H-1B Visa Director of Rehabilitation Jobs
Director of Rehabilitation jobs at H-1B visa sponsoring employers require a master's degree in physical, occupational, or speech therapy plus state licensure, making them strong specialty occupation fits. Sponsoring employers file a site-specific LCA with DOL before your I-129 petition, and initial H-1B status runs up to three years.
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INTRODUCTION
Join Our Team at Bethany Lutheran Home in Council Bluffs, IA!
Are you an experienced and dedicated Director of Rehab looking for a rewarding career opportunity? Look no further! Bethany Lutheran Home in Council Bluffs, IA, invites you to lead our therapy team.
About us:
Bethany Lutheran Home provides comprehensive skilled nursing and assisted living since 1975! Joining the passionate therapy team at Bethany Lutheran Home means being part of a dedicated group of professionals committed to enhancing the well-being of residents through compassionate care and cutting-edge rehabilitation services.
Why Choose Functional Pathways:
At Functional Pathways, we offer a supportive family environment, ethical care, innovation, and a strong focus on values and customer service. Join us in making a positive impact on our residents' lives!
JOB SUMMARY:
The Director of Rehab supports the RM, RVP, and Operations Team to ensure the efficient operation of the facility rehab department. Serving as the liaison between Functional Pathways, the facility, and rehab staff, the Director of Rehab plays a crucial role in coordinating and integrating care.
RESPONSIBILITIES/REQUIREMENTS:
- Must have an Associate (PTA or COTA) or a minimum of a Bachelor (PT, OT or SLP) of Science degree from an accredited Occupational Therapy or Physical Therapy, or Masters of Speech-Language Pathology.
- Must meet all certification and licensure requirements as established by state and national board associations.
- Active state license.
- Completion of all required screenings, certifications, and licensure. Screening requirements may vary by location.
- Two years clinical experience preferred, with experience in geriatric care.
- Management experience in the skilled setting, preferred.
- Comprehensive leadership skills and ability to supervise.
- Excellent organizational and time management skills.
- Excellent written and verbal communication skills.
- Ability to collaborate with interdisciplinary teams.
- Competence in maintaining accurate and timely documentation.
- Willingness to engage in ongoing professional development and continuing education activities.
Please be aware this is a job summary, not an all-inclusive listing of the tasks and duties for this position. Employment decisions and actions will be administered without regard to race, color, religion, national origin, age, veteran status, gender, disability, or any other classification protected by law.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Director of Rehabilitation
Verify your licensure transfers across states
Your H-1B LCA is tied to a specific worksite state, so confirm your therapy license is valid or transferable there before accepting an offer. Endorsement timelines vary widely and can delay your start date if not resolved early.
Use OFLC Wage Search before salary negotiations
Look up the prevailing wage for your SOC code and the employer's county before any offer conversation. DOL requires the LCA wage to meet or exceed the prevailing wage, so knowing the floor protects you from offers that can't survive the filing.
Target health systems with multi-site rehabilitation departments
Large hospital networks and post-acute care chains file LCAs regularly for Director of Rehabilitation roles across multiple facilities. Focusing your search on employers with existing H-1B filing history shortens the path from offer to petition. Search Migrate Mate to find employers with verified sponsorship records for this role.
Get your credentials evaluated before applying
If your physical or occupational therapy degree is from outside the U.S., complete a foreign credential evaluation through a NACES-approved evaluator before you apply. Many sponsoring employers won't proceed to the LCA stage without documented U.S. equivalency for your graduate degree.
Clarify multi-site coverage in your offer letter
Director of Rehabilitation roles often involve overseeing staff across multiple locations. Each worksite requires its own certified LCA from DOL, so confirm with your employer before signing that every facility you'll supervise is covered or will be filed separately.
Ask about H-1B cap-exempt employer eligibility
Nonprofit hospitals and health systems affiliated with universities may qualify as cap-exempt H-1B employers, bypassing the annual cap and selection process entirely. Confirm your prospective employer's cap-exempt status with USCIS criteria before comparing timelines.
H-1B Visa Director of Rehabilitation: Frequently Asked Questions
Does a Director of Rehabilitation role qualify as an H-1B specialty occupation?
Yes. The Director of Rehabilitation role typically qualifies as a specialty occupation because it requires at least a master's degree in physical therapy, occupational therapy, or a closely related clinical field, plus state licensure. USCIS evaluates the degree requirement against the specific duties in the petition, so the employer's job description must reflect graduate-level clinical and administrative responsibilities throughout.
Which employers commonly sponsor H-1B visas for Director of Rehabilitation positions?
Large hospital networks, post-acute care and skilled nursing chains, and inpatient rehabilitation facilities are the most active sponsors for this role. These employers file LCAs regularly because Director of Rehabilitation positions are hard to fill domestically in many regions. You can search Migrate Mate to browse employers with verified H-1B filing history for rehabilitation leadership roles.
What documents should I prepare before an employer starts my H-1B petition?
Your employer will need your graduate transcripts, foreign credential evaluation if your degree is from outside the U.S., current state therapy license, and any specialty certifications. USCIS scrutinizes the degree-to-job-duties fit closely for clinical leadership roles, so having a detailed resume that maps your graduate training to your administrative and clinical responsibilities helps the attorney build a stronger I-129 petition.
What happens to my H-1B status if I'm promoted and my responsibilities change significantly?
A material change in your role, such as expanding from one facility to multiple sites or shifting from direct clinical oversight to purely administrative duties, may require an amended I-129 petition and new LCAs for any added worksites. Your employer should consult their immigration counsel before finalizing any promotion that changes your job duties, title, or work location, since USCIS can audit the original petition against your actual responsibilities.
Can my employer transfer my H-1B to a new facility within the same health system?
Moving to a different physical worksite, even within the same employer, requires a new certified LCA from DOL covering that location before you begin working there. USCIS H-1B portability rules let you start work at a new employer while an amended petition is pending, but the LCA must be certified and posted at the new site first. Never assume one LCA covers unlisted locations.