Green Card Director of Rehabilitation Jobs
Director of Rehabilitation jobs with green card sponsorship involve EB-2 or EB-3 classification, depending on your degree and experience. Most employers file PERM labor certification with the DOL before petitioning USCIS, a multi-step process that leads to lawful permanent residency rather than a temporary work authorization.
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"Our vision is to ensure that “All Washington's children and youth grow up safe and healthy, thriving physically, emotionally, and educationally, nurtured by family and community".
Job Title: Juvenile Rehabilitation (JR) Medical Director
Location: Olympia, WA
Closes: Monday, November 23, 2026
Salary: $130,000.00 – $202,888.80 Annually
(This reflects pay prorated to 60% FTE. The full-time salary range for this position is $130,320.00 – $338,148.00 annually.)
Schedule: Part-time (60%), on-call; days
Work Setting: Hybrid
This is a hybrid position — not fully remote. The Medical Director provides in-person clinic care at JR secure facilities and travels to community facilities; administrative work may be performed remotely. Regular on-site presence is required.
The Department of Children, Youth, and Families (DCYF) is accepting applications for a Medical Director to oversee the standards of medical care across Juvenile Rehabilitation (JR) programs and ensure regulatory compliance. The Medical Director advises JR community facility leadership on the care of young people who access Medicaid-funded providers while in those facilities, delivers direct services and clinics at JR secure facilities, and provides on-call coverage and case consultation. This is a unique opportunity to influence policy, advance evidence-based practice, and ensure young people receive high-quality, developmentally informed care that supports their health, rehabilitation, and long-term success.
The Opportunity:
As the JR Medical Director, you will serve as the primary healthcare authority for Juvenile Rehabilitation statewide, leading the system of medical care and treatment for youth in JR programs. You will advise executive leadership on healthcare policy and system improvements, oversee standards of care and regulatory compliance, and ensure consistent, high-quality, developmentally informed care across secure and community facilities. You will provide clinical supervision to medical providers and nursing supervisors, oversee healthcare contracts, consult on complex cases, and hold final authority for medical treatment decisions for youth in JR residential programs.
Working closely with JR leadership, behavioral health partners, and community providers, you will advance quality improvement, promote compliance with National Commission on Correctional Health Care (NCCHC) standards, and support the Medicaid 1115 Reentry Waiver. You will also provide direct clinical care to youth, deliver medical education to staff, and help shape the future of healthcare for justice-involved youth. If you are a systems-minded physician leader dedicated to this work, we encourage you to apply.
Some of what you'll do:
- Provide medical leadership and ongoing communication across JR’s enterprise, including clinical supervision of medical staff and nurse managers, participation in leadership meetings, interviews for key clinical positions, and oversight and guidance for clinical systems and services.
- Provide consultation on medical service needs to medical personnel at each facility and to community providers, particularly for youth with complex needs who are transitioning to a community facility or reentering the community.
- Oversee and facilitate regular medical quality assurance activities.
- Provide on-call availability for emergent cases, critical incidents, or other urgent consultation needs.
- Meet weekly with RN3s to advise on best-practice care and contribute to audit preparation.
- Coordinate the medical aspects of the continuum of care.
- Provide direct medical clinic support, focusing on coverage and outdates at Echo Glen Children’s Center and Green Hill School approximately one day per month.
- Conduct medical assessments of JR young people to include medical history and physical exam, complete diagnosis, and medication evaluation. Provide (as needed) consultation with families regarding the care of youth.
Required Qualifications:
- A Doctor of Medicine (MD), be Board Certified and have a current, valid license to practice medicine in the State of Washington.
- Possess or meet eligible criteria for DEA.
AND
Knowledge, Skills, and Abilities:
- Exceptional communication skills with the ability to communicate orally and in writing with a variety of individuals ranging from agency administration, residential program and security staff, health care professionals, patient advocates, and other lay people.
- Experience supervising providers and providing consultation to non-clinical program personnel on the execution of support services.
- The ability to take action to learn and grow.
- The ability to take action to meet the needs of others.
In addition to those required qualifications, our ideal applicant will also have some or all of the following:
- Experience in adolescent medicine in a residential setting.
- Familiarity with best practices of medicine in juvenile justice/carceral settings.
