Therapy Director at Breakthrough Healthcare – Maryland Heights, Missouri

The Therapy Director provides clinical leadership, operational oversight, and strategic growth for all therapy services, including Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST). This role ensures therapy services are clinically appropriate, compliant, efficient, and financially responsible while supporting excellent patient outcomes and agency growth.

This is a hybrid role combining leadership responsibilities with direct patient care as needed. The Therapy Director provides discipline-specific oversight, evaluates therapy staff, supports service line growth, assists with cost control, and actively participates in marketing and referral development, particularly with orthopedic and post-acute partners.

Clinical Leadership & Oversight

• Provides discipline-specific clinical leadership for PT, OT, and ST services.

• Ensures therapy plans of care are appropriate, evidence-based, and aligned with physician orders.

• Supports appropriate visit frequency, progression, and timely discharge.

• Identifies clinical risks and escalates concerns appropriately.

Hybrid Clinical Care

• Provides direct therapy services as needed to support continuity of care and coverage.

• Balances billable clinical work with leadership and administrative duties.

Therapy Staff Evaluation & Development

• Provides discipline-specific evaluation of therapy staff.

• Conducts clinical chart reviews and documentation audits.

• Participates in annual performance evaluations.

• Oversees onboarding, training, coaching, and competency development.

Compliance & Documentation

• Ensures compliance with CMS, Medicare, and Medicare Advantage requirements.

• Oversees timely completion of evaluations, reassessments, and discharges.

• Supports audit readiness and denial prevention.

Budget Awareness & Cost Control

• Monitors therapy supplies, staffing utilization, and visit frequency.

• Prevents overspending related to excessive visits or inefficient staffing.

• Collaborates with leadership to address utilization concerns.

Therapy Service Line Growth

• Develops and enhances therapy service lines.

• Standardizes treatment pathways and best practices.

• Stays current on emerging therapy treatments and industry trends.

Marketing & Community Engagement

• Actively participates in marketing and outreach efforts.

• Attends conferences, workshops, and professional events.

• Markets therapy services to orthopedic and referral partners.

• Serves as a clinical ambassador for the organization.

Interdisciplinary Collaboration

• Collaborates with nursing, intake, QA, and marketing teams.

• Participates in interdisciplinary meetings and case conferences.

Qualifications

Required:

• Licensed PT

• Active Missouri license

• Minimum 3 years clinical therapy experience

Preferred:

• Home health experience

• Leadership or supervisory experience

• Managed care / MA experience