Pediatric Occupational Therapist Jobs in USA with Visa Sponsorship

Pediatric occupational therapist jobs attract strong visa sponsorship from pediatric hospitals, school districts, and early intervention programs. H-1B visa and TN visas are the most common paths, with PERM green card sponsorship available at larger healthcare employers. A state OT license is required before most employers will file.

Find Pediatric Occupational Therapist Jobs

Overview

Open Jobs1,958+
Top Visa TypeTN
Work Type100% On-site
Top LocationHouston, TX
Most JobsOptum

Showing 5 of 1,958+ Pediatric Occupational Therapist jobs

Pediatric Occupational Therapist
We won't show you this job again
Added 1w ago
Pediatric Occupational Therapist
Explore Engage Enjoy
Roseburg, Oregon
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$82k - $90k/yr
On-Site
None

Have you applied for this role?

Pediatric Feeding Therapist - Occupational Therapist
We won't show you this job again
Added 1w ago
Pediatric Feeding Therapist - Occupational Therapist
St. Luke's Health System
Nampa, Idaho
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
On-Site
Bachelor's
10,000+

Have you applied for this role?

Pediatric Occupational Therapist
We won't show you this job again
Added 2w ago
Pediatric Occupational Therapist
Cole Health
Lakewood, Washington
Allied Health
Healthcare Administration
Occupational Therapy
$80k - $100k/yr
Hybrid
Master's
201-500

Have you applied for this role?

Pediatric Occupational Therapist
We won't show you this job again
Added 2w ago
Pediatric Occupational Therapist
Hospital Sisters Health System
De Pere, Wisconsin
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$35 - $53/hr
On-Site
Bachelor's

Have you applied for this role?

Outpatient Pediatric Occupational Therapist
We won't show you this job again
Added 2w ago
Outpatient Pediatric Occupational Therapist
MultiCare Health System
Puyallup, Washington
Nursing
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$49 - $78/hr
On-Site
None
10,000+

Have you applied for this role?

See all 1,958+ Pediatric Occupational Therapist Jobs

Sign up for free to unlock all listings, filter by visa type, and get alerts for new Pediatric Occupational Therapist roles.

Get Access To All Jobs

See all 1,958+ Pediatric Occupational Therapist Jobs

Sign up for free to unlock all listings, filter by visa type, and get alerts for new Pediatric Occupational Therapist roles.

Get Access To All Jobs

Tips for Finding Pediatric Occupational Therapist Jobs

Verify your degree meets specialty occupation standards

USCIS requires a bachelor's degree in a directly related field for H-1B specialty occupation status. A degree in occupational therapy satisfies this, but a general health sciences degree without OT coursework may trigger a Request for Evidence.

Secure state licensure before employer negotiations start

Most pediatric OT employers won't initiate H-1B or PERM sponsorship until you hold an active state license. Begin your NBCOT exam and state board application well before your OPT end date to avoid gaps in your timeline.

Target school districts and early intervention programs

School districts and state-funded early intervention programs often qualify as cap-exempt H-1B employers, letting you skip the annual lottery. Search Migrate Mate to find employers with verified sponsorship history in pediatric therapy roles.

Check prevailing wage levels before accepting an offer

Your employer must pay at least the prevailing wage for your OT specialty and location before DOL certifies the Labor Condition Application. Use the OFLC Wage Search to look up the current wage level for your county so you can spot underpaying offers early.

Ask employers about PERM eligibility at the offer stage

Pediatric hospitals sponsoring H-1B workers don't automatically offer PERM. Confirm in writing whether your employer supports EB-2 or EB-3 green card sponsorship, since PERM labor certification adds 12 to 18 months before an I-140 can be filed.

Align your LCA job description with actual caseload duties

If your offer shifts after the Labor Condition Application is filed, for example from inpatient pediatric rehab to outpatient sensory integration, your employer may need to file an amended petition. Confirm your caseload scope before the LCA is submitted to USCIS.

Frequently Asked Questions

Which visas support sponsorship for pediatric occupational therapist roles?

H-1B is the primary path for most foreign-born pediatric OTs, since the role qualifies as a specialty occupation requiring a directly related bachelor's degree or higher. Canadian nationals may qualify for TN status under the USMCA, as occupational therapy is a listed TN profession. Mexican nationals can also pursue TN at the border or consulate. PERM-based green card sponsorship is available at larger pediatric healthcare systems.

Does a pediatric OT role qualify as a specialty occupation for H-1B purposes?

Yes. USCIS consistently recognizes occupational therapy as a specialty occupation because the role requires at minimum a master's degree in occupational therapy for new graduates, following the accreditation standard change. Employers must document that the position requires this specific degree, not just a general health degree, in the Labor Condition Application and I-129 petition.

Do school districts sponsor H-1B visas for pediatric OTs?

Many public school districts qualify as cap-exempt H-1B employers, meaning you can apply outside the annual lottery and at any time of year. This is a significant advantage for pediatric OTs with school-based caseloads. Eligibility depends on the district's status as a governmental research organization or its affiliation with a qualifying institution, so confirm cap-exempt status directly with the district's HR team.

Where can I find employers who sponsor visas for pediatric OT roles?

Migrate Mate lists employers with verified sponsorship history in pediatric occupational therapy and related allied health roles. You can browse by location and filter for active sponsors, which saves time compared to applying to employers who don't sponsor at all.

Does my OT license need to be active before my employer files an H-1B petition?

In practice, yes. USCIS allows filing with a pending license in some cases, but most pediatric employers and healthcare networks require an active state OT license before they'll initiate sponsorship paperwork. Some states also require NBCOT certification before issuing a license. Plan for a two to four month licensing timeline after passing your board exam, and start the process well before your OPT authorization expires.

What is the prevailing wage requirement for sponsored Pediatric Occupational Therapist jobs?

U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.

Pediatric Occupational Therapist Jobs by State