Therapist Jobs in Washington
Therapist jobs in Washington are concentrated in behavioral health, community mental health, and substance use treatment, with demand at every level from associate-licensed clinicians to seasoned licensed independent practitioners. Seattle, Spokane, and Tacoma account for the largest share of openings, anchored by employers such as MultiCare Health System, Providence Health and Services, and Comprehensive Life Resources. The most consistently sought specialties are trauma-focused therapy, child and adolescent mental health, and co-occurring disorder treatment. See the openings below and apply to the ones that match your experience.
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School-Based Occupational Therapist
Full-Time | 2026-2027 School Year | Competitive Salary Based on Experience + Benefits + Sign-On Bonus Potential
Position Summary
Career Links is seeking a dedicated and student-focused Occupational Therapist (OT) to provide school-based services to students in Washington State. The Occupational Therapist will evaluate, develop, and implement individualized therapy programs that support students' academic achievement, functional independence, and participation in educational activities. The OT will collaborate with educators, families, and multidisciplinary teams to ensure students receive appropriate services in accordance with their Individualized Education Programs (IEPs).
Essential Responsibilities
- Conduct occupational therapy evaluations and assessments.
- Develop and implement individualized treatment plans based on student needs.
- Provide direct and consultative occupational therapy services in educational settings.
- Participate in IEP meetings and contribute to goal development and progress reporting.
- Collaborate with teachers, administrators, parents, and related service providers.
- Maintain accurate documentation, treatment notes, and compliance records.
- Recommend adaptive equipment, environmental modifications, and classroom accommodations.
- Monitor student progress and adjust treatment plans as necessary.
- Ensure compliance with federal, state, district, and professional practice standards.
Qualifications
Required
- Bachelor's, Master's, or Doctoral Degree in Occupational Therapy from an accredited Occupational Therapy program.
- Current Washington State Occupational Therapist License issued by the Washington State Department of Health (DOH).
- Eligibility for or possession of a Washington Educational Staff Associate (ESA) Certificate as a School Occupational Therapist.
- Successful completion of the National Board for Certification in Occupational Therapy (NBCOT) examination.
- Ability to pass required background checks and district clearance requirements.
- Strong communication, organizational, and collaboration skills.
Preferred
- Previous pediatric or school-based occupational therapy experience.
- Experience working with students receiving special education services.
- Knowledge of IDEA, IEP development, and special education procedures.
- Experience with assistive technology and adaptive equipment.
Washington State Credential Requirements
Qualified candidates must meet Washington State requirements for School Occupational Therapists, including:
- Valid Washington State Occupational Therapist license.
- Bachelor's degree or higher from an American Occupational Therapy Association (AOTA)-approved occupational therapy program.
- Eligibility for a Washington School Occupational Therapist ESA Certificate.
- Completion of the Professional Transitions to Public Schools course or other approved ESA certification pathway as required by Washington State.
Benefits
- Competitive compensation based on experience.
- Flexible scheduling options.
- Health, dental, and vision insurance eligibility.
- Professional development opportunities.
- Licensure and credentialing support.
- Relocation assistance and sign-on bonus available for qualified candidates.
Join Our Team
Career Links is committed to connecting skilled therapy professionals with meaningful opportunities that positively impact students' educational success. If you are passionate about helping children develop the skills needed to thrive in school and everyday life, we encourage you to apply today.
Career Links is an Equal Opportunity Employer.
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Where Washington roles are concentrated, by current openings.
Therapist Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Technology & Software
What Washington Employers Look For
The qualifications that appear most often in therapist jobs across Washington.
- Active Washington State licensed mental health counselor, social worker, or marriage and family therapist credential
- Master's degree in counseling, social work, psychology, or a closely related clinical field
- Experience delivering evidence-based modalities such as CBT, DBT, or trauma-focused therapy
- Ability to complete clinical documentation accurately within electronic health record systems
- Demonstrated experience conducting mental health assessments and developing individualized treatment plans
- Strong verbal communication skills for collaboration with multidisciplinary care teams and clients
Therapist Jobs in Washington: Frequently Asked Questions
How do you become a therapist in Washington?
Becoming a therapist in Washington requires a graduate degree in counseling, social work, or marriage and family therapy followed by supervised post-degree hours and passage of a board examination. Licensure is issued through the Washington State Department of Health, which oversees the Licensed Mental Health Counselor, Licensed Clinical Social Worker, and Licensed Marriage and Family Therapist credentials. Completing supervised hours under an approved supervisor and passing the relevant national clinical exam are the core steps before independent practice.
Which companies hire therapists in Washington?
Companies currently hiring therapists in Washington include ATI Physical Therapy, HiredFirst, and Voyage Health, per current listings on Migrate Mate as of August 2026. Washington's robust community mental health infrastructure means a significant share of openings also comes from county-funded behavioral health agencies and federally qualified health centers serving rural and underserved communities.
Which Washington cities have the most therapist jobs?
Tacoma, Seattle, and Lynnwood lead Washington for therapist openings. Seattle dominates because of its dense concentration of hospital systems, outpatient behavioral health clinics, and large tech-sector employee assistance programs, while Spokane and Tacoma draw significant volume from regional medical centers and community mental health agencies that serve surrounding counties.
Are there remote therapist jobs in Washington?
Yes, and more than most clinical fields. About 21% of therapist openings tied to Washington are remote or hybrid as of August 2026, reflecting the widespread adoption of telehealth platforms since the expansion of audio-video practice standards. Outpatient individual therapy and some case management roles are the most likely to be fully remote, while group therapy, intensive outpatient programs, and crisis services typically require an on-site presence.
How can I get hired as a therapist in Washington with little or no experience?
The most realistic entry path is an associate license under supervision, which Washington allows through the Licensed Mental Health Counselor Associate credential issued by the Department of Health. Large employers such as MultiCare Health System and Sea Mar Community Health Centers regularly bring on associate-licensed clinicians for supervised roles in community mental health and integrated care settings. Internship placements at federally qualified health centers or county behavioral health agencies during graduate training are the strongest door-openers, and completing a trauma-informed care certificate before applying gives candidates a measurable edge.
Where can I find and apply to therapist jobs in Washington?
You can find and apply to therapist jobs in Washington on Migrate Mate, which lists current openings tied to Washington employers. Search the listings to find roles that match your license level, specialty, and preferred setting, then apply directly to the ones that fit.
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