Occupational Therapist Hand Therapist Jobs
Occupational Therapist Hand Therapist jobs are open across hospitals, outpatient clinics, rehabilitation centers, and hand surgery practices, from entry-level to senior clinician, with specializations in upper extremity rehabilitation, splinting and orthotics, and post-surgical hand recovery. See the openings below and apply to the ones that match your experience.
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At Houston Methodist, the Rehab Services Fellow position, completes planned program of post-professional clinical and didactic education provided for rehabilitation services modality that is designed to advance the fellow's preparation as a provider of patient care services in a specific area of specialty clinical practice and complete the guidelines as set by the appropriate Board of Examiners Association or professional Association. This position focuses in preparation as a provider of safe, competent patient care services through the fellowship program which combines opportunities for necessary clinical supervision and mentoring with a theoretical basis for advanced practice and scientific inquiry. The Rehab Services Fellow position performs patient management services including evaluation, treatment, referral, supervises support personnel (as applicable), and performs related duties such as participation in rounds, clinics, departmental performance improvement, and clinical education in accordance with regulatory agency/professional association guidelines, state practice act, applicable regulations, and departmental policy, procedures and practices. This position demonstrates competence to adapt to work and customer service to accommodate the unique physical, psychosocial, cultural, safety and other developmental needs of patients served by the department.
Exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section.
EXPERIENCE
- No experience but in a clinical fellowship year
LICENSES AND CERTIFICATIONS
Required
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association and
- State Licensure as SLP - Speech Language Pathologist or OT - Occupational Therapy
SKILLS AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
- Exhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers
- Demonstrates good communication and interpersonal skills
- Ability to work as a team member
- Demonstrates good time management skills
- Possesses competent computer knowledge; operates multiple computer systems and standard Rehabilitation equipment. Demonstrates professional and technical competence in the selection, evaluation, utilization of treatment plans
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one other to achieve optimal department results. Collaborates with all members of the patient care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
- Cooperates and collaborates with members of the inter-professional healthcare treatment team regarding patient’s current treatment, progress, referrals, consults, equipment, clinical appointments, home care and discharge planning.
- Provides contributions towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
- Evaluates patient’s level of function; develops and implements plan of treatment. Collaborates and communicates with the healthcare team any modifications to patient’s treatment plan, progress, and discharge planning for achievement of identified patient specific goals, following evidence-based guidelines.
- Performs and documents complete and comprehensive evaluation, treatment notes, re-assessments, discharges, and charges of assigned patients to identify patient’s level of function and to determine the treatment plan.
- Provides education on home exercise, safety, self-care, etc., which includes active listening and teaching, to patients, family members, and/or caregivers, and distributes appropriate hand-outs. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly. Serves as resource to clinical residents and nursing in teaching best practices.
- Contributes to meeting/exceeding department and organization targets for patient satisfaction.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Oversees appropriate patient care duties and those treatments delegated to assistants and technicians in accordance with the state practice act and department and hospital policies.
- Monitors patient progress; maintain timely and accurate patient records.
- Completes all patient documentation and enters charges for services provided. (
- Identifies and escalates issues and opportunities for improvement. Follows up on action items to ensure completion of assignments. Contributes towards improving department/practice quality and safety scores.
FINANCE ESSENTIAL FUNCTIONS
- With guidance, uses resources efficiently to maximize utilization of time and equipment. Self-motivated to independently manage time effectively and prioritize tasks for self and clinical fellowship assignments.
- Maintains accurate and complete documentation of patient education and procedures performed in a timely manner in the patient record. Enters accurate charges for services provided, as applicable.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Participates in clinical education programs as approved by the Faculty Advisor and individual and staff development and expansion of services, including research projects. Presents relevant special topics in professional literature at clinic meetings, rounds, conference, and meetings as delegated or requested by the faculty. Completes, as appropriate, presentations and case reports to complete Fellowship curriculum. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual process improvements. Remains current on professional issues and clinical skills by attendance of appropriate CEUs and involvement with professional organization. Completes and updates the My Development Plan on an on-going basis. Ensures own career discussions occur with appropriate management.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: No
- Other (department approved): Yes
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No
- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section.
EXPERIENCE
- No experience but in a clinical fellowship year
LICENSES AND CERTIFICATIONS
Required
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association and State Licensure as SLP - Speech Language Pathologist or OT - Occupational Therapy
Company Profile:
Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. We are committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.
Houston Methodist is an Equal Opportunity Employer.
Occupational Therapist Hand Therapist Jobs by Experience Level
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Find JobsOccupational Therapist Hand Therapist Job Market
Who's Hiring
- Select Physical Therapy18

