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VUMC
Nashville, Tennessee

Occupational Therapist - Pediatrics - Home Health (PRN)

Occupational TherapistNo weekendsPer Diem

Compensation

Pay not listed

The week · per this posting · Monday – Friday

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

Posted 1h ago · Verified live

Job Description

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system.

Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research.

Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated.

We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization

VHCS Clinical - Pediatrics

Job Summary

Provides occupational therapy services to patients who have impairments, developmental disabilities, functional limitations, disabilities, or changes in physical function and health status resulting from injury, disease or other causes under occasional guidance. Actively collaborates with the health care/educational team to meet patient care, outcomes and system improvement objectives..

Occupational Therapist - Pediatrics - Home Health (PRN)

Coverage area: Northern Metro Nashville

Help Children Thrive at Home

Vanderbilt Health is seeking a Pediatric Occupational Therapist to join our Home Health team serving infants, children, and adolescents throughout the Nashville Metro area.

This role is ideal for an OT with an interest in pediatrics, early intervention, infant development, feeding, sensory integration, and medically complex children. You'll provide one-on-one therapy in the home setting, helping children reach developmental milestones and maximize independence while partnering closely with families.

Many referrals originate from Monroe Carell Jr. Children's Hospital at Vanderbilt and include children with:

  • Prematurity and NICU histories
  • Developmental delays
  • Neurological diagnoses
  • Cardiac conditions
  • Feeding and sensory challenges
  • Genetic disorders
  • Traumas and Post op orthopedic surgeries
  • Medically complex and technology-dependent needs

Schedule & Opportunity

Monday-Friday daytime hours

No weekends or holidays

Flexible Scheduling

This PRN position is anticipated to support a temporary staffing need beginning around May and may provide a consistent caseload of approximately 3-4 days per week, based on patient volume and business needs, as well as, supporting all OTs for backup and PTO coverage before and after the temporary leave.

Why Vanderbilt Home Health?

  • Meaningful one-on-one care with children and families
  • Typically 4-6 visits per day
  • Competitive compensation structure (hourly)
  • Mileage reimbursement
  • Dedicated onboarding and clinical support
  • Experienced pediatric leadership and mentorship

Training & Orientation

To support a successful transition into practice, PRN clinicians should be available for:

  • New Hire Orientation (held on Mondays)
  • EMR training (held on Mondays and Tuesdays)
  • Clinical orientation approximately 3 days per week for 6-8 weeks, depending on experience
  • Dedicated preceptor support during onboarding

Support in the Field

  • Accessible managers available for clinical consultation and support
  • GPS-enabled safety app provided
  • Joint visits and co-treatments available when needed
  • Experienced clinical leaders available for additional support

Key Responsibilities

  • Evaluate and treat pediatric patients in the home setting
  • Develop individualized treatment plans
  • Provide developmental, sensory, motor, vision, and functional interventions
  • Educate and coach parents and caregivers
  • Collaborate with physicians, nurses, PTs, SLPs, social workers and case managers
  • Complete timely electronic documentation

Qualifications

Required

  • Graduate of an accredited Occupational Therapy program
  • Minimum of one year of clinical practice with pediatric patients
  • Tennessee Occupational Therapist license
  • CPR certification
  • Valid driver's license and reliable transportation

Preferred

Pediatric Home Health, Acute Care, Early Intervention, NICU Follow-Up, Developmental Pediatrics, Pediatric Rehabilitation, or related pediatric experience

For more than 40 years, Vanderbilt Home Care Services has helped children and families receive exceptional care where it matters most: at home. If you're passionate about pediatric therapy and want to make a meaningful impact on children and families across Middle Tennessee, we'd love to hear from you.

Apply today and help children learn, grow, and thrive at home.

Key Responsibilities

  • Analyzes comprehensive information from formal and informal assessment that is pertinent to the patient's care and management to determine a rehabilitation treatment diagnosis.
  • Collaborates with stakeholders in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the rehabilitation continuum.
  • Applies appropriate, evidence-based interventions to ensure effective outcomes and re-evaluates performance to assess patient's progress towards goals.
  • Employs strategies to promote successful return to home, community, and school/vocational environments.
  • The responsibilities listed are a general overview of the position and additional duties may be assigned.

