OT Jobs in Texas
OT jobs in Texas are in high demand, with openings spread across hospital systems, outpatient rehabilitation clinics, pediatric practices, and school-based settings at every level from new graduate to experienced clinical specialist. Houston, Dallas, and San Antonio lead the state in hiring volume, anchored by major employers such as UTHealth Houston, Baylor Scott and White Health, and Texas Children's Hospital. Hand therapy, pediatrics, and neurorehabilitation are among the most sought-after specialties in the Texas market right now. Find a role that fits below and apply directly.
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What can PAM Health offer you?
- Patient-Centric Focus: Join a hospital dedicated to delivering exceptional patient care and achieving the highest levels of patient satisfaction.
- Career advancement: Unlock opportunities for professional growth through our Education Advancement Program
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Competitive compensation: Explore our rates and take advantage of a comprehensive benefits package.
- Medical Benefits: EPO/HDHP/HSA options; including prescription coverage, RX ‘n go, and Teladoc
- Comprehensive dental and vision
- Employee Assistance Program, including counseling, legal, and financial services
- Flexible spending (FSA) and health savings (HAS) accounts
- Life and Disability insurance benefits
- Education/In-Service Opportunities including continuing education and tuition services
- Supplemental benefits: Accident, critical illness, cancer, pet, and identity theft protection insurance options
- Personal Travel Discounts
- 401(k) plans and discretionary employer match
- Generous Paid Benefit Time
- Responsible for the development, management, and operation of both inpatient and outpatient rehabilitation services.
- Staffing, program development, budget development and monitoring, program evaluation, quality assurance, risk management and marketing support relating to the program.
- Responsible for a defined percentage of patient care on a regular basis.
- Current license as a PT, OT or SLP in state where hospital resides is required.
- Current BLS certification is required.
- Master’s degree preferred.
- Minimum of two years in supervisory role preferred.
See All 345+ OT Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find OT Jobs in TexasOT Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
OT Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Angels of Care Pediatric Home Health23

- Enhabit Home Health & Hospice22

- PAM Health21

- North Texas Therapy and Home Care16
- Care Options For Kids14

Top Industries Hiring
- Healthcare & Medical Services
- Energy
- Technology & Software
What Texas Employers Look For
The qualifications that appear most often in OT jobs across Texas.
- Active occupational therapist license issued or recognized by the Texas Board of Occupational Therapy Examiners
- Master's or doctoral degree in occupational therapy from an ACOTE-accredited program
- Passage of the NBCOT certification examination for occupational therapists
- Minimum one to two years of clinical experience in a relevant practice setting
- Proficiency with documentation in electronic health record systems such as Epic or Cerner
- Strong caseload management skills and ability to collaborate with interdisciplinary care teams
OT Jobs in Texas: Frequently Asked Questions
How do you become a ot in Texas?
To work as an ot in Texas, you must obtain a license from the Texas Board of Occupational Therapy Examiners, known as TBOTE. You need to complete a master's or doctoral degree from an accredited occupational therapy program and pass the NBCOT certification exam before applying for your state license. Once licensed, you must maintain continuing education requirements set by TBOTE to keep your license active.
Which companies hire ots in Texas?
Employers hiring ots in Texas right now include Angels of Care Pediatric Home Health, Enhabit Home Health & Hospice, and PAM Health, based on current listings on Migrate Mate as of October 2026. Texas's large integrated health systems and network of pediatric specialty hospitals generate some of the most consistent ot hiring across the state.
Which Texas cities have the most ot jobs?
Houston, San Antonio, and Dallas have the most ot openings in Texas right now. Houston's concentration of major medical centers and children's hospitals drives the largest share of postings, while Dallas and San Antonio support high volume through their extensive outpatient rehabilitation networks and large health system headquarters.
Are there remote ot jobs in Texas?
Yes, but they're rare. Occupational therapy is fundamentally a hands-on clinical profession, so most roles require in-person patient contact. About 35% of ot openings tied to Texas are remote or hybrid as of October 2026, and those positions are typically in telehealth triage, utilization review, or care coordination rather than direct therapy delivery.
How can I get hired as a ot in Texas with little or no experience?
The most realistic entry path is a new graduate or Level II fieldwork position at a large Texas health system. Employers like UTHealth Houston, Baylor Scott and White Health, and CHRISTUS Health run new graduate programs and residencies designed for candidates without prior clinical employment. Applying for rehab technician or occupational therapy aide roles first gives you direct exposure to Texas clinical environments while you complete licensure. Having your NBCOT certification in hand before you apply significantly improves your candidacy.
Where can I find and apply to ot jobs in Texas?
You can find and apply to ot jobs in Texas on Migrate Mate, which lists current openings from employers hiring across the state. Find roles that match your specialty, experience level, and preferred location, then apply directly to the ones that fit.
See All 345+ OT Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find OT Jobs in Texas