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Pivot Rehabilitation
San Antonio, Texas

Pivot Occupational Therapist (OT)

Occupational TherapistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 44m ago · Verified live

Job Description

The Occupational Therapist (OT) evaluates and treats patients experiencing physical, developmental, cognitive, or functional limitations.

This role develops individualized treatment plans designed to improve activities of daily living, restore functional abilities, enhance independence, and support overall quality of life.

The Occupational Therapist collaborates with physicians, rehabilitation professionals, patients, and caregivers to deliver evidence-based occupational therapy services while maintaining compliance with professional standards, regulatory requirements, and organizational policies.

Responsibilities

Screen, evaluate, and treat patients requiring occupational therapy services.

Complete comprehensive occupational therapy evaluations utilizing appropriate assessment tools and clinical procedures.

Review patient records, diagnoses, medical history, precautions, and contraindications to support treatment planning.

Establish measurable goals and develop individualized treatment plans that maximize patient independence and functional performance.

Supervise Occupational Therapy Assistants and Rehabilitation Technicians in accordance with state practice regulations.

Communicate evaluation findings, treatment plans, and patient progress to patients, families, physicians, and interdisciplinary team members.

Collaborate with physicians and healthcare teams to implement, monitor, and revise plans of care based on patient progress and clinical needs.

Maintain accurate and timely documentation including evaluations, treatment records, care plan updates, discharge summaries, and billing-related records.

Participate in patient care conferences, rehabilitation meetings, care coordination activities, and discharge planning efforts.

Educate caregivers and family members regarding patient-specific maintenance programs and therapeutic techniques.

Serve as a clinical preceptor for occupational therapy educational programs as assigned.

Ensure compliance with occupational therapy practice standards, regulatory requirements, productivity expectations, and patient safety initiatives.

Qualifications

  • Graduate of an accredited School of Occupational Therapy.
  • Current licensure as an Occupational Therapist in the applicable state of practice.
  • Ability to communicate effectively in English, both verbally and in writing.

Strong problem-solving skills necessary to assess patient needs and implement effective therapeutic interventions.

Strong communication and interpersonal skills with the ability to work effectively with patients, family members, facility staff, and interdisciplinary healthcare teams.

  • Ability to meet applicable health, licensing, and employment requirements.
  • Ability to perform essential job duties with or without reasonable accommodation.
  • Benefits/EEO

What We Offer You

  • Competitive Wages
  • 401k with match
  • Medical, Dental, Vision & Supplemental Insurance
  • Vacation, Sick, Personal Holiday & Paid Holidays
  • Short-Term Disability
  • Life Insurance
  • Tuition & CEU Reimbursement
  • Rewards & Recognition Program

EEOC

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient evaluationClinical documentationInterdisciplinary collaborationCaregiver educationSupervision

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (226 salary observations; 2,983 listings), vs ~$97k nationally (5,303 salary observations; 28,995 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Listed paynot listedOccupational Therapy median $98k (middle half $86k–$103k)10 comparable listings, Nov 2026
Texas vs national$94k median in Texas$97k nationally (−3%)226 state / 5,303 national salary observations
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas935 active9,171 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 8% remote · 38% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings3,140 in the last 30 days1,727 the 30 days before (+82%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.1% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Occupational Therapist Jobs

38 matches · ranked by pay

Salary Distribution

36 jobs · 29 employers
8
<$100k
14
$100k-115k
5
$115k-130k
6
$130k-145k
3
$145k+

Annual compensation range

Benefits & Perks

33 jobs · 29 employers
401k / retirement match
94% this job
CME allowance
58% this job
Sign-on bonus
30%
Loan repayment
15%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational Therapist (OT) – Flexible ScheduleContract

Concierge Home Care · Brandon, Florida

$70-$75/hr
#3

School-Based Occupational Therapist (OT)

$67-$73/hr
#4

Occupational Therapist Marlboro NJ

$140k
+ 36 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,121 comparable listings. Shaded area = the share scoring below this one.

Pivot Rehabilitation logo

About Pivot Rehabilitation

Benefits & Perks

401k with match
Medical, Dental, Vision & Supplemental Insurance
Vacation, Sick, Personal Holiday & Paid Holidays
Short-Term Disability
Life Insurance
Tuition & CEU Reimbursement
Rewards & Recognition Program

Living in San Antonio

Typical 3-bedroom home value
$224k
Typical market rent
$1,381/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.