- Familiarity with standards of practice as defined by the National Commission on Correctional Healthcare (NCCHC).
- Experience with administering Medications for Opioid Use Disorder in coordination with substance use dependence professionals.
How do I apply?
Complete your applicant profile and attach the following documents:
- Letter of interest describing how you meet the specific qualifications for this position.
- Current resume detailing experience and education.
- Three professional references with current contact information.
Supplemental Information:
The Department of Children, Youth, and Families (DCYF) is committed to Washington’s children and youth growing up safe, healthy, and thriving. We invite all candidates to join us in our goal to create a diverse and equitable workplace that reflects the communities we serve. If you are excited about this role but you believe that your education and/or experience might not align perfectly with every qualification in the job posting, we encourage you to apply anyway.
The Department of Children, Youth, and Families (DCYF) is an equal opportunity employer and does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained service animal by a person with a disability.
Applicants selected for an interview are required to pass a national fingerprint background check and complete a questionnaire mandated by the Prison Rape Elimination Act (PREA) inquiring about any sexual misconduct. Information from the background check will not necessarily preclude employment but is considered in determining the applicant's suitability and competence to perform in the job.
Must provide information about past allegations or investigations related to client relationships.
This position requires at least two years of driving experience and a valid driver’s license.
Must maintain a current CPR/First Aid certification.
Must maintain at least 12 hours of continuing education or in-service training yearly.
If you have any questions pertaining to this recruitment or if you would like to request an accommodation throughout the application/interview process, contact the DCYF Recruiter. If you're experiencing technical difficulties creating, accessing or completing your application, call NEOGOV toll-free at (855) 524-5627 or email support@neogov.com. Persons needing accommodation in the application process or this announcement in an alternative format may call (360) 902-2276 or the Telecommunications Device for the Deaf (TDD) at (800) 833-6388.
Applicants who meet the minimum qualifications and wish to claim Veteran's Preference MUST attach a copy of their DD214, NGB Form 22 or Predischarge Certification (issued not more than 120 days prior to End of Term of Service (ETS) by date of submission). If claiming preference based on Predischarge Certification, individual will be required to provide their official discharge documentation, such as a DD form 214, NGB form 22, or equivalent, within 30 days after the date of discharge. Please blackout (redact) the social security number before attaching any documents. For additional information on Veteran's Preference and guidance on how to determine if you are eligible, click here.
DCYF participates in the federal E-Verify program. The selected candidate must provide proof of identity and authorization to work in the United States, consistent with E-Verify requirements, on their first day of employment.
Description
"Our vision is to ensure that “All Washington's children and youth grow up safe and healthy, thriving physically, emotionally, and educationally, nurtured by family and community".
Job Title: Juvenile Rehabilitation (JR) Medical Director
Location: Olympia, WA
Closes: Monday, November 23, 2026
Salary: $130,000.00 – $202,888.80 Annually
(This reflects pay prorated to 60% FTE. The full-time salary range for this position is $130,320.00 – $338,148.00 annually.)
Schedule: Part-time (60%), on-call; days
Work Setting: Hybrid
This is a hybrid position — not fully remote. The Medical Director provides in-person clinic care at JR secure facilities and travels to community facilities; administrative work may be performed remotely. Regular on-site presence is required.
The Department of Children, Youth, and Families (DCYF) is accepting applications for a Medical Director to oversee the standards of medical care across Juvenile Rehabilitation (JR) programs and ensure regulatory compliance. The Medical Director advises JR community facility leadership on the care of young people who access Medicaid-funded providers while in those facilities, delivers direct services and clinics at JR secure facilities, and provides on-call coverage and case consultation. This is a unique opportunity to influence policy, advance evidence-based practice, and ensure young people receive high-quality, developmentally informed care that supports their health, rehabilitation, and long-term success.
The Opportunity:
As the JR Medical Director, you will serve as the primary healthcare authority for Juvenile Rehabilitation statewide, leading the system of medical care and treatment for youth in JR programs. You will advise executive leadership on healthcare policy and system improvements, oversee standards of care and regulatory compliance, and ensure consistent, high-quality, developmentally informed care across secure and community facilities. You will provide clinical supervision to medical providers and nursing supervisors, oversee healthcare contracts, consult on complex cases, and hold final authority for medical treatment decisions for youth in JR residential programs.
