OPT Occupational Therapist Jobs
Occupational Therapist roles on OPT require active NBCOT certification and state licensure before you can practice, which takes planning during your OPT window. Most employers sponsor H-1B visa after OPT, and healthcare settings frequently qualify for H-1B cap-exempt status through nonprofit hospital affiliations.
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Overview:
Physical Therapist
Mobile Outpatient - Greenfield and Northampton, MA
30-35 hours/wk
Flexible Schedule / Salaried Position
Med A and Part B split.
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 Occupational Therapist will primarily provide outpatient rehabilitation services in an in-home setting for the older adult population. The in-home setting could be a patient’s private residence or in a patient’s room in an independent living facility. Powerback Rehabilitation To You allows the Occupational Therapist to evaluate and treat in the most functional environment which is the patient's home. The Occupational Therapist organizes and conducts occupational therapy programs for the agency to facilitate rehabilitation. In addition, they direct patient participation in selected tasks to restore, reinforce, and enhance performance. The Occupational Therapist facilitates the learning of those skills and functions essential for adaptation and productivity, in order to diminish or correct pathology. This position provides a flexible schedule and work environment in various settings.
RESPONSIBILITIES/ACCOUNTABILITIES:
- As necessary or applicable, supervision of Occupational Therapy Assistants, temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards.
- Responsible for adherence to department and patient treatment schedule, timely clinical and billing documentation requirements as well as work related meetings.
- Attends and contributes to patient care, staffing conferences and other related meetings.
- Makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient.
- Consults with other members of the rehabilitation team, including the community physician, to select the most appropriate therapeutic regimen consistent with the needs and capabilities of each patient.
- Adapts program and/or plan of care according to the needs of individual patients.
- Promotes a safe environment and enforces the elimination of fire and safety hazards.
- Orders supplies and equipment as necessary.
- Cleans, maintains, identifies, and reports the need for repair of equipment as necessary.
- Puts patient service first: ensures that patients and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights.
- Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the occupational therapy treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as:
- cognitive skills
- muscle strength
- coordination
- endurance
- mobility
- perceptual abilities
- sensory awareness
- sitting and standing tolerance
- balance
- activities of daily living
- joint protection
- work simplification
- orientation
- physical agent modalities
- low vision
- falls risk management
- medication management
- health and wellness
- community integration and reintegration
- Case Management skills in the home and community space
- Designs, fabricates, fits and/or applies adaptive devices, and trains patients in the use of adaptive devices including orthotics and prosthetics.
- Selects appropriate activities suited to the individual’s physical and mental capacity, intelligence level and interest.
- Instructs patients in the skills and techniques required for participation in functional activities and evaluates patient progress, attitudes, and behavior as related to rehabilitative potential.
- Performs routine reexamination as needed/required to modify/progress plan of treatment.
- Performs other related duties as required.
Qualifications
They must have a Bachelor’s degree in an occupational therapy curriculum accredited by ACOTE standards.
They must have initial registration from the National Board for Certification in Occupational Therapy.
The Occupational Therapist must hold a valid and unencumbered occupational therapy license as required in the state of practice.
Must have a valid driver’s license or reliable, independent transportation to and from the patient’s residence.
Posted Salary Range: USD $66,000.00 - USD $95,000.00 /Yr.
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Get Access To All JobsTips for Finding OPT Sponsorship in Occupational Therapist
Get NBCOT certified before your OPT start date
You cannot practice as an OT without passing the NBCOT exam. Schedule your exam during your final semester so certification is in hand before your OPT begins and you can start applying to clinical roles immediately.
Prioritize employers affiliated with nonprofit hospitals
Nonprofit hospitals and university medical centers are often cap-exempt for H-1B visa, meaning they can file year-round without waiting for the lottery. This dramatically improves your chances of transitioning off OPT into stable status.
Secure state licensure as early as possible
Each state has its own OT licensure process, and some take six to ten weeks to complete. Apply to your target state immediately after passing NBCOT so licensure delays do not eat into your usable OPT time.
Ask about H-1B sponsorship history during interviews
Not every OT employer has sponsored visas before. Ask HR directly whether they have an immigration attorney on retainer and whether they have sponsored H-1B or EB-3 petitions for clinical staff in the past two years.
Understand how STEM OPT extension applies to OT roles
Occupational therapy is not a STEM-designated field, so you cannot extend OPT for 24 additional months. Your authorized period is 12 months, making it critical to engage with sponsoring employers early in your OPT window.
Target healthcare systems actively recruiting internationally
Large hospital networks and long-term care chains regularly recruit internationally and have established immigration processes. These employers understand OPT timelines and are more prepared to file an H-1B petition before your authorization expires.
Occupational Therapist OPT: Frequently Asked Questions
Can I work as an Occupational Therapist on OPT without state licensure?
No. Every state requires an active OT license before you can treat patients, and employers will not hire you without it. You must pass the NBCOT certification exam first, then apply for state licensure in the state where you plan to work. Start both processes before your OPT period begins to avoid losing work authorization time while waiting for approvals.
Do Occupational Therapist jobs commonly lead to H-1B sponsorship?
Many do, particularly at nonprofit hospitals, rehabilitation hospitals, and university medical centers. These facilities often qualify as cap-exempt H-1B employers, which means they are not subject to the annual lottery and can file petitions year-round. For-profit outpatient clinics and private practices can sponsor H-1B as well, but they must go through the cap lottery, which adds uncertainty to your timeline.
Where can I find Occupational Therapist jobs that sponsor OPT students?
Migrate Mate is built specifically for F-1 OPT students and surfaces Occupational Therapist roles from employers with a verified history of visa sponsorship. Searching there lets you filter by sponsorship willingness rather than manually screening hundreds of general job postings where sponsorship is unclear.
Is Occupational Therapy eligible for the 24-month STEM OPT extension?
No. Occupational therapy is classified under health professions, not STEM, and does not qualify for the 24-month STEM OPT extension. Your standard OPT period is 12 months. This makes it especially important to begin conversations with employers about H-1B or other long-term sponsorship options well before the six-month mark of your OPT.
Can I work in school-based or home health OT settings on OPT?
Yes, as long as the work is directly related to your degree in occupational therapy and you maintain valid OPT authorization. School districts and home health agencies do hire OTs on OPT. However, check whether these employers have the infrastructure and willingness to sponsor an H-1B petition before accepting an offer, since smaller agencies often lack prior sponsorship experience.