Early Intervention Occupational Therapist Jobs
Early Intervention Occupational Therapist jobs are open across pediatric therapy clinics, school districts, home health agencies, and hospital systems, from new-grad to senior and lead levels, with specializations in sensory processing, developmental delays, and family-centered care. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 452+ Early Intervention Occupational Therapist jobs
Job Summary
Credentialing: Must be credentialed with Early Intervention/ ElwynAdministrative/ Operational staff before starting — see note below.
About the Role
Small Talk Therapeutic Services provides Early Intervention (EI) therapy services, working closely with our early intervention contracts (Infants & Toddlers and Elwyn) and Small Talk providers to support children and families. We're looking for a part-time Administrator to take ownership of the operational side of that work — compiling reports, managing systems access, keeping training and documentation on track, and helping our team run smoothly as we grow. You'll own these processes start to finish, spot problems before they become problems, and bring the Clinical Manager solutions, not just updates.
This role is primarily remote (about 90%), with occasional in-office days in Philadelphia for monthly team trainings.
Tools & Systems You'll Use
- HCSIS — Pennsylvania's state database for Early Intervention and disability services: provider enrollment, service authorizations, and participant records.
- PEIDS — the Philadelphia Early Intervention Data System — used to enter service start dates and other service-delivery records for children in Philadelphia's EI program.
- Sprout — the referral-tracking system used to receive, process, and return Early Intervention referrals between school districts (LEAs), intermediary units like Elwyn, and providers like us.
- Relias — the online training platform where required courses, competency trainings, and certifications get assigned and completed; Elwyn enrolls staff into either a Clinical or an Administrative/Operational learning path based on their role.
- Pennsylvania Key Provider (PD) Registry — the state's workforce registry for early childhood/EI professionals; tracks training completion, credentials, and career-pathway progress.
- Jefferson TLC — the training/credentialing platform staff use to complete required courses and certifications; you'll track completion through it.
- SimplePractice — our EHR (electronic health record) and practice-management platform: scheduling, billing, clinical notes, and the client portal.
- Thrizer — a payments platform that automates out-of-network insurance reimbursement, so clients pay only their estimated share while Thrizer handles the claim submission.
- GoHighLevel — our CRM (client relationship management) and automation platform: contact records, pipelines, scheduling, and automated emails/texts.
- Google Workspace — Google's business tools (Gmail, Drive, Docs, Sheets, Forms, Calendar, Sites) for everyday documents, scheduling, and internal pages.
- Power BI — Microsoft's reporting/dashboard tool; turns raw data into the visual reports used for agency scorecards and metrics.
- Loom — a quick screen-recording tool for short how-to or walkthrough videos, instead of a long written explanation or a live meeting.
- Claude — Anthropic's AI assistant; you'll get your own seat to help draft, summarize, and speed up day-to-day admin and compliance work.
- You'll get a Small Talk Gmail account and the accounts/seats above set up for you.
What You'll Do
- Onboarding & offboarding: start onboarding for every new hire and make sure each step gets finished, following Small Talk’s SOPs. Also run offboarding when staff leave.
- Medicaid (MA) applications: prepare and submit them for Early Intervention.
- Agency reporting & metrics — Pull performance reports and monitor scorecard measures like session start dates, training completion, and compliance requirements, flagging anything that needs attention. Reporting to the clinical manager with metrics that require further attention.
- Caseload administration — Assign HCSIS access, request access through Elwyn's Zendesk system, and send referral emails to staff and LEAs so new hires have what they need to get started.
- Referral returns — Complete referral return forms, submit them to the LEA for approval, and return approved referrals in Sprout. Elevate to clinical manager when referrals are initiated for non-approved reasons.
- Training & documentation compliance — Run quarterly training check-ins and monthly credentialing/documentation compliance checks for Early Intervention and Elwyn.
- ECO data monitoring — Track ECO reports and follow up with staff to make sure Early Intervention and Elwyn data is accurate and on time.
- Daily email - Initiate/respond to daily emails. Elevate to appropriate contact if a specialized response is needed.
- Compile monthly hours for W2 salaried employees and flag/elevate providers who are not meeting hours. Elevate to the Clinical Manager when necessary, notify if all providers meet hours.
- Other admin projects — As the role evolves, additional projects will come up in our weekly check-ins.
Elwyn Credentialing Requirement
Because this role touches Early Intervention service delivery, it requires every staff member — including administrative/operational roles like this one — to be credentialed before they can start any work. As an Administrative/Operational hire, you won't need Elwyn's full clinical Learning Path; you'll complete their shorter administrative training track (including Sprout training) instead. The credentialing checklist Elwyn requires generally includes:
- A PA Child Abuse Clearance, PA Criminal History Clearance, and FBI Clearance (each must be current within 24 months and renewed every 5 years)
- An Act 24 Arrest/Conviction Report
- Proof of your highest degree or relevant education
What Success Looks Like
- First 30 days: Credentialed, trained on HCSIS, PEIDS, Sprout and Relias, and running the daily inbox without reminders.
- First 60 days: Delivering the monthly compliance check and provider hours report on time, with issues already flagged.
- First 90 days: Running a tracker for every recurring deadline (clearances, trainings, ECO, referral returns), and you've proposed at least one process improvement.
