Director of Therapy Jobs
Director of Therapy jobs are open across hospitals, rehabilitation centers, skilled nursing facilities, and behavioral health organizations, at every level from clinical team lead to executive director, with specializations in physical therapy, occupational therapy, and speech-language pathology. Scan the live roles below and apply to whichever ones fit.
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JOB TITLE: Director of Therapy and Support Services
JOB SUMMARY: Work in conjunction with Directors of Education to provide leadership, coordination, and administrative support to the related services team in order to assist students to access, participate in, and benefit from their educational program. Responsible for supervising and managing all activities associated with IEP related services including occupational therapy, speech/language therapy, physical therapy, and social/emotional/behavioral supports in accordance with school goals and objectives.
EDUCATION: Bachelor’s Degree required. Master’s Degree preferred in Educational or Organizational Leadership, Special Education or related field. Graduate Coursework in Administration/ Leadership required. Relevant license through the Office of Professional Licensure and Certification (OPLC) in the State of New Hampshire and Maine preferred.
EXPERIENCE: Three years in a supervisory role in a therapeutic and/or educational setting. Experience working with children with significant and multiple disabilities. Administrative leadership within special education environments.
PHYSICAL REQUIREMENTS:
Free of restrictions which would limit the use of the body as it relates to the repetitive lifting of weight up to 50 pounds, and physical management of students consistent with CPI training.
OTHER REQUIREMENTS:
- Valid driver's license
- Successful completion of New Hampshire/FBI background screening.
- Obtain and maintain certification in First Aid, CPR (adult & child), CPI.
- Participate in professional development as determined by the supervisor.
- Maintain relevant licence and certifications required for this position.
ACCOUNTABILITIES:
- Supervises therapy staff for delivery of high quality, cost- effective school based services per student’s educational goals.
- Establish and implement procedures/processes for therapy practices to meet current and future student needs.
- Facilitates communication with education and therapy staff to ensure all team members are informed of expectations and schedules in order to avoid conflicts.
- Reviews service performance, effects changes as needed to improve services and ensure compliance with regulatory requirements, practices and policies.
- Arranges ongoing professional development for related services staff.
- Ensures that all school staff are provided training in support of therapy carryover.
- Provides new hire onboarding for therapists and therapy assistants.
- Evaluates personnel based on established standards and competencies including development performance improvement plans as needed.
- Creates, analyzes, and maintains reports for administrative and regulatory purposes.
- Keeps updated on NH and Maine Medicaid to Schools regulations and processes to serve as the lead communicators with districts.
- Reviews monthly service logs in collaboration with the finance department for accurate district invoicing.
- Represents the School in a positive and professional manner in the community.
- Develops and recommends operating and capital budgets, and ensures that the therapy operates within the allocated funds.
- Identifies, develops and manages resources to meet student needs.
- Collaborates with activity coordinator on arranging offsite activities such as hippotherapy, aquatic and recreation programs to include facilitating agreements.
- Coordinates therapy related internships with area colleges.
- Demonstrates the ability to be flexible, organized, and function under stressful situations.
- Participates in leadership team meetings to address concerns, provide status reports, and coordinate with other departments in an integrated manner.
- Attend staff meetings and in-service training.
- Provides direct student support /services as needed.
- Perform other duties as assigned by the Executive Director.
JOB SUPERVISOR: Executive Director
WORK SCHEDULE: Per official school calendar July 1st to June 30th annually, work hour expectations 8:00 AM – 4:00 PM.
EMPLOYMENT CLASSIFICATION: Under the Fair Standards Labor Act (FSLA) this position is classified as Exempt (salary).
Pay: $95,000.00 - $105,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Professional development assistance
- Retirement plan
- Tuition reimbursement
Work Location: In person
See All 95 Director of Therapy Jobs
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Find Director of Therapy JobsDirector of Therapy Job Market
Who's Hiring


Top Industries Hiring
- Education
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in director of therapy jobs.
