OT Jobs
OT jobs are open across hospitals, schools, skilled nursing facilities, and outpatient clinics, at every level from new-grad to clinical director, with specializations in pediatrics, hand therapy, and neurorehabilitation. Find a role that fits from the openings below and apply directly.
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Your Schedule. Your Caseload. Your Choice.
Already working as an Occupational Therapist but have room for a few additional cases? Looking to build a larger Early Intervention caseload? We have opportunities for both!
Metro Children's Services is actively seeking New York State Licensed Occupational Therapists (OTs) to provide Early Intervention services to infants and toddlers from birth to age 3.
We understand that every therapist's schedule, availability, and professional goals are different. That's why we give you the flexibility to tell us when you want to work, where you prefer to provide services, and how many cases you'd like to accept.
Whether you're looking to supplement your current schedule or build a more consistent caseload, our team will work to connect you with available referrals that fit your preferences.
You focus on helping children thrive. We'll help you find the right opportunities.
Why Occupational Therapists Choose Metro
- Earn up to $82 per hour
- W-2 and 1099 opportunities available
- Flexible scheduling: Choose the days and hours that work for you
- Build your own caseload: Accept a few cases or work toward a larger caseload
- Choose your service areas: Tell us which neighborhoods and communities you prefer
- Immediate referrals available: Start accepting available Early Intervention cases
- Ongoing case opportunities: Referrals based on your availability and preferred locations
- Dedicated administrative support: A team available to assist with scheduling and coordination
- Streamlined documentation: Processes designed to help simplify administrative responsibilities
- Experienced EI team: Work with professionals who understand Early Intervention
- Part-time and per diem flexibility: Opportunities that can fit around your existing commitments
What You'll Do
As an Early Intervention Occupational Therapist, you'll work one-on-one with infants and toddlers in their homes and natural environments, helping them develop the skills needed to participate more independently in everyday activities.
Your responsibilities will include:
- Provide individualized occupational therapy services to children from birth to age 3
- Support fine motor development, sensory processing, coordination, feeding, self-care, and functional daily living skills as appropriate
- Deliver services in accordance with each child's Individualized Family Service Plan (IFSP)
- Collaborate with parents and caregivers to incorporate therapeutic strategies into daily routines
- Monitor each child's developmental progress and adjust interventions as appropriate
- Work collaboratively with families, Service Coordinators, and other Early Intervention professionals
- Complete required session documentation, progress reports, and other records in accordance with Early Intervention requirements
- Provide compassionate, family-centered services that support each child's individual needs
Qualifications
Required:
- Active New York State Occupational Therapist (OT) license
- Ability to provide in-person services in children's homes and community settings
- Strong communication, organizational, and time-management skills
- Commitment to delivering high-quality, family-centered care
Preferred, but Not Required:
- Previous pediatric or Early Intervention experience
Both newer Occupational Therapists and experienced Early Intervention providers are encouraged to apply.
Flexibility That Works Around Your Life
We know flexibility means something different to every therapist.
Maybe you already have a full-time position and want to add two or three cases each week. Maybe you're an experienced Early Intervention provider looking to expand your schedule. Or perhaps you're interested in developing a larger pediatric caseload.
At Metro, you don't need to rearrange your entire schedule to work with us.
Tell us your preferred days, hours, and service areas, and we'll work with you to identify available referrals that make sense for you.
You decide how many cases you'd like to accept, based on availability.
Compensation
Earn up to $82 per hour.
Competitive compensation is based on experience, qualifications, service duration, and employment arrangement.
Both W-2 and 1099 opportunities are available.
About Metro Children's Services
For more than 20 years, Metro Children's Services has been committed to providing high-quality Early Intervention services to children and families.
We understand that great therapists deserve strong support, clear communication, and the flexibility to build a schedule that works for them.
Our experienced administrative and Early Intervention teams work closely with providers to make the referral, scheduling, and documentation processes as smooth as possible.
Whether you're accepting your first case with Metro or expanding an established caseload, our goal is to build a positive, supportive, and lasting professional relationship.
Ready to Build Your Caseload?
Your expertise. Your availability. Your caseload.
We're actively connecting Occupational Therapists with Early Intervention opportunities.
Whether you're looking for a couple of additional cases or a larger caseload, we'd love to hear from you.
Apply today and tell us when and where you'd like to work. We look forward to welcoming you to Metro Children's Services!