Working closely with JR leadership, behavioral health partners, and community providers, you will advance quality improvement, promote compliance with National Commission on Correctional Health Care (NCCHC) standards, and support the Medicaid 1115 Reentry Waiver. You will also provide direct clinical care to youth, deliver medical education to staff, and help shape the future of healthcare for justice-involved youth. If you are a systems-minded physician leader dedicated to this work, we encourage you to apply.
Some of what you'll do:
- Provide medical leadership and ongoing communication across JR’s enterprise, including clinical supervision of medical staff and nurse managers, participation in leadership meetings, interviews for key clinical positions, and oversight and guidance for clinical systems and services.
- Provide consultation on medical service needs to medical personnel at each facility and to community providers, particularly for youth with complex needs who are transitioning to a community facility or reentering the community.
- Oversee and facilitate regular medical quality assurance activities.
- Provide on-call availability for emergent cases, critical incidents, or other urgent consultation needs.
- Meet weekly with RN3s to advise on best-practice care and contribute to audit preparation.
- Coordinate the medical aspects of the continuum of care.
- Provide direct medical clinic support, focusing on coverage and outdates at Echo Glen Children’s Center and Green Hill School approximately one day per month.
- Conduct medical assessments of JR young people to include medical history and physical exam, complete diagnosis, and medication evaluation. Provide (as needed) consultation with families regarding the care of youth.
Required Qualifications:
- A Doctor of Medicine (MD), be Board Certified and have a current, valid license to practice medicine in the State of Washington.
- Possess or meet eligible criteria for DEA.
AND
Knowledge, Skills, and Abilities:
- Exceptional communication skills with the ability to communicate orally and in writing with a variety of individuals ranging from agency administration, residential program and security staff, health care professionals, patient advocates, and other lay people.
- Experience supervising providers and providing consultation to non-clinical program personnel on the execution of support services.
- The ability to take action to learn and grow.
- The ability to take action to meet the needs of others.
In addition to those required qualifications, our ideal applicant will also have some or all of the following:
- Experience in adolescent medicine in a residential setting.
- Familiarity with best practices of medicine in juvenile justice/carceral settings.
- Familiarity with standards of practice as defined by the National Commission on Correctional Healthcare (NCCHC).
- Experience with administering Medications for Opioid Use Disorder in coordination with substance use dependence professionals.
How do I apply?
Complete your applicant profile and attach the following documents:
- Letter of interest describing how you meet the specific qualifications for this position.
- Current resume detailing experience and education.
- Three professional references with current contact information.
Supplemental Information:
The Department of Children, Youth, and Families (DCYF) is committed to Washington’s children and youth growing up safe, healthy, and thriving. We invite all candidates to join us in our goal to create a diverse and equitable workplace that reflects the communities we serve. If you are excited about this role but you believe that your education and/or experience might not align perfectly with every qualification in the job posting, we encourage you to apply anyway.
The Department of Children, Youth, and Families (DCYF) is an equal opportunity employer and does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained service animal by a person with a disability.
Applicants selected for an interview are required to pass a national fingerprint background check and complete a questionnaire mandated by the Prison Rape Elimination Act (PREA) inquiring about any sexual misconduct. Information from the background check will not necessarily preclude employment but is considered in determining the applicant's suitability and competence to perform in the job.
Must provide information about past allegations or investigations related to client relationships.
This position requires at least two years of driving experience and a valid driver’s license.
Must maintain a current CPR/First Aid certification.
Must maintain at least 12 hours of continuing education or in-service training yearly.
If you have any questions pertaining to this recruitment or if you would like to request an accommodation throughout the application/interview process, contact the DCYF Recruiter. If you're experiencing technical difficulties creating, accessing or completing your application, call NEOGOV toll-free at (855) 524-5627 or email support@neogov.com. Persons needing accommodation in the application process or this announcement in an alternative format may call (360) 902-2276 or the Telecommunications Device for the Deaf (TDD) at (800) 833-6388.
