serve as the point of contact for patient reviews, student program feedback, and compliance initiatives such as mock JCAHO audits.
Attend at least two CEU courses annually and promote continuing education opportunities among clinic staff.
Participate in recruiting and educational events at the regional or national level to promote PT Solutions and strengthen clinical talent pipelines.
This role requires a dynamic leader who can balance strategic vision with operational execution while remaining rooted in patient-centered care. The Director of District Operations is a key driver of growth, quality, and culture—and a direct contributor to the long-term success of PT Solutions in their region.
Exceptional attention to detail and organizational skills.
Proven ability to build and sustain strong referral relationships.
Comfortable navigating conflict and resolving issues constructively.
Demonstrated leadership with the ability to motivate others and foster a culture aligned with organizational values.
Skilled educator and mentor with the ability to train and develop others.
Strong interpersonal, verbal (including phone etiquette), and written communication skills.
Proficiency in strategic planning, delegation, follow-through, problem-solving, and stress management.
Solid understanding of financial, accounting, and business principles.
Ability to read, analyze, and interpret complex medical records.
Thorough knowledge of medical terminology and reimbursement practices.
Comfortable working with individuals with disabilities in a clinical setting.
Understanding of state-specific collection laws (where applicable).
Committed to providing exceptional customer service.
Proficient in the use of standard office equipment (fax machines, copiers, etc.).
Competent in Microsoft Office Suite, particularly Word and Excel.
Completion of age-specific competencies and ability to deliver age-appropriate treatments.
Clinical expertise in delivering treatments aligned with the clinic's programs and standards.
Ability to interpret and act on financial and accounting reports.
Experience with marketing strategies and practices relevant to clinical business development.
Graduate of an accredited Physical Therapy program recognized by APTA and CAPTE, or a related field of study.
Minimum of 5 years of progressive clinical experience, with at least 5 years in a leadership or management role.
Previous experience in healthcare or facility management and/or formal business training preferred.
Active state licensure in accordance with applicable licensing board requirements.
Current American Heart Association BLS (Basic Life Support) certification.
Must be free of any previous or current sanctions from federal payors (e.g., CMS, Tricare, Federal Blue Cross/Blue Shield) and state workers’ compensation systems.
Expanding Access to Quality Care
At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.
As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact.
Let’s go further together and transform care. Join the #PTSLife today!
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