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Therapy Director Jobs in Virginia (NOW HIRING)

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Therapy Director information

See Virginia salary details

$19.9K

$84.5K

$159K

How much do therapy director jobs pay per year?

As of Sep 7, 2026, the average yearly pay for therapy director in Virginia is $84,455.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,324.00 and $102,115.00 per year, depending on experience, location, and employer.

What is a therapy director?

A Therapy Director is a healthcare professional responsible for overseeing and managing therapy departments within medical or rehabilitation facilities. They supervise teams of therapists, such as physical, occupational, and speech therapists, and ensure that patients receive high-quality, coordinated care. Their duties include staff management, program development, budgeting, and compliance with healthcare regulations. Therapy Directors often collaborate with other healthcare leaders to improve patient outcomes and maintain operational efficiency.

What are the key skills and qualifications needed to thrive as a therapy director, and why are they important?

To thrive as a Therapy Director, you need advanced clinical expertise, leadership experience, and typically a graduate degree in physical, occupational, or speech therapy along with relevant state licensure. Familiarity with electronic health record (EHR) systems, regulatory compliance tools, and management software is essential. Outstanding interpersonal, organizational, and conflict-resolution skills help you lead multidisciplinary teams and foster a positive work environment. These skills and qualities are crucial for ensuring high-quality patient care, regulatory compliance, and effective team management.

How does a therapy director typically collaborate with other healthcare professionals within an organization?

A Therapy Director frequently works alongside physicians, nurses, case managers, and other allied health professionals to coordinate patient care and ensure consistent treatment planning. They often lead interdisciplinary meetings to discuss patient progress, address challenges, and align on therapeutic goals. This collaboration is essential for delivering holistic care and optimizing patient outcomes, as well as for integrating therapy services within the broader healthcare team. Being proactive in communication and open to feedback are key components of successful collaboration in this leadership role.

What is the difference between Therapy Director vs Clinical Supervisor?

AspectTherapy DirectorClinical Supervisor
CredentialsLicensed Therapist, often with advanced degrees and supervisory credentialsLicensed Therapist, often with supervisory experience
Work EnvironmentOversees multiple therapy teams, manages program operationsSupervises therapists, provides clinical oversight
Employer & Industry UsageHospitals, clinics, mental health organizationsCommunity agencies, outpatient clinics, private practices
Common Search & ComparisonYesYes

The main difference is that a Therapy Director oversees entire therapy programs and manages staff, while a Clinical Supervisor focuses on supervising individual therapists and ensuring clinical quality. Both roles require licensure and relevant experience, but the Therapy Director typically has broader administrative responsibilities.

What are the most commonly searched types of Therapy jobs in Virginia?

The most popular types of Therapy jobs in Virginia are:

What cities in Virginia are hiring for Therapy Director jobs?

Cities in Virginia with the most Therapy Director job openings:

Infographic showing various Therapy Director job openings in Virginia as of August 2026, with employment types broken down into 3% As Needed, 70% Full Time, 14% Part Time, and 13% Contract. Highlights an 79% Physical, 1% Hybrid, and 20% Remote job distribution, with an average salary of $84,455 per year, or $40.6 per hour.

Physical Therapist/Site Manager

The Centers for Advanced Orthopaedics LL

Fairfax, VA โ€ข On-site

Full-time

Re-posted 10 days ago


Key responsibilities

  • Manage the day-to-day operations of the assigned rehabilitation site, ensuring compliance with regulations and achievement of practice metrics.

  • Supervise therapy staff, including hiring, training, scheduling, and conducting performance reviews.

  • Ensure the delivery of high-quality rehabilitation services and maintain a safe, clean, and accessible clinic environment.


Job description

Position Summary/Scope of Responsibility

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia.  With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

The Therapy Site Manager is responsible for the efficient and profitable management of rehabilitation services in his/her assigned site. The Therapy Site Manager ensures that the highest standard of rehabilitation services and customer service are delivered and maintained while ensuring compliance with state and federal regulations. The Therapy Site Manager is responsible for the management of day-to-day operations of his/her site, including meeting established CAO practice metrics, employee supervision, monitoring financial and statistical information, administration of the company’s policies and procedures and direct patient care. The Therapy Site Manager collaborates with the Therapy Director to develop and carry out business goals and objectives.

This role is for a new location with the same practice opening in August 2025:
7500 Iron Bar Ln Ste 219
Gainesville, VA 20155

Duties include, but are not limited to:

