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Regional Director of Operations - Iowa & Southern Minnesota
If you’re a strategic therapy leader who enjoys driving financial performance, strengthening client partnerships, and leading multiple teams across locations, this Regional Director of Operations role may be your next step.

The Regional Director of Operations (RDO) plays a key leadership role in overseeing regional financial performance, staffing strategy, client relationships, and overall operational success — primarily within skilled nursing facilities (SNFs), senior living, and post-acute care settings throughout Iowa and Southern Minnesota.

About Blue Stone Therapy
Founded in 2009, Blue Stone Therapy provides contract physical therapy, occupational therapy, and speech-language pathology services to skilled nursing, assisted living, long-term care, and post-acute communities across the Midwest. We focus on individualized rehabilitation, strong clinical standards, and dependable partnerships.

A Day in the Life of the Regional Director of Operations
As a Regional Director of Operations, your focus is leadership, accountability, and performance.

You’ll partner with Rehab Directors, clinical teams, recruiters, and facility partners to drive results across your region. You’ll conduct routine site visits, analyze KPIs and financial metrics, support staffing strategies, strengthen client relationships, and collaborate with clinical leadership to ensure operational and compliance success.

This role requires regular travel (60%+), strong executive communication skills, and the ability to manage multiple facilities and priorities effectively..

What You’ll Do as Regional Director of Operations

• Provide leadership, coaching, and accountability to Rehab Directors and therapy teams
• Conduct routine site visits every 4–6 weeks within your region
• Analyze and manage regional KPIs, revenue forecasts, and expense performance
• Partner with Recruiters to support hiring and staffing optimization
• Collaborate with Clinical Services to ensure compliance, quality metrics, and documentation standards
• Own and strengthen client relationships
• Identify workflow gaps and implement operational improvements
• Support marketing initiatives and represent Blue Stone Therapy in the community
• Drive engagement, retention, and overall team performance

What You Bring

• Active PT, OT, SLP, PTA, or COTA license
• 5+ years of clinical experience
• 4+ years of leadership experience in a multi-site SNF or post-acute therapy setting
• Strong financial and operational acumen
• Experience managing KPIs, revenue performance, and staffing models
• Excellent communication, collaboration, and decision-making skills
• Ability to travel 60%+ throughout Iowa and Southern Minnesota
• Residency within the region or willingness to relocate

Why This Role Matters
The Regional Director of Operations directly impacts the success of our therapy teams, facility partners, and the patients we serve. This role is instrumental in aligning clinical quality with financial performance while building strong, lasting partnerships.

Benefits & Perks
Blue Stone Therapy offers a competitive benefits package, including:

• Medical, Dental, and Vision insurance
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• 401(k) with employer contribution
• Employee Assistance Program (EAP)
• Paid Time Off (PTO) and paid holidays
• And more

Benefits are subject to eligibility requirements and the terms of applicable plans or programs.

Ready to Apply?

If you’re interested in becoming a Regional Director of Operations serving Iowa and Southern Minnesota, we encourage you to apply today. We’re excited to connect with experienced leaders ready to drive operational success across a dynamic region.

Blue Stone Therapy is an Equal Opportunity Employer.