Applicants who meet the minimum qualifications and wish to claim Veteran's Preference MUST attach a copy of their DD214, NGB Form 22 or Predischarge Certification (issued not more than 120 days prior to End of Term of Service (ETS) by date of submission). If claiming preference based on Predischarge Certification, individual will be required to provide their official discharge documentation, such as a DD form 214, NGB form 22, or equivalent, within 30 days after the date of discharge. Please blackout (redact) the social security number before attaching any documents. For additional information on Veteran's Preference and guidance on how to determine if you are eligible, click here.
DCYF participates in the federal E-Verify program. The selected candidate must provide proof of identity and authorization to work in the United States, consistent with E-Verify requirements, on their first day of employment.
See all 675+ Green Card Director of Rehabilitation Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Director of Rehabilitation Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship in Director of Rehabilitation
Document your clinical licensure before applying
Gather state licensure records, national certification credentials, and foreign degree equivalency evaluations early. PERM requires the employer to verify your qualifications meet the minimum requirements listed in the job description, so gaps between your credentials and the posted role can delay or derail certification.
Target health systems with existing PERM history
Large hospital networks and post-acute care organizations file PERM more regularly than smaller outpatient clinics. Search Migrate Mate to identify employers with verified green card sponsorship history for rehabilitation leadership roles, then prioritize outreach to those organizations specifically.
Check prevailing wage tiers before salary negotiations
Use the OFLC Wage Search to look up the prevailing wage for Director of Rehabilitation under the relevant SOC code in your target metro area. Your offered salary must meet or exceed the certified wage level, so knowing the floor before you negotiate prevents costly mismatches at the PERM stage.
Align your resume to the PERM job description
The employer's PERM application must describe the actual minimum requirements of the position, not your specific qualifications. Confirm the job description the employer intends to file matches roles you can document meeting, since USCIS will compare your I-140 petition against those posted minimums.
Clarify the EB-2 versus EB-3 category with HR early
If your highest degree is a master's in health administration or physical therapy, you likely qualify for EB-2 classification. If you hold a bachelor's degree plus substantial clinical management experience, the employer may file under EB-3 instead. Your category affects your priority date and potential backlog if you're a national of India or China.
Understand AC21 portability before accepting a counteroffer
Once your I-485 adjustment of status application has been pending 180 days or more, AC21 portability lets you move to a new employer in the same or similar occupation without losing your priority date. For Director of Rehabilitation, a comparable rehabilitation leadership role at a different health system generally qualifies.
Green Card Director of Rehabilitation: Frequently Asked Questions
What is the PERM process for a Director of Rehabilitation role?
PERM labor certification is the first step for most EB-2 and EB-3 green card petitions. Your employer files with the Department of Labor, conducts a formal recruitment test to confirm no qualified U.S. workers are available, and obtains a prevailing wage determination. Only after DOL certifies the application can the employer file the I-140 petition with USCIS on your behalf.
How is green card sponsorship different from H-1B sponsorship for this role?
Green card sponsorship leads to lawful permanent residency, while H-1B visa authorization is temporary and employer-tied. PERM requires a DOL recruitment test and prevailing wage determination that H-1B does not. Employment-based green cards also have per-country numerical limits, meaning nationals of India or China can face significant priority-date backlogs regardless of when their employer files.
Do all healthcare employers sponsor green cards for Director of Rehabilitation positions?
Many smaller outpatient clinics and private practices do not sponsor green cards due to the cost and administrative burden of PERM. Large hospital systems, national rehabilitation networks, and long-term care chains are more likely to have established sponsorship programs. Use Migrate Mate to search specifically for employers with verified green card sponsorship history in rehabilitation leadership, rather than relying on general job boards.
Can I qualify for EB-2 classification as a Director of Rehabilitation?
EB-2 covers professionals whose role requires an advanced degree, or a bachelor's degree plus five years of progressive experience in the field. Many Director of Rehabilitation positions require a master's degree in physical therapy, occupational therapy, or health administration, which supports EB-2 classification. Your employer confirms the minimum requirements when drafting the PERM job description.
What happens to my green card case if I change employers mid-process?
If your I-485 has been pending for at least 180 days and the new role is in the same or similar occupation, AC21 portability lets you transfer your case to a new employer without losing your priority date. If your original I-140 was approved, you can also ask a new employer to file a fresh I-140 and retain your earlier priority date, which matters most if you're subject to a country backlog.