Pediatric Occupational Therapist Jobs
Pediatric Occupational Therapist jobs are open across pediatric hospitals, school districts, early intervention programs, and outpatient clinics, at every level from new-grad to senior clinician, with specializations in sensory processing, autism spectrum support, and fine motor development. Scan the live roles below and apply to whichever ones fit.
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We're looking for a Pediatric Occupational Therapist to join our growing multidisciplinary team. With strong community demand and a substantial OT waitlist, you'll have the opportunity to build a rewarding caseload while working in a clinic designed to support your clinical growth, creativity, and well-being.
Why OTs Love Working at PPTS:
- We believe a manageable caseload allows you to provide better care and enjoy your work. Your schedule also includes protected documentation and planning time, so you're not staying late or taking notes home after work.
Large Pediatric Therapy Gyms:
- Have the space to be creative.
- Our large treating gyms gives you room to move, play, incorporate sensory and motor activities, and create engaging treatment experiences for your clients.
You Treat. We Handle the Scheduling:
- Your job is to provide great therapy and not chase families about appointments.
- Our front office team handles scheduling, family communication, authorizations, and other administrative logistics so you can focus on your patients.
Clinical Judgment & Growth:
- We trust our therapists.
- You have the freedom to use your clinical judgment, design creative treatment sessions, and tailor your approach to each child's interests, strengths, and goals.
Build Something Bigger:
- Have an idea for a new group, specialty program, or community initiative?.
- Build it.
- PPTS gives therapists opportunities to create and lead programs based on their clinical interests and the needs of the children and families we serve.
Grow Your Career:
- Your career doesn't have to stop at your caseload.
- We are developing a structured internal leadership pathway for clinicians who want to grow into mentorship, program development, team leadership, and other leadership opportunities within the practice.
About the Position:
You Will:
- Perform OT evaluations and assessments.
- Develop individualized treatment plans and goals.
- Provide evidence-based, child-centered interventions.
- Create engaging and individualized treatment sessions.
- Educate and coach parents and caregivers.
- Complete documentation within protected administrative time.
- Collaborate with OTs, SLPs, PTs, families, physicians, educators, and community providers.
- Participate in interdisciplinary treatment planning and care coordination.
- Contribute to program development and other clinic initiatives.
Schedule & Caseload:
- Full-time and part-time opportunities.
- Clinic-based pediatric outpatient setting.
- Children ages birth through 18.
- Full-time caseload averages 28–32 clients per week.
- One-hour appointment blocks with 53-minute treatment sessions.
- Protected documentation and planning time.
- Front desk support for scheduling and family communication.
- Administrative support for authorizations and billing.
What We're Looking For:
- Current Virginia OT license or eligibility for licensure.
- Degree from an accredited Occupational Therapy program.
- Strong communication and relationship-building skills.
- Passion for pediatric therapy and family-centered care.
- Creative, collaborative, and growth-minded approach.
- Pediatric experience preferred, but not required.
Compensation & Benefits:
- $5,000 Sign-On Bonus for Full-Time.
- Competitive compensation.
- Annual increase eligibility.
- Health, dental, and vision insurance.
- Paid time off.
- Paid holidays.
- CEU reimbursement.
- 401(k).
- Employee Assistance Program (EAP).
- Structured mentorship and onboarding.
Why PPTS?:
We're building something different.
A place where you can have a sustainable caseload, protected time to do your paperwork, the autonomy to practice in a meaningful way, the space to be creative, and the opportunity to build the next chapter of your career.
If that sounds like the kind of practice you've been looking for, we'd love to meet you.
Apply Today:
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Find JobsPediatric Occupational Therapist Job Market
Who's Hiring
- Ivy Health74
- Angels of Care Pediatric Home Health26

