Occupational Therapist Jobs in Texas
Occupational Therapist jobs in Texas are among the most active in the country, with strong demand across hospital systems, pediatric clinics, school districts, and skilled nursing facilities at every level from entry-level OT aide to senior occupational therapist. The largest concentrations of openings are in Houston, Dallas, and San Antonio, where established employers like Baylor Scott and White Health, CHRISTUS Health, and Texas Children's Hospital maintain consistent hiring pipelines. Pediatrics, hand therapy, and neurorehabilitation are the most in-demand specialties across the state. Find a role that fits below and apply directly.
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Occupational Therapist – Rehab Therapy
Facility: San Angelo State Supported Living Center – RFP
Location: Carlsbad, Texas
Department: Rehab Therapy
Schedule: 5 × 8-hour day shifts
Job Description
San Angelo State Supported Living Center – RFP is seeking a qualified and experienced Occupational Therapist (OT) to provide skilled rehabilitation services in Carlsbad, Texas. This opportunity offers a consistent 5 × 8-hour day shift schedule with a competitive pay rate of $82.00/hour. The Occupational Therapist will be responsible for completing comprehensive occupational therapy assessments, providing treatments, monitoring client progress, and developing appropriate programs for individuals with a variety of diagnoses and functional needs. The clinician will also provide training and education to clients, staff, and Direct Support Professionals as appropriate.
The selected therapist will participate in client meetings, provide clinical information when needed, and maintain accurate documentation and reports within required deadlines. Strong communication and organizational skills are essential, including the ability to effectively communicate with other team members, complete required documentation, and educate staff in residential homes. The therapist must conduct all professional activities in accordance with the applicable Rules and Regulations relating to Physical Therapist Education, Licensure, and Practice in the State of Texas, as well as all rules, regulations, and policies established by HHSC and the facility.
Responsibilities & Additional Details
- Discipline: Occupational Therapist
- Specialty: Rehab Therapy
- Schedule: 5 × 8-hour day shifts
- Complete occupational therapy assessments
- Perform skilled occupational therapy treatments and monitor client progress
- Develop programs for individuals with a variety of diagnoses
- Provide training and education to clients and staff
- Train Direct Support Professional staff in residential homes
- Attend client meetings and provide clinical information as needed
- Maintain accurate documentation and complete required reports by established deadlines
- Communicate effectively with other members of the care team
- Follow applicable Texas rules and regulations related to professional practice
- Comply with HHSC and facility rules, regulations, and policies
Location: Carlsbad, Texas
Occupational Therapist – Rehab Therapy
Facility: San Angelo State Supported Living Center – RFP
Location: Carlsbad, Texas
Department: Rehab Therapy
Schedule: 5 × 8-hour day shifts
Job Description
San Angelo State Supported Living Center – RFP is seeking a qualified and experienced Occupational Therapist (OT) to provide skilled rehabilitation services in Carlsbad, Texas. This opportunity offers a consistent 5 × 8-hour day shift schedule with a competitive pay rate of $82.00/hour. The Occupational Therapist will be responsible for completing comprehensive occupational therapy assessments, providing treatments, monitoring client progress, and developing appropriate programs for individuals with a variety of diagnoses and functional needs. The clinician will also provide training and education to clients, staff, and Direct Support Professionals as appropriate.
The selected therapist will participate in client meetings, provide clinical information when needed, and maintain accurate documentation and reports within required deadlines. Strong communication and organizational skills are essential, including the ability to effectively communicate with other team members, complete required documentation, and educate staff in residential homes. The therapist must conduct all professional activities in accordance with the applicable Rules and Regulations relating to Physical Therapist Education, Licensure, and Practice in the State of Texas, as well as all rules, regulations, and policies established by HHSC and the facility.
Responsibilities & Additional Details
- Discipline: Occupational Therapist
- Specialty: Rehab Therapy
- Schedule: 5 × 8-hour day shifts
- Complete occupational therapy assessments
- Perform skilled occupational therapy treatments and monitor client progress
- Develop programs for individuals with a variety of diagnoses
- Provide training and education to clients and staff
- Train Direct Support Professional staff in residential homes
- Attend client meetings and provide clinical information as needed
- Maintain accurate documentation and complete required reports by established deadlines
- Communicate effectively with other members of the care team
- Follow applicable Texas rules and regulations related to professional practice
- Comply with HHSC and facility rules, regulations, and policies
Location: Carlsbad, Texas
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Find Occupational Therapist JobsOccupational Therapist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Occupational Therapist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Collage Rehabilitation Partners25
- Aveanna Healthcare21
- Voyage Health10V
- Angels of Care Pediatric Home Health10
- PAM Health9
Top Industries Hiring
- Healthcare & Medical Services
- Technology & Software
What Texas Employers Look For
The qualifications that appear most often in occupational therapist jobs across Texas.
- Active Texas occupational therapist license issued by the Texas Executive Council of Physical and Occupational Therapy Examiners
- Master's or doctoral degree in occupational therapy from an accredited program
- Passed the NBCOT certification examination with current OTR credential
- One or more years of clinical experience in a relevant practice setting
- Experience with electronic medical records systems such as Epic or Cerner
- Strong documentation skills and ability to develop individualized treatment plans
Occupational Therapist Jobs in Texas: Frequently Asked Questions
How do you become a occupational therapist in Texas?
You must hold a license issued by the Texas Executive Council of Physical and Occupational Therapy Examiners before you can practice in Texas. To qualify, you need a master's or doctoral degree in occupational therapy from an accredited program and a passing score on the NBCOT certification exam. After passing, you apply directly to the Council for your Texas license, which requires renewal every two years along with continuing education.
How much do occupational therapists make in Texas?
Occupational therapists in Texas earn a median of about $106,140 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $76,350 for the lowest 10% to over $135,200 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Texas?
Employers hiring occupational therapists in Texas right now include Collage Rehabilitation Partners, Aveanna Healthcare, and Voyage Health, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems and pediatric specialty networks are consistently among the most active, given the scale of their outpatient, inpatient, and school-based rehabilitation programs.
Which Texas cities have the most occupational therapist jobs?
San Antonio, Houston, and Austin have the most occupational therapist openings in Texas. Houston and Dallas drive the bulk of demand through their large hospital systems and pediatric networks, while San Antonio's concentration of military-affiliated medical centers and CHRISTUS Health facilities creates steady openings across adult rehabilitation and long-term care settings.
Are there remote occupational therapist jobs in Texas?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so the majority of roles require in-person patient contact. About 11% of occupational therapist openings tied to Texas are remote or hybrid as of August 2026, and those positions tend to concentrate in telehealth consultation, utilization review, or care coordination functions rather than direct treatment roles.
How can I get hired as a occupational therapist in Texas with little or no experience?
The most realistic entry path is applying to new-graduate or residency programs at major Texas health systems, several of which offer structured OT residencies in pediatrics and neurological rehabilitation. Baylor Scott and White Health and Texas Children's Hospital both run programs designed for candidates without post-graduation experience. Applying as an OT aide or rehabilitation technician while completing licensure is another common route, and candidates who hold their NBCOT credential and active Texas license before applying have a clear edge over those still awaiting results.
Where can I find and apply to occupational therapist jobs in Texas?
You can find and apply to occupational therapist jobs in Texas on Migrate Mate, which lists current Texas openings across hospital systems, outpatient clinics, school districts, and skilled nursing facilities. Find the roles that fit your experience and specialization, then apply directly through each listing.
See All 339+ Occupational Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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