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.

Key Responsibilities

Leadership & Strategic Operations

• 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.

Clinical Oversight & Patient Care

• 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.

Team Development & Talent Management

• 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.

Culture & Engagement

• 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.

Collaboration & Communication

• 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.

Professional Development

• 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.

Required Skills & Abilities

• 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.

Required Credentials

• • 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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