- Therapy 200025

- Pediatric Developmental Services16

- Amazing Care13

Top Industries Hiring
- Healthcare & Medical Services35
- Education1
- Non-Profit & Social Services1
What Employers Look For
The qualifications that appear most often in pediatric occupational therapist jobs.
- Master's degree or doctoral degree in occupational therapy from an accredited program
- NBCOT certification (OTR) required or eligible upon hire
- Active state occupational therapy licensure or ability to obtain it
- Experience delivering pediatric OT services in clinical, school, or early intervention settings
- Proficiency with standardized pediatric assessments such as the Bayley, BOT-2, or PDMS-2
- Familiarity with IEP documentation processes and interdisciplinary team collaboration
Tips for Your Pediatric Occupational Therapist Job Search
Tailor your resume to setting type
School-based roles want IEP documentation experience and collaboration with educators, while clinic roles prioritize standardized assessment tools like the Bayley or BOT-2. Customize your resume bullet points to match the specific setting listed in each job posting.
Highlight sensory integration training prominently
Many pediatric OT postings screen for sensory integration or DIR/Floortime exposure before reviewing other credentials. If you have this training, list it near the top of your skills section so hiring managers spot it without scanning your full resume.
Apply early to roles that fit
Migrate Mate lists pediatric occupational therapist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by caseload age range
Early intervention roles typically serve birth to three years old, while school-based and outpatient clinics cover broader pediatric ages. Check job descriptions for the specific caseload age range so you apply to roles that match your hands-on experience.
Prepare a treatment philosophy statement
Pediatric OT interviews often include a question about your approach to family-centered care or parent coaching. Write out a two to three sentence statement before your interview so you can answer confidently without reaching for generic language under pressure.
Negotiate continuing education benefits early
Pediatric-specific certifications like SWC or SIPT require expensive coursework that employers sometimes cover. Bring up continuing education funding during the offer stage, not after you accept, since it is easier to include before the contract is finalized.
Pediatric Occupational Therapist Jobs: Frequently Asked Questions
Which companies are hiring the most pediatric occupational therapists?
Ivy Health, Angels of Care Pediatric Home Health, and Therapy 2000 are hiring the most pediatric occupational therapists right now, with openings concentrated in Texas, California, and Illinois, based on current listings on Migrate Mate as of November 2026. School systems and pediatric therapy networks tend to post the highest volumes throughout the year.
How many pediatric occupational therapist jobs are remote?
About 10% of pediatric occupational therapist openings are fully remote or hybrid as of November 2026, with most remote opportunities concentrated in telehealth platforms and school-based consultation roles rather than hands-on direct treatment positions, which still require in-person delivery.
How do you become a pediatric occupational therapist?
You earn a master's or doctoral degree in occupational therapy from an accredited program, pass the NBCOT certification exam to become a registered occupational therapist, and obtain your state license. From there, you pursue pediatric-specific clinical hours, ideally in early intervention, schools, or outpatient pediatric clinics, and may pursue advanced certifications in sensory integration or neurodevelopmental treatment to strengthen your candidacy.
Can you get hired as a pediatric occupational therapist with no experience?
Yes, many pediatric OT employers hire new graduates, particularly in school districts and early intervention programs that have structured mentorship or supervision built into the role. Highlighting pediatric-focused fieldwork rotations, Level II placements in pediatric settings, and any volunteer or observation hours with children strengthens your application significantly when your paid experience is limited.
What does the pediatric occupational therapist interview process look like?
Most pediatric OT interviews include an initial phone or video screen with HR, followed by a clinical interview with the therapy director or lead therapist. Expect scenario-based questions about your approach to sensory processing challenges, family coaching, and IEP collaboration. Some employers also ask you to describe a treatment plan or observe a brief skills demonstration before extending an offer.
Where can I find and apply to pediatric occupational therapist jobs?
You can find and apply to pediatric occupational therapist jobs on Migrate Mate, which lists current openings from across the United States in one place. Search for roles that match your preferred setting, caseload type, and location, then apply directly to each listing that fits your background and goals.
See All 736+ Pediatric Occupational Therapist Jobs
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