Upstream Rehabilitation

Vice President

• Drive consistent clinic performance by reviewing operational metrics, coaching Clinic Directors, and ensuring strong execution of enterprise processes and standards.
• Lead regional financial and operational results through active performance monitoring, corrective action, and partnership on budgeting and forecasting.
• Strengthen leadership capability by coaching, developing and building bench strength among Clinic Directors.
• Build a culture of engagement, accountability, and trust by staying connected to field teams and addressing performance or retention gaps quickly.
• Ensure clinics are fully staffed by overseeing regional workforce planning, partnering with HR on hiring and retention, and preparing proactively for vacancies and growth.
• Partner with Sales, Marketing, and Access teams to drive volume growth, improve conversion and support operational readiness for same-store and new clinic growth.
• Develop and execute regional growth strategies while supporting community and referral-partner engagement to expand and protect market share.
• Ensure delivery of high-quality, compliant clinical care aligned with the company’s care model and risk-management standards.
• Travel frequently within Tennessee and to department or functional meetings.
• Other projects and duties as assigned.

Regional Vice President

Accounts Receivable

• Manage and resolve unpaid accounts with precision and professionalism.
• Drive results by meeting productivity standards while reducing outstanding AR balances.
• Verify payments for accuracy and completeness, and correct account discrepancies (e.g., payer verification, resolving overlaps, reviewing EOBs, processing adjustments or transfers).
• Document all actions and account reviews thoroughly and accurately.
• Identify and report errors, compliance issues and trends to your leader.
• Stay informed on state billing rules, guidelines, and statue of limitations.
• Provide exception support to internal and external customers.
• Handle escalated accounts promptly and report findings as required.
• Other projects and duties as assigned.

RCM – Accounts Receivable

Therapist

• Deliver hands-on, evidence-based care under the supervision of a licensed Physical Therapist
• Help patients improve mobility, strength, and function through individualized treatment plans
• Track patient progress and collaborate closely with your clinical team
• Foster positive relationships with patients, providers, and your local community
• Continue your professional growth through Upstream’s mentorship and learning programs

Physical Therapist Assistant

Analyst

• Provide technical support for computers, software, hardware and network issues.
• Respond to incoming tickets and escalations, ensuring timely and effective resolution.
• Troubleshoot problems by running diagnostics, asking clarifying questions, and walking users through solutions.
• Install, repair and configure hardware, software, and peripherals.
• Support PC setup and deployment for new employees using standard images and tools.
• Maintain system performance, inventory of equipment/software and accurate documentation.
• Train users on new hardware and software and follow up to ensure issues are fully resolved.
• Assign appropriate user groups in Active Directory.
• May require some travel to clinics.
• Other projects and duties as assigned.

Senior Service Desk Analyst

• Review and resolve unpaid accounts to secure accurate and timely reimbursement.
• Ensure payments received are correct, complete, and properly documented.
• Correct and update account information, including payer verification, EOB review, adjustments, transfers, and task creation.
• Meet established productivity standards while maintaining high quality in all account actions.
• Identify and communicate trends, discrepancies, or issues to the team and supervisor.
• Stay current on state rules, regulations, payer requirements, and relevant publications, and share updates with the team.
• Complete all tasks, follow-ups, and escalations within required timelines.
• Participate in required remote meetings with live video.
• Other projects and duties as assigned.

RCM AR Associate – Worker’s Comp

• Develop individualized, evidence-based care plans for your patients
• Deliver high-quality, outcomes-driven therapy
• Collaborate with peers in a fun, values-driven team environment
• Build lasting connections with patients and local providers
• Continue learning and growing through Upstream’s education and development programs

Physical Therapist – Hybrid, Full Pelvic Health

Physical Therapist – Pelvic Health

• Provide patient care in a fully remote pelvic health caseload
• Manage caseload and appointment scheduling during evenings and some Saturdays
• Deliver orthopedic treatment as part of the caseload

Telehealth Physical Therapist – Pelvic Health

Payroll

• Ensure enterprise-wide compliance with all federal, state and local payroll tax regulations, while overseeing accurate processing of payroll transactions, retirement contributions, garnishments and levies.
• Lead and strengthen payroll controls, including developing, implementing, and maintaining safeguards, reconciliation processes, and pre-/post-payroll audits to ensure accurate and timely payroll processing.
• Oversee payroll data integrity, including updates to employee records such as exemptions, insurance coverage, deductions, job titles, and transfers. Proactively identify and resolve discrepancies.
• Provide guidance and support to the payroll team on payroll operations, tax reporting, and company policies, fostering consistency, accuracy and continuous improvement.
• Serve as the 401(k) Plan Administrator, collaborating with our Third-Party Administrator (TPA) on year-end audits, compliance reporting and plan oversight.
• Review and enhance payroll practices, recommending updates to policies, procedures, and workflows to maintain compliance and improve efficiency.
• Monitor legislative changes and advise leadership on required updates to policies, processes, and system configurations to ensure ongoing compliance.
• Other projects and duties as assigned.

Director of Payroll, Retirement, and HRMS

Account Manager

• Develop and follow an effective call strategy for assigned region to increase the referral outcomes of existing and potential partners.
• Reports regularly to the Regional VP of Operations and VP of Sales on the status of the plan, including progress and challenges.
• Communicates often and effectively with Regional VP and VP of Sales on goals, strategies and outcomes.
• Builds effective relationships with customers and community leaders in assigned region.
• Works well both independently and with our team of Clinic Directors, Therapy staff and Business Office staff and peers.
• Effectively presents our company information, service array, and outcomes data to existing and potential partners.
• Uses reporting and data tools to convey the high quality and clinical excellence of our team members and the services they provide.
• Identifies opportunities for publicity, coordinates community events, and attends and participates in Regional meetings as requested.
• Requires the ability to effectively present our company information including outcomes data using appropriate medical terminology.
• Other duties as assigned.