What We're Looking For
More than any specific background, we're looking for someone who is:
- Naturally inclined to streamline — when something feels clunky or manual, you notice, and you have ideas for making it better.
- Organized — you have a real system for keeping track of recurring deadlines and follow-ups, and things don't fall through the cracks.
- A clear communicator — with staff, external agencies, and more than one point of contact on our side.
- A loop-closer - You follow up until it’s done, not just until you’ve sent the email.
- Independent — comfortable figuring things out when you don't have every step spelled out, and knowing when to flag something instead of guessing.
- Willingness to learn our systems as they evolve. While we are supportive, we are looking for a candidate that is a problem-solver and can learn new programs/systems quickly and independently.
- Experience with Early Intervention systems (HCSIS, Sprout) or healthcare/compliance administration is a plus but not required.
Compensation Note:
We're targeting $22-$28/hour to start, with placement within that range pending experience.
Pay: $22.00 - $28.00 per hour
Work Location: Hybrid remote in Philadelphia, PA 19129
Early Intervention Occupational Therapist Jobs by Experience Level
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Find JobsEarly Intervention Occupational Therapist Job Market
Who's Hiring
- White Glove Community Care27
- Heartland ABA23
- Ivy Health19
- Allegheny Intermediate Unit16
- Metro Therapy15
Top Industries Hiring
- Healthcare & Medical Services
- Biotechnology & Pharmaceuticals
What Employers Look For
The qualifications that appear most often in early intervention occupational therapist jobs.
- Master's degree in occupational therapy from an accredited program
- Active NBCOT certification and state occupational therapy licensure
- Experience delivering services under IDEA Part C early intervention guidelines
- Ability to conduct developmental evaluations and write IFSP goals
- Proficiency in natural environment practice and caregiver coaching models
- Valid driver's license and reliable transportation for home-based visits
Tips for Your Early Intervention Occupational Therapist Job Search
Tailor your resume for pediatric caseloads
Hiring managers in early intervention want to see specific age ranges, diagnosis types, and therapy settings on your resume. List the developmental areas you've addressed, such as fine motor, oral motor, or sensory regulation, and name the service models you've used, like natural environment or pull-out.
Get your NBCOT and state licensure current
Most early intervention postings require active NBCOT certification and a valid state occupational therapy license before day one. If you're relocating, check the target state's OT licensure board for reciprocity timelines and start the transfer process before you apply.
Apply early to roles that fit
Migrate Mate lists early intervention occupational therapist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight family coaching and caregiver training
Early intervention programs are built around coaching caregivers, not just treating children directly. Interviewers ask how you coach families to embed therapy into daily routines. Document specific examples from your experience where you trained a parent or caregiver and tracked the child's carry-over.
Target postings by service delivery model
Job titles vary widely: some postings say 'Part C coordinator,' others say 'developmental therapist' or 'early childhood OT.' Search by setting, like home-based, clinic-based, or IFSP-driven, to avoid missing relevant openings that use different titles.
Prepare for scenario-based interview questions
Early intervention interviews often include scenarios about disagreements with families over IFSP goals or transitions to preschool services. Prepare two or three concrete examples that show you can hold a family-centered stance while still meeting compliance requirements under Part C.
Early Intervention Occupational Therapist Jobs: Frequently Asked Questions
Which companies are hiring the most early intervention occupational therapists?
The companies hiring the most early intervention occupational therapists right now include White Glove Community Care, Heartland ABA, and Ivy Health, with the largest share of openings in Pennsylvania, New York, and California, based on current listings on Migrate Mate as of November 2026. Pediatric therapy networks and state-contracted early intervention programs tend to post the highest volume of openings consistently.
How many early intervention occupational therapist jobs are remote?
About 18% of early intervention occupational therapist openings are fully remote or hybrid as of November 2026, reflecting the hands-on nature of most pediatric OT roles. Telehealth positions are most common in evaluation, consultation, and supervision roles rather than direct treatment with young children.
How do you become an early intervention occupational therapist?
You need a master's or doctoral degree in occupational therapy from an accredited program, followed by passing the NBCOT certification exam and obtaining your state OT license. From there, employers typically require fieldwork or post-graduate experience with children under three, familiarity with IDEA Part C regulations, and training in family-centered and natural environment practice models.
How do you get hired as an early intervention occupational therapist with little experience?
Focus on fieldwork placements and clinical hours in pediatric or early childhood settings during your graduate program, since those count toward experience requirements. Seek out Part C-contracted agencies willing to hire new graduates with supervision structures in place. Completing continuing education in sensory integration, developmental screening tools, or IFSP goal writing strengthens your application when direct experience is limited.
What does the early intervention occupational therapist interview process look like?
Most interviews include a phone or video screen with HR, followed by a clinical interview with a lead therapist or program director who asks about your evaluation approach, caseload management, and experience coaching caregivers. Some employers add a scenario round where you walk through how you'd handle an IFSP meeting or a family who is resistant to therapy goals. References from supervisors who can speak to your pediatric skills are typically required before an offer is extended.
Where can I find and apply to early intervention occupational therapist jobs?
You can find and apply to early intervention occupational therapist jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your preferred setting, location, and caseload focus, then apply directly to each listing that fits your background.
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