Pay: $60.00 - $82.00 per hour
License/Certification:
- New York State Occupational Therapist (OT) license (Required)
Work Location: In person
Your Schedule. Your Caseload. Your Choice.
Already working as an Occupational Therapist but have room for a few additional cases? Looking to build a larger Early Intervention caseload? We have opportunities for both!
Metro Children's Services is actively seeking New York State Licensed Occupational Therapists (OTs) to provide Early Intervention services to infants and toddlers from birth to age 3.
We understand that every therapist's schedule, availability, and professional goals are different. That's why we give you the flexibility to tell us when you want to work, where you prefer to provide services, and how many cases you'd like to accept.
Whether you're looking to supplement your current schedule or build a more consistent caseload, our team will work to connect you with available referrals that fit your preferences.
You focus on helping children thrive. We'll help you find the right opportunities.
Why Occupational Therapists Choose Metro
- Earn up to $82 per hour
- W-2 and 1099 opportunities available
- Flexible scheduling: Choose the days and hours that work for you
- Build your own caseload: Accept a few cases or work toward a larger caseload
- Choose your service areas: Tell us which neighborhoods and communities you prefer
- Immediate referrals available: Start accepting available Early Intervention cases
- Ongoing case opportunities: Referrals based on your availability and preferred locations
- Dedicated administrative support: A team available to assist with scheduling and coordination
- Streamlined documentation: Processes designed to help simplify administrative responsibilities
- Experienced EI team: Work with professionals who understand Early Intervention
- Part-time and per diem flexibility: Opportunities that can fit around your existing commitments
What You'll Do
As an Early Intervention Occupational Therapist, you'll work one-on-one with infants and toddlers in their homes and natural environments, helping them develop the skills needed to participate more independently in everyday activities.
Your responsibilities will include:
- Provide individualized occupational therapy services to children from birth to age 3
- Support fine motor development, sensory processing, coordination, feeding, self-care, and functional daily living skills as appropriate
- Deliver services in accordance with each child's Individualized Family Service Plan (IFSP)
- Collaborate with parents and caregivers to incorporate therapeutic strategies into daily routines
- Monitor each child's developmental progress and adjust interventions as appropriate
- Work collaboratively with families, Service Coordinators, and other Early Intervention professionals
- Complete required session documentation, progress reports, and other records in accordance with Early Intervention requirements
- Provide compassionate, family-centered services that support each child's individual needs
Qualifications
Required:
- Active New York State Occupational Therapist (OT) license
- Ability to provide in-person services in children's homes and community settings
- Strong communication, organizational, and time-management skills
- Commitment to delivering high-quality, family-centered care
Preferred, but Not Required:
- Previous pediatric or Early Intervention experience
Both newer Occupational Therapists and experienced Early Intervention providers are encouraged to apply.
Flexibility That Works Around Your Life
We know flexibility means something different to every therapist.
Maybe you already have a full-time position and want to add two or three cases each week. Maybe you're an experienced Early Intervention provider looking to expand your schedule. Or perhaps you're interested in developing a larger pediatric caseload.
At Metro, you don't need to rearrange your entire schedule to work with us.
Tell us your preferred days, hours, and service areas, and we'll work with you to identify available referrals that make sense for you.
You decide how many cases you'd like to accept, based on availability.
Compensation
Earn up to $82 per hour.
Competitive compensation is based on experience, qualifications, service duration, and employment arrangement.
Both W-2 and 1099 opportunities are available.
About Metro Children's Services
For more than 20 years, Metro Children's Services has been committed to providing high-quality Early Intervention services to children and families.
We understand that great therapists deserve strong support, clear communication, and the flexibility to build a schedule that works for them.
Our experienced administrative and Early Intervention teams work closely with providers to make the referral, scheduling, and documentation processes as smooth as possible.
Whether you're accepting your first case with Metro or expanding an established caseload, our goal is to build a positive, supportive, and lasting professional relationship.
Ready to Build Your Caseload?
Your expertise. Your availability. Your caseload.
We're actively connecting Occupational Therapists with Early Intervention opportunities.
Whether you're looking for a couple of additional cases or a larger caseload, we'd love to hear from you.
Apply today and tell us when and where you'd like to work. We look forward to welcoming you to Metro Children's Services!
Pay: $60.00 - $82.00 per hour
License/Certification:
- New York State Occupational Therapist (OT) license (Required)
Work Location: In person
OT Jobs by Experience Level
Top Cities Hiring OTs
Explore OT openings in the cities hiring most right now.