Technical Capabilities

  • Rehab Therapist Patient Documentation (Novice): Demonstrates proficiency in documentation practices. Documents in the appropriate templates and utilizes only approved abbreviations within patient documentation. Meets institutional standards for quality and timeliness of documentation.
  • Physical/Occupational Therapist Patient Education (Novice): Demonstrates proficiency in communicating functional impact of assessment findings, treatment interventions, treatment planning diagnosis, and disease process. Considers the communication needs/level of understanding of audience and may share appropriate information/literature. May supervise, educate and train students from professional programs of physical therapy, occupational therapy and athletic training.
  • Treatment Planning & Goal Setting (Novice): Demonstrates sufficient proficiency in developing a plan of care that incorporates treatment interventions focused on meeting objective goals. Develops and documents patient focused short and long term goals that are functional and measurable. Identifies the need for and referral to other services, as needed.
  • Treatment Implementation (Fundamental Awareness): Demonstrates proficiency in providing treatment consistent with physician prescription and established plan of care. Able to modify treatment plan as needed to demonstrate provision of skilled therapy services including progression of treatment throughout course of care, and revision of treatment interventions of goals not met. May supervise and direct certified athletic trainers (PT only), physical therapist / occupational therapist assistants, technicians and volunteers and students. Selects and follows correct protocol for care and utilize evidence based treatments.
  • Rehabilitation Therapist Patient Evaluation (Novice): Demonstrates proficiency in evaluating patients with physical deficits including impairments, developmental disabilities, functional limitations, disabilities, or changes in physical function by obtaining information pertinent to the assessment and administering and scoring standardized tests and objective measures of deficit areas. Selects appropriate measures and performs a functional assessment to document patient's status requiring skilled therapy. Interprets the results of the assessment and their significance to the patient, family, referring physician and other members of the health care team.

Allied health is among the fastest growing occupations in healthcare today. This area can be defined as credentialed professionals who perform supportive, diagnostic, and therapeutic health care services to promote health and prevent disease in a variety of settings.

These areas are crucial to Vanderbilt Health’s reputation for excellence in these areas that has made us a major center for patient referrals from throughout the Mid-South.

Each year, people throughout Tennessee and the southeast choose Vanderbilt Health for their health care because of our leadership in medical science and our dedication to treating patients with dignity and compassion.

Core Accountabilities

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.

Core Capabilities

Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.

Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.

Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issu

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Pediatric occupational therapyHome health careFeeding therapyDevelopmental milestone trackingCaregiver educationInterdisciplinary collaborationClinical assessment

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist - Pediatrics - Home Health (PRN) at VUMC a 7.8 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Pediatrics (Occupational Therapy) — ranked against 680 active Pediatrics (Occupational Therapy) listings on WeekdayDoc. Contributing factors include no weekend requirements.

Pediatrics — Occupational Therapist Career Context

Of the 50 active Occupational Therapist listings this role was benchmarked against, 4% are remote, 44% have no call, 72% require no weekends.

Occupational Therapist pay on WeekdayDoc is up 3.0% vs. the prior quarter (through Sep 2026).

Occupational Therapist by the numbers
MeasureThis jobMarket
Work-life score7.8 / 10 · top 10% in pediatrics (occupational therapy)ranked against 680 Pediatrics (Occupational Therapy) listingslisting-based score, 0–10
Cost of livingTennessee index 91.9US average = 100BEA Regional Price Parities (2024)
Occupational Therapist listings in Tennessee205 active10,040 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 4% remote · 44% no call · 72% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTennessee Occupational Therapist listings: 7% state a sign-on bonus (median $8k) · 9% offer loan repayment205 active listings, Oct 2026
Occupational Therapist pay trend+3.0% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (680 Pediatrics (Occupational Therapy) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

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

Top contract/1099 Occupational Therapist Jobs

38 matches · ranked by pay

Salary Distribution

27 jobs · 26 employers
5
<$90k
10
$90k-105k
5
$105k-120k
3
$120k-135k
4
$135k+

Annual compensation range

Benefits & Perks

34 jobs · 26 employers
401k / retirement match
97%
CME allowance
71%
Sign-on bonus
24%
Loan repayment
18%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Occupational Therapist (OTR/L)

Healthpro Heritage · Madera, California

$67/hr
#2

School-Based Occupational Therapist (OT)

Strides Therapy and Educational Services · Maryland

$62-$66/hr
#3

Occupational Therapist - OT

$50-$65/hr
#4

Virtual School Occupational Therapist (OT) K-12 Schools

$40-$65/hr
+ 36 more · ranked by pay

Work-life snapshot

median 4.8this job 7.8
Among the best 10% of Pediatrics (Occupational Therapy) listings for work-life

Listing-based score, 0–10, across 680 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
VUMC logo

About VUMC

Hospitals and Health Care
Nashville, Tennessee
10,000+ employees

Benefits & Perks

Competitive hourly compensation
Mileage reimbursement
Dedicated onboarding and clinical support
Experienced pediatric leadership and mentorship
GPS-enabled safety app
Flexible scheduling
No weekends or holidays

Living in Nashville

Typical 3-bedroom home value
$409k
Typical market rent
$1,820/mo
Metro price indexU.S. average = 100
96.3
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

BEA 2024 · Nashville-Davidson--Murfreesboro--Franklin, TN metro prices. Housing figures are city-level.

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