  • Creates and maintains a handicapped accessible, safe, clean, positive, and upbeat therapy clinic environment in his/her designated clinic and monitors it in other clinics within his/her practice, including the following of universal precautions, hand hygiene, informed consent and all other CAO, state, and federal regulations.
  • Provides both patient care and administrative duties. The percentage of patient care versus administrative time is dependent on the number of staff and number of clinics being supervised within the practice. The amount of designated administrative time should be directly proportional to the number of direct reports and number of clinics being supervised. The percentage of patient care time vs. administrative time will vary depending on adequate staffing and existence and/or experience of Therapy Site Manager(s) within the practice.
  • Continuously monitors and ensures all CAO; federal and state regulations are adhered to regarding patient treatment and documentation in his/her practices’ clinics.
  • Strives to attain and maintain practice therapy metrics for all lines of business as outlined by practice Administrator and/or CAO Therapy Executive Director.
  • Manages Therapy staff of designated clinic (if applicable) including therapists, front desk staff and support personnel.
  • Ensures adequate clinical staff is scheduled at clinic and any other clinic(s) within the practice in conjunction with Therapy Director where applicable, to provide excellent patient care during all operating hours, while maintaining practices’ productivity standards for all lines of business. This includes covering for therapists when necessary to ensure scheduled patients do not need to be rescheduled and/or cancelled.
  • Ensures adequate front desk staff is scheduled during all clinic operating hours at home clinic and all practice clinics in conjunction with Therapy Director where applicable.
  • Maintains open communication with all direct reports to ensure ongoing patient and staff satisfaction at all practice clinics.
  • Trains newly hired therapists and Therapy Site Manager(s) where applicable in clinic operations, patient scheduling, clinical coding, and compliance and TheraOffice documentation at all practice clinics.
  • Ensures all rehab aides are trained and complete a proficiency test in accordance with CAO procedures in own clinic and all practice clinics in conjunction with Therapy Site Manager(s) where applicable.
  • Recruits, interviews, and hires for all therapy staff positions for home clinic and in conjunction with Therapy Director where applicable and with approval of Practice Administrator.
  • Performs performance reviews on staff at home clinic annually, at minimum, and in conjunction with Therapy Director where applicable and with collaboration of Practice Administrator.
  • Counsels, disciplines and/or terminates therapy staff in home clinic and in other practice clinics in conjunction with Therapy Director where applicable and in collaboration with Practice Administrator and/or CAO's HR Director.
  • Ensures clinic staff meetings are conducted at home clinic and all other practice clinics where applicable, quarterly at minimum, which include written agenda and attendance logs.
  • Monitors inventory of office supplies and medical supplies and orders or delegates ordering as appropriate and when necessary, at home clinic and in other practice clinic(s) in conjunction with Therapy Director where applicable. Must obtain approval from Practice Administrator prior to ordering any supply or piece of equipment, which exceeds $1000.
  • Assesses and continually monitors all equipment in conjunction at home clinic and other practice clinic(s) with Therapy Director where applicable, to ensure that it is in good working order in all practice clinics and, if not, removes it from use and arranges for repair. Also schedules annual equipment inspection and ensures inspection dates are valid and clearly displayed on each piece of equipment at home clinic and other practice clinic(s) with Therapy Director where applicable.
  • Ensures at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable, that all therapists in all practice clinics have and maintain valid state licensure in all states where providing treatment.
  • Ensures at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable, that all therapy staff in all practice clinics maintains valid CPR certification.
  • Ensures at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable, that all therapy staff complete annual compliance training according to the compliance training schedule.
  • Communicates with Practice Administrator to determine whether clinics should modify hours in response to inclement weather, power outages and any other unforeseen situations, which may endanger the safety of patients and/or staff.
  • Actively participates in the Therapy team, including but not limited to staff meetings, CAO sponsored events, webinars, in-services, and departmental meetings.
  • Works same or similar hours to staff PTs/OTs including some evenings and Saturdays depending on practice operating hours and needs of the therapy clinic.
  • Promotes cash-based services at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable.
  • Runs designated weekly, monthly, and quarterly reports at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable and forwards them in a timely manner to CAO Therapy Administrator.
  • Responds via phone call or in person meeting within one business day to any patient or employee complaint and/or detractor response on Clinect survey at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable.
  • Continuously seeks ways to improve overall therapy clinic operations and patient and staff satisfaction at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable.
  • Communicates with Practice Administrator and/or CAO Therapy Executive Director whenever necessary to keep them informed of any developments, problems, concerns, etc. which occur at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable.
  • Cultivates relationships with all CAO and non-CAO referring providers to ensure satisfaction with all therapy services at home clinic and other practice clinic(s) with Therapy Site Manager(s) where applicable.
  • Responds to CAO Therapy Executive Director and/or division Therapy Director questions, inquiries, emails, etc. within time frame requested.
  • Communicates with Practice Administrator and CAO Therapy Executive Director about any new clinics, developments, concerns, problems occurring at their practice.
  • Participates in calls with Therapy Director monthly at minimum and forwards required reports monthly.
  • Performs other duties as assigned.

Required Education & Experience

  • A degree from an accredited Physical/Occupational Therapy program. 
  • State licensure as a Physical/Occupational Therapist in the state where he/she will be practicing.
  • Minimum of five years clinical experience.
  • CPR for Healthcare Providers certification.
  • Experience and proficiency working with computers and electronic medical records.

Competencies/Required Skills & Abilities

  • Strong Interpersonal Skills - Ability to develop relationships and collaborate in a decentralized organization.
  • Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results.
  • Strong oral and written communication skills with excellent self-discipline and patience.
  • Required to be proficient in Windows based office technologies (e.g., Word, Excel).
  • Thorough knowledge of CPT & ICD-10 coding procedures.
  • Thorough knowledge of Medicare and third-party billing.
  • Thorough knowledge of Workers Compensation insurance and its unique features and requirements.
  • Able to work independently.
  • Exudes professionalism in presentation.
  • Must be able to read, write, speak, understand, and communicate in the English language.

Physical Demands

  • Must be able to sit for long periods of time and lift up to 50 pounds.
  • Must be able to use appropriate body mechanics when making necessary transfers and helping patients with exercises.
  • Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.
  • Some heavy lifting, pushing, and pulling exerted regularly throughout a standard work shift.
  • Adequate hearing to perform duties in person and over telephone.
  • Requires hand-eye coordination and manual dexterity needed to operate a keyboard, medical equipment, fax machine, scanner, photocopier, and telephone. 
  • Must be able to communicate clearly to patients in person and over the telephone.
  • Visual acuity adequate to perform job duties, including reading materials from printed sources and computer screens.
  • Requires exposure to communicable diseases, bodily fluids, medicinal preparations, and other conditions common to a clinical environment.