- Active state licensure as a physical therapist, occupational therapist, or speech-language pathologist
- Minimum of three to five years of clinical experience with at least two in a supervisory role
- Demonstrated knowledge of Medicare Part A skilled therapy documentation and reimbursement requirements
- Proficiency with electronic health record systems and rehab management software
- Experience managing department budgets, staffing schedules, and productivity benchmarks
- Master's degree or clinical doctorate in a therapy discipline
Tips for Your Director of Therapy Job Search
Tailor your resume to clinical outcomes
Director of therapy roles require proof you can run a department, not just treat patients. Quantify census management, rehab department productivity, and Medicare compliance outcomes. Hiring managers want to see you've owned program performance, not just contributed to it.
Get your credentials current before applying
Many postings require an active state license in your discipline plus a valid CPR or BLS certification. Gaps in licensure history raise red flags in regulated healthcare settings. Verify your credentials are current and your license is in good standing before you submit.
Target postings by care setting, not just title
A director of therapy role at a skilled nursing facility looks very different from one at an acute care hospital or outpatient clinic. Filter your search by setting so your application speaks directly to the patient population, payer mix, and regulatory environment the employer actually works in.
Apply early to roles that fit
Migrate Mate lists director of therapy openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for a case-based operations interview
Expect interviewers to present a scenario, such as declining RUGS scores or a staffing shortage, and ask how you'd respond. Practice walking through your decision process out loud. Committees hiring at this level want to see operational judgment, not just clinical knowledge.
Negotiate start date and transition support
Director-level healthcare roles often carry a 60 to 90 day onboarding ramp. If you're leaving a clinical or supervisory role, ask about overlap time, interim coverage, and relocation assistance upfront. These are standard asks at this level and expected during offer negotiation.
Director of Therapy Jobs: Frequently Asked Questions
Which companies are hiring the most director of therapys?
The companies hiring the most director of therapys right now include Evolve Therapy Services, Rivetus Rehabilitation, and Amazing Care Pediatric Outpatient Therapy, with the largest share of openings in Michigan, Ohio, and Colorado, based on current listings on Migrate Mate as of November 2026. Demand is highest in organizations managing high rehab census volumes across post-acute and long-term care settings.
How many director of therapy jobs are remote?
About 59% of director of therapy openings are fully remote or hybrid as of November 2026, reflecting the hands-on supervision and compliance responsibilities central to most of these roles. The sub-areas most likely to offer remote flexibility include telehealth program leadership, regional oversight roles, and consulting positions that do not require daily on-site presence.
How do you become a director of therapy?
Start by earning a clinical degree in physical therapy, occupational therapy, or speech-language pathology and obtaining your state license. Build several years of direct patient care experience, then move into a lead therapist or supervisor role to develop staffing and documentation management skills. Pursue continuing education in healthcare operations, Medicare compliance, and department management, and seek out mentorship from an existing director before applying to leadership positions.
Can you get hired as a director of therapy with limited leadership experience?
Some employers will consider candidates with strong clinical records who have held informal leadership roles such as clinical coordinator, lead therapist, or preceptor. The most effective approach is to document any experience you have managing staff schedules, training new clinicians, or handling Medicare audits, since these demonstrate readiness for departmental oversight even without a formal director title on your resume.
What does the director of therapy interview process look like?
The process typically begins with an initial phone or video screen with a recruiter or HR contact, followed by a panel interview with the administrator, regional director, or clinical leadership team. Candidates are often asked to walk through a hypothetical operational scenario or present a plan for improving department productivity. A final on-site visit or reference check usually precedes an offer.
Where can I find and apply to director of therapy jobs?
You can find and apply to director of therapy jobs on Migrate Mate, which lists current openings from across the United States. Search the roles available, find the ones that match your discipline, care setting, and experience level, and apply directly to each listing that fits.
See All 95 Director of Therapy Jobs
Find roles that match your experience and apply in just a few clicks.
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