- NovaCare6

- UNC Health5

- Rehab Employee Services5

- Sutter Health4

Top Industries Hiring
- Healthcare & Medical Services
- Education
What Employers Look For
The qualifications that appear most often in occupational therapist hand therapist jobs.
- Master's or doctoral degree in occupational therapy from an accredited program
- Active state occupational therapy license in the state of employment
- Certified Hand Therapist credential or eligibility and active pursuit of CHT
- Experience with custom static and dynamic splint fabrication using thermoplastics
- Proficiency in standardized upper extremity assessments such as the DASH and Jamar grip testing
- Minimum years of clinical experience in hand therapy or upper extremity rehabilitation settings
Tips for Your Occupational Therapist Hand Therapist Job Search
List your CHT credential prominently
If you hold the Certified Hand Therapist credential, put it immediately after your name on your resume header. Many hiring managers filter applicants by CHT status before reading anything else, so burying it in a skills section costs you interviews.
Document splint fabrication techniques by name
Generic phrases like 'custom orthotics' undersell your skill set. Name the specific static and dynamic splint designs you fabricate, the thermoplastic materials you use, and the diagnoses you address, so reviewers can match your experience to their patient population.
Target postings by upper extremity caseload mix
Job descriptions vary widely between crush injuries, nerve repairs, Dupuytren's contractures, and sports-related hand conditions. Read each posting for the dominant diagnosis mix and tailor your cover letter to highlight your direct experience with those specific conditions.
Apply early to roles that fit
Migrate Mate lists occupational therapist hand therapist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for practical clinical scenarios in interviews
Interviewers at hand therapy settings frequently ask how you would handle a patient with acute flexor tendon repair or complex regional pain syndrome. Walk through your clinical reasoning, splinting choice, and exercise progression to show you can operate independently from day one.
Negotiate for protected evaluation time
Before accepting an offer, ask how long initial evaluations are scheduled. Settings that compress hand evaluations into standard 45-minute OT slots often compromise quality of care and therapist satisfaction. Confirm the actual time allotted before you sign.
Occupational Therapist Hand Therapist Jobs: Frequently Asked Questions
Which companies are hiring the most occupational therapist hand therapists?
The most active employers for occupational therapist hand therapists right now are Select Physical Therapy, NovaCare, and UNC Health, and the most openings are in California, Florida, and New York, based on current listings on Migrate Mate as of November 2026. Hand surgery group practices and health system outpatient rehabilitation departments consistently post the highest volumes.
How many occupational therapist hand therapist jobs are remote?
About 2% of occupational therapist hand therapist openings are fully remote or hybrid as of November 2026, reflecting the hands-on nature of most clinical roles. The sub-areas most compatible with remote work include telehealth consultations for post-surgical home exercise programs and administrative or clinical educator positions within larger rehabilitation networks.
How do you become an occupational therapist hand therapist?
You start by earning a master's or doctoral degree in occupational therapy and passing the NBCOT certification exam to become a licensed OT. After licensure, you gain clinical experience in hand and upper extremity settings, accumulate the required direct patient care hours, and complete the written and practical components of the CHT examination administered by the Hand Therapy Certification Commission.
How do you get hired as an occupational therapist hand therapist with little experience?
Apply to outpatient orthopedic or acute care settings where hand therapy caseloads are part of a broader OT mix, since these positions are more open to new graduates than dedicated hand therapy clinics. Seek out mentorship from a CHT during your first role, pursue continuing education in splinting and upper extremity anatomy, and document every hand-related case you treat to build a focused clinical record for future CHT eligibility.
What does the occupational therapist hand therapist interview process look like?
Most employers start with a phone or video screen to confirm licensure status and clinical background, followed by an in-person interview with the clinical director or lead therapist. You should expect case-based questions testing your clinical reasoning for common diagnoses like tendon repairs and nerve injuries, and some settings will ask you to demonstrate splint fabrication or explain your approach to a standardized functional assessment during a practical component.
Where can I find and apply to occupational therapist hand therapist jobs?
You can find and apply to occupational therapist hand therapist jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your clinical background and credentials, then apply directly to each position that fits.
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