Occupational Therapist
Listed compensation
$70k-$85k
The week · per this posting · Monday – Thursday
Ask the employer about the work setting, call expectations and weekend coverage.
Job Description
Two Options Available
Option 1: San Marcos full time only
Option 2: Split full time between our San Marcos, TX and Schertz, TX Clinics
Address: 101 Uhland Rd., Ste #112 San Marcos, TX 78666 & 6051 FM 3009, Suite 215, Schertz, TX 78154
Sign-On Bonus and/or Loan Payment Assistance Available
This job is open to COTA's as well.
Schedule: 9am-6pm Monday through Thursday preferred with 30-35 hrs to start with (flexible options available and can build to full 40 hours/wk as caseload builds))
Make a Meaningful Impact While Growing Your Career
This opportunity isn’t too good to be true — it’s real. At Cole Health, we’re seeking passionate Pediatric Occupational Therapists who want to transform children’s lives while enjoying flexibility, mentorship, and professional growth.
Here, your work is meaningful, your schedule is flexible, and your professional development is fully supported.
Competitive Compensation
- OTR $70,000 – $85,000 annually, based on experience and 40 hour work week
- COTA $59,000-$65,000 annually, based on experience and 40 hour work week
- Paid based on clock-in/clock-out
- Flexible models may include additional pay-per-visit options if desired
Why Work with Us?
Collaborative & Supportive Team Environment
- On-site mentorship with OT, PT, and Speech Therapy
- Collaboration with Board-Certified Behavior Analysts for guidance in complex cases
- Clinical Competency Specialist for specialty-specific training
Balanced Productivity & Flexibility
- Flexible schedules that prioritize work-life balance
- Diverse pediatric caseload to expand your clinical expertise
Career Growth & Professional Development
- Leadership development pathways
- Performance-based bonus incentives
- $500 Annual OTR
- Professional development assistance and referral bonus program
Purpose-Driven & Community-Focused
- 24+ years of stability and trust within the community
- International and local therapeutic mission opportunities
- Quarterly community service initiatives
- Active DEI (Diversity, Equity & Inclusion) committee
Comprehensive Benefits
- Medical, Dental & Vision Coverage
- 3 Weeks PTO (with rollover), 8 Paid Holidays, 1 You Day
- 401(k) with Company Matching & Retirement Planning Assistance
- Employee Assistance Program / Mental Health Support
Who You Are
- Licensed Occupational Therapist in Texas
- 1+ year pediatric experience preferrred
- Spanish speaking a plus
- Passionate about making a difference in children’s lives
- Growth-minded, adaptable, and excited to innovate in healthcare
At Cole Health, the role you start with today can evolve into leadership, mentorship, or program development opportunities in the future.
Take the Next Step
Apply today and connect with our Director of Talent Development — a tenured Occupational Therapist with 18+ years at Cole — to learn why clinicians love building their careers here.
Flexible. Impactful. Collaborative. Rewarding.
Key Responsibilities
Provide high-quality pediatric occupational therapy services to children in a clinical setting. Collaborate with a multidisciplinary team including physical therapists, speech therapists, and behavior analysts to ensure comprehensive patient care.
Requirements
Must be a licensed Occupational Therapist in the state of Texas. At least one year of pediatric experience is preferred.
Qualifications
- Education
- Professional certificate or licensure
Certifications
Key Skills
Occupational Therapist Career Context
In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$95k (236 salary observations; 2,654 listings), vs ~$97k nationally (5,886 salary observations; 27,166 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; 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)), so the posted ~$78k midpoint carries the purchasing power of roughly $80k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.1 / 10 · above average in occupational therapy | ranked against 9,225 Occupational Therapy listingslisting-based score, 0–10 |
| Listed pay | $70k–$85k | Occupational Therapy median $95k (middle half $78k–$109k)475 comparable listings, Oct 2026 |
| Texas vs national | $95k median in Texas | $97k nationally (−2%)236 state / 5,886 national salary observations |
| Cost-of-living adjusted pay | ~$80k in purchasing power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Texas | 900 active | 9,174 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 8% remote · 44% no call · 52% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Texas Occupational Therapist listings: 9% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Oct 2026 |
| Occupational Therapy pay trend | +3.3% vs prior quarter | —through Sep 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Occupational Therapist at Confidential Employer a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,225 active Occupational Therapy listings on WeekdayDoc.
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$78k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.
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