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 Aveanna Healthcare. See the openings below and apply to the ones that match your experience.
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Occupational Therapist (OT)
Pivot Rehabilitation is a therapy delivery and multi-faceted solution management company aimed at improving health, advancing care, and lowering costs of aging populations within our communities. Pivot Rehabilitation focuses on providing effective therapy solutions with our patients, partners, and clinicians in mind.
Benefits:
- Competitive Pay for FT starting at $43/hour
- 401k with match
- Medical, Dental, Vision
- Paid Time Off
- Tuition Reimbursement
- Free CEU’s
Essential Functions:
- Screens, evaluates, and treats patients
- Completes a comprehensive evaluation using appropriate evaluation and assessment tools and procedures
- Reviews patient records for current diagnoses, past medical history, precautions and contraindications
- Establishes measurable goals and develops treatment plan to move the patient toward his or her maximum level of independence and/or function
- Supervises Occupational Therapist Assistants and rehab techs in direct patient care and patient-related activities in accordance with state practice act
- Interprets and communicates evaluation findings and treatment program to patients, family, and other team members
Qualifications:
- Graduate from an accredited School of Occupational Therapy
- Current licensure as an Occupational Therapist in the state of current practice
- Must have good communication skills and be able to relate professionally and positively to patients, patients’ family members, and staff
- Must be capable of performing the responsibilities of this job, with or without reasonable accommodations
Diversity, Equity, and Inclusion are at the heart of Pivot. We are committed to a culture that respects our differences and values the contributions of all people.
We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package
Please visit pivot-rehab.com for more information on this location.
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Find OT JobsOT Job Market in San Antonio
Who's Hiring
- PAM Health45

- Tenet Healthcare22

- Aveanna Healthcare22

- Rehab Without Walls22

- Pivot Rehabilitation22

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 Aveanna Healthcare, based on current listings on Migrate Mate as of August 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.
Are there remote OT jobs in San Antonio?
Yes, though hands-on clinical roles require in-person patient contact, making fully remote positions rare in traditional OT settings. About 0% of ot openings tied to San Antonio are remote or hybrid as of August 2026, concentrated in telehealth, care coordination, and utilization review functions. School-based and documentation-heavy administrative roles are the most likely to offer hybrid scheduling locally.
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 August 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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