Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. POSITION SUMMARIES: Certified Therapeutic Recreation Specialist (CTRS) The Certified Therapeutic Recreation Specialist (CTRS) is responsible for the provision of Recreational Therapy services, including assessment, treatment planning, therapeutic activity interventions and discharge leisure planning.