OT Jobs in San Antonio, TX
OT jobs in San Antonio are in strong demand, concentrated in the South Texas Medical Center, the Downtown Medical District, and the Fort Sam Houston corridor, across rehabilitation, acute care, pediatrics, and school-based settings. Employers hiring right now include PAM Health, Tenet Healthcare, and Amazing Care. See the openings below and apply to the ones that match your experience.
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- Perform home health occupational therapy evaluations and re-evaluations for adult and geriatric patients
- Develop and update individualized Plans of Care (POC)
- Treat patients with orthopedic, neurological, cardiac, post-surgical, or other medical conditions
- Address ADLs, IADLs, coordination, strength, balance, and functional mobility
- Apply manual therapy techniques and non-complex modalities, including heat, cold, electrical stimulation, and other physician-ordered treatments
- Implement interventions for fall prevention, home safety, and environmental modifications
- Train patients and caregivers in adaptive equipment and durable medical equipment (DME)
- Fabricate splints and recommend assistive devices as appropriate
- Complete accurate and timely documentation in the EMR
- Communicate with physicians and interdisciplinary care teams
- Supervise COTAs and home health aides, as applicable
- Follow all home health regulations, infection control, and safety standards
- Competitive Compensation Package
- Mileage Reimbursement
- Over-Productivity Pay
- Comprehensive Health, Vision, and Dental Plan Options
- Supplemental Benefits (Life, Disability, and Accident Insurance)
- 401(k) with Matching Contributions
- Paid time off (Vacation/Sick/Holiday) for Full-Time Employees
- CEU Reimbursement
- Employee Recognition Program with Financial Rewards
- Adults and seniors
- Post-surgical recovery
- Stroke and neurological conditions
- Chronic pain and mobility limitations
- Fall-risk patients in the home setting
- Employment Type: PRN
- Schedule: Flexible daytime schedule
- Work Setting: Home Health / In-Home Physical Therapy
- Location: San Antonio, TX
- Doctorate in Occupational Therapy from an accredited program
- Active Occupational Therapist (OT) license in the state of Texas or eligible Compact OT Licensure
- Home Health experience (1 year required)
- HomeCareHomeBase (HCHB) experience (preferred)
- Current CPR certification
- Strong communication, clinical judgment, and time-management skills
- Knowledge of home health regulations and Medicare guidelines preferred
- Valid driver’s license, reliable transportation, and current auto insurance
- Patient-focused home health model
- Flexible scheduling and clinical autonomy
- Supportive leadership & collaborative interdisciplinary team
- Ongoing professional development opportunities
- Competitive compensation and comprehensive benefits
#THBON
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Find OT JobsOT Job Market in San Antonio
Who's Hiring
- PAM Health127

- Tenet Healthcare23

- Amazing Care12

- Fit For Work12

- Adoration Health12

Top Industries Hiring
- Healthcare & Medical Services
OT Jobs in San Antonio: Frequently Asked Questions
How do I get a OT job in San Antonio?
Focus on the sectors that drive the most local hiring: the South Texas Medical Center campus, school districts across Bexar County, and the VA and military-affiliated facilities near Fort Sam Houston. Pediatric and hand therapy specializations are particularly in demand. Candidates who can demonstrate bilingual communication skills in English and Spanish stand out in San Antonio's patient population, as do those with acute care or inpatient rehab experience.
Which companies hire OTs in San Antonio?
Employers hiring ots in San Antonio right now include PAM Health, Tenet Healthcare, and Amazing Care, based on current listings on Migrate Mate as of October 2026. San Antonio's hiring landscape is anchored by large health systems, rehabilitation networks, and the Northside, San Antonio, and South San Antonio independent school districts, which maintain consistent demand for school-based practitioners.
How can I get a OT job in San Antonio with little or no experience?
The most realistic entry path is a fieldwork-to-hire conversion through one of San Antonio's large rehabilitation networks or hospital systems, many of which bring on new graduates who completed rotations on site. Entry-level openings also appear regularly in skilled nursing facilities and school district paraprofessional roles that build toward full OT positions. Completing Level II fieldwork locally and networking through the Texas Medical Center corridor gives new graduates the strongest foothold.
Which industries hire the most OTs in San Antonio?
Most ot openings in San Antonio sit in Healthcare & Medical Services, per current listings on Migrate Mate as of October 2026. San Antonio's concentration of military veterans, a large pediatric population, and one of the country's densest medical districts create sustained demand across hospital, outpatient, and school-based settings year-round.
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