H-1B Visa Outpatient Therapist Jobs
Outpatient Therapist roles qualify as H-1B visa specialty occupations because they require at least a master's degree in counseling, social work, or a related clinical field. Employers sponsoring these positions file a Labor Condition Application with DOL and an I-129 petition with USCIS, covering up to three years of status with extensions possible to six years.
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INTRODUCTION
Market Director - Northeast MA (Newburyport Area)
Occupational Therapist Therapist
Mobile Outpatient Therapy
Salaried Opportunity 35 or 40 hrs/wk
Clinical and Management duties
At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
- Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
- Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
- Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
- Continuing Education: Keep growing with free CEUs through Medbridge.
- H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
- Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Responsibilities
The Market Director is responsible for the efficient management of mobile rehabilitation services in their assigned market. This position also assists in integration of rehabilitation services in all settings. The Market Director ensures that the highest standard of rehabilitation services is delivered and maintained.
- Assumes responsibility for the efficient and profitable management of rehabilitation services in assigned site(s) of service.
- Is responsible for Market relations and program growth in their assigned market.
- Provides direct patient care.
- Monitors the standard of clinical services being delivered and maintained in all locations within the market and ensures an ethical and compliant product is being delivered.
- Manages Powerback Rehabilitation personnel and consultants within facility or home environments.
- Ensures accountability to the provision of evidence based care and adherence to care delivery standards.
- Reviews monthly market and individual therapist outcomes and supports staff in identifying strategies to improve outcomes as needed.
- Assists therapy staff in identifying and removing barriers to treatment and providing clinical education to meet the needs of the patient.
- Takes responsibility for the development and support of all staff in their site to include rounding, coaching and mentoring.
- Assumes responsibility for annual merit evaluation of therapy staff within their assigned market.
- Assumes responsibility for hiring therapy staff (in conjunction with the Clinical Operations Area Director) within their assigned market.
- Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and recommendations from the Clinical Director.
- Administers financial controls of revenue and expenses.
- Assumes responsibility for facility reports on a weekly and monthly basis.
- Assists Clinical Operations Area Director in annual budget preparation.
- Assumes responsibility for meeting annual budget goals as set by the Clinical Operations Area Director.
- Assists with clinical orientation and ensures that there is a quality orientation process for new rehab staff within their market.
- Supports the delivery of the highest standard of rehab services through appropriate utilization of resources, the promotion of clinical programs, and staff development in collaboration with licensed therapists, the Clinical Operations Area Director and the Clinical Director.
- Promotes all Powerback Rehabilitation products and services whenever possible.
- Develops and maintains relationships with referral sources and staff as a representative of Powerback Rehabilitation.
- Ensures that the clinical management of the rehab department, including oversight related to case management, quality improvement, care planning, clinical utilization, and patient identification is overseen.
- Completes monthly reports and formally reviews them with the facility administration.
- Performs other related duties as required.
BASIC QUALIFICATIONS
- They must be a graduate of an occupational therapy curriculum accredited by AOTA & ACOTE standards; or
- They must have a Bachelor's degree from an occupational therapy curriculum accredited by AOTA & ACOTE standards plus 5 years of progressively responsible OT experience.
- They must have initial registration from the National Board for Certification in Occupational Therapy.
- They must be able to practice occupational therapy per state guidelines.
- The Market Director OT must be licensed and/or eligible for licensure as required in the state of practice.
- Additionally, the Market Director OT must have three years direct patient care experience and one year of management experience.
- A thorough knowledge of Medicare and third party billing is also required.
COMPENSATION
- Posted Salary Range: USD $76,000.00 - USD $104,000.00 /Yr.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Outpatient Therapist
Verify your clinical credentials transfer cleanly
Foreign licensure credentials often require evaluation through a state credentialing board before U.S. employers can list you as fully qualified. Confirm your degree equivalency and any state-specific supervised hours requirements before you apply, since gaps here stall LCA filings.
Search employers by verified LCA filing history
Use Migrate Mate to browse outpatient therapy employers with confirmed H-1B LCA filings, so you're targeting practices and health systems that have already navigated the sponsorship process rather than ones encountering it for the first time.
Target multi-site behavioral health groups strategically
Large outpatient networks and federally qualified health centers file LCAs more routinely than solo practices. Each worksite requires its own certified LCA, so employers already running multi-location filings handle the administrative lift without treating it as an obstacle.
Get the prevailing wage tier locked in early
Run your intended job title and worksite ZIP code through the OFLC Wage Search before salary negotiations. Knowing your wage level lets you negotiate within what your employer can certify on the LCA, preventing offer rescissions after DOL submission.
Document your supervised clinical hours meticulously
USCIS adjudicators evaluating outpatient therapist petitions often scrutinize whether post-degree supervised hours meet state licensure thresholds. Compile signed verification letters from supervisors covering hours, settings, and modalities used, since an RFE on this point can delay your start date significantly.
Align your offer letter scope with the O*NET profile
Ask your employer to draft your job duties using language consistent with the O*NET occupation profile for mental health counselors or clinical social workers. Duty descriptions that match the occupational definition reduce the risk of a specialty occupation challenge from USCIS during I-129 adjudication.
H-1B Visa Outpatient Therapist: Frequently Asked Questions
Does an Outpatient Therapist role qualify as an H-1B specialty occupation?
Yes. Outpatient Therapist positions typically require at least a master's degree in counseling, clinical social work, marriage and family therapy, or a directly related field, which meets the specialty occupation threshold USCIS applies. State licensure requirements reinforce this, since most states mandate a graduate degree for independent clinical practice. Employers should document the degree requirement explicitly in the job description to support the I-129 petition.
How do I find outpatient therapy employers who actively sponsor H-1B visas?
Migrate Mate lists outpatient therapy employers with verified H-1B LCA filing history, so you can prioritize organizations that have completed the sponsorship process before. Focus on federally qualified health centers, large behavioral health networks, and hospital-affiliated outpatient programs, which file LCAs regularly and have HR teams familiar with the USCIS petition requirements.
Does my employer need a separate LCA for each outpatient clinic location?
Yes. Each worksite where you provide therapy services needs its own certified Labor Condition Application. If your employer operates multiple outpatient locations and assigns you to different sites, each requires a separate DOL-certified LCA before you begin work there. Confirm this with your employer before accepting a role that involves rotating between facilities, since missing an LCA creates a compliance violation.
What happens to my H-1B status if my clinical license lapses or is under review?
Your H-1B petition is tied to your ability to perform the specialty occupation duties, which typically requires an active state clinical license. If your license lapses, your employer may be unable to certify continued employment in the role, which could affect the validity of your status. Renew your license well before expiration and notify your employer and immigration attorney immediately if any disciplinary review is initiated.
Can I work for a private practice or small group therapy office on an H-1B?
Yes, small and solo outpatient practices can sponsor H-1B visas, but they face a higher administrative burden than large health systems. The employer must file a certified LCA with DOL and an I-129 petition with USCIS, and must meet prevailing wage obligations. Smaller practices sometimes lack in-house HR experience with this process, so ask directly whether they've sponsored H-1B employees before and whether they work with an immigration attorney.