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Find OT JobsOT Job Market
Who's Hiring
- Continuum Therapy Partners126
- Evolve Therapy Services98
- HealthPRO Heritage95
- Enhabit Home Health & Hospice73
- Powerback Rehabilitation70
Top Industries Hiring
- Healthcare & Medical Services28
- Insurance17
- Energy3
- Accounting & Auditing3
- Technology & Software3
What Employers Look For
The qualifications that appear most often in OT jobs.
- Master of Science or Doctoral degree in Occupational Therapy from an accredited program
- Current NBCOT certification (OTR/L) and active state licensure in the practice state
- Proficiency with electronic health record systems such as Epic, Cerner, or Net Health
- Experience with standardized assessments including the MOHO, MMSE, FIM, and sensory processing tools
- Strong documentation skills including progress notes, evaluations, and SOAP format reporting
- Ability to meet productivity standards and manage a full caseload across diverse patient populations
Tips for Your OT Job Search
Tailor your resume to the setting
Hospitals and SNFs prioritize different competencies, so a single generic resume hurts you in both. Highlight the patient population, documentation systems, and caseload volume that match the specific setting you're targeting, not a one-size-fits-all summary.
List every fieldwork setting you covered
Employers scan for Level II fieldwork placements before they read anything else on a new-grad resume. Name the settings, supervisors' credential types, and the diagnoses you treated. Leaving this vague is the fastest way to get filtered out before a phone screen.
Apply early to roles that fit
Migrate Mate lists ot openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter by specialty certification when searching
If you hold a CHT, SIPT, or BCPR, search for postings that list those credentials as preferred, not just required. You'll face less competition and appear overqualified in pools where others lack that credential entirely.
Prepare a setting-specific case example for interviews
Interviewers in school-based ot roles ask how you'd handle IEP goal-writing conflicts with teachers. Outpatient hand therapy interviewers probe your splinting rationale. Rehearse one detailed case per setting you're targeting, not a generic clinical story.
Negotiate productivity expectations, not just pay
In ot roles, your daily unit or visit quota shapes burnout risk more than base compensation does. Before accepting an offer, ask the direct supervisor what the expected daily productivity standard is and how it's tracked, then compare across offers.
OT Jobs: Frequently Asked Questions
Which companies are hiring the most ots?
The companies hiring the most ots right now include Continuum Therapy Partners, Evolve Therapy Services, and HealthPRO Heritage, with the largest share of openings in Texas, California, and Florida, based on current listings on Migrate Mate as of November 2026. School districts, home health agencies, and large hospital systems consistently represent a high share of active postings.
How many ot jobs are remote?
About 24% of ot openings are fully remote or hybrid as of November 2026, which is lower than most professional fields because the role is hands-on by nature. Telehealth ot positions are most common in mental health, early intervention coaching, and home program consultation, where sessions can be conducted effectively over video.
How do you become a ot?
You earn a master's or doctoral degree in occupational therapy from an accredited program, which includes supervised fieldwork rotations across at least two clinical settings. After graduating, you pass the NBCOT certification exam to earn your OTR credential, then apply for licensure in the state where you plan to practice. Each state sets its own licensure requirements, so confirm the specific application steps with your target state's licensing board before you begin the process.
How do you get hired as a ot with little experience?
New-grad ots should lead with their Level II fieldwork placements and the specific patient populations and assessments they worked with, since that experience is the closest equivalent to paid clinical work. Targeting settings that match your fieldwork background improves your fit immediately. Applying to facilities that have formal new-grad mentorship programs or residencies also signals they're willing to invest in developing early-career clinicians rather than expecting full productivity from day one.
What does the ot interview process look like?
Most ot interviews begin with a phone screen focused on your clinical background, licensure status, and setting preferences. This is followed by an in-person or video interview with a director of rehab or lead therapist, which typically includes scenario-based questions about caseload prioritization, documentation, and handling difficult patient or family situations. Some employers, especially schools and pediatric outpatient clinics, ask you to demonstrate a brief assessment or explain your treatment approach for a sample case before extending an offer.
Where can I find and apply to ot jobs?
You can find and apply to ot jobs on Migrate Mate, which lists current openings from across the United States in one place. Search for roles that match your specialty, setting preference, and location, then apply directly to each listing that fits.
See All 2,795+ OT Jobs
Find roles that match your experience and apply in just a few clicks.
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