Lead Occupational Therapist III – Neonatal Intensive Care Unit (NICU)
Listed compensation
$43.8-$61.34/hr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Occupational Therapist III (OT III) is autonomously responsible for examination, evaluation, diagnosis, prognosis, intervention, and discharge planning for the occupational therapy needs of patients who have potential for functional impairments, limitations, and disabilities and are referred to occupational therapy. Additional responsibilities include clinical leadership for a specific patient care program and assessment of staff clinical performance
Job Description
Primary Responsibilities
Evaluate patients, discuss findings and plan of care with patient, implement plan of care, regularly re-evaluate patient status and plan of care. Demonstrate independence at an advanced competence level, providing care to a diverse patient population approximately 85% of the time. Provide clinical guidance, staff triage, program development, or clinical research as needed 15% of the time. (Essential)
Perform teaching responsibilities, including but not limited to: Teaching patients and families Teaching and supervising students Preparing and presenting in-services Educational lectures within and outside the department and medical center (Essential)
Mentor, orient, and assess competence and ongoing performance of less experienced therapists, therapy assistants, rehab aides, practice assistants, and support personnel, and communicate results to managers or supervisors. (Essential)
Provide leadership to designated clinical programs. Collect, analyze, and review statistics and outcome measures with recommendations for performance improvement. Collaborate with supervisor or manager to organize, direct, distribute, and coordinate work. (Essential)
Demonstrate initiative, seek opportunities, accept additional responsibilities, and set professional goals in areas of program development, teaching, quality assurance, performance improvement, research, and administration, as appropriate to meet identified department or service needs. Support an environment of idea sharing and feedback exchange across the service and department. (Essential)
Manage a defined caseload and perform all administrative responsibilities, including but not limited to: Data collection and record keeping Billing Face-time sheets QAI activities Participation on hospital and departmental committees as requested Attendance at department meetings and in-services as required (Essential)
Required Qualifications
Bachelor's degree in Occupational Therapy required. Master's degree preferred.
- Occupational Therapist License required.
- Basic Life Support (BLS) certification required.
- 5-8 years of related work experience required.
- Basic familiarity with computers and ability to navigate web-based applications.
Preferred Qualifications
AOTA membership.
Competencies
Decision Making: Ability to make decisions guided by general instructions and practices requiring interpretation. May recommend solutions to moderately complex problems.
Problem Solving: Ability to address varied problems requiring analysis or interpretation using observation, knowledge, and skills based on general precedents.
Independence of Action: Ability to set goals and determine how to achieve results with some guidelines. Manager/Director provides broad guidance and overall direction.
Written Communications: Ability to summarize and communicate moderately complex information in English in varied written formats.
Oral Communications: Ability to comprehend and communicate complex verbal information in English to staff, patients, families, and external customers.
Knowledge: Demonstrates full working knowledge of standard concepts, practices, procedures, and policies and can apply them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve operations by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service and staff training and resolve service issues in a timely and respectful manner.
Age-Based Competencies
Must Be Competent to Provide Patient Care To
- Young adult: 16-30 years
- Middle age: 30-60 years
- Elderly: 60+ years
Social/Environmental Requirements
- Work requires periods of close attention without interruption; concentrated effort of up to 4 hours may be required.
- Work varies daily and requires adaptability, independent judgment, and priority management.
- Daily potential exposure to: Protective equipment requirements (mask, gloves, eyewear, respirator, earplugs, etc.) Infectious diseases and airborne pathogens Bloodborne pathogens
Health Care Status
- HCW1: Regular day-to-day contact with patients, including face-to-face and hands-on contact within three feet for at least five minutes.
- Sensory Requirements
- Close work (paperwork, visual examination)
- Color vision/perception
- Visual clarity
- Hot/Cold detection
- Sharp/Dull detection
- Smell
- Conversation
- Monitoring equipment
- Telephone
- Background noise
Physical Requirements
Medium work: Exerting up to 50 pounds of force occasionally and up to 20 pounds frequently. The position is physical in nature and requires standing and moving for most of the shift.
- Constant Activities
- Walking
- Standing
- Endurance (working 5-6 hours without a break)
- Bending neck and waist
- Twisting neck and waist
- Repetitive crouching
- Fine manipulation using both hands
- Pushing/pulling using both hands
- Keyboard use
- Reaching above and below shoulder height
- Lifting/carrying up to 10 lbs
- Lifting/carrying up to 25 lbs
- Pushing up to 10 lbs
- Pushing up to 25 lbs
- Frequent/Occasional Activities
- Sitting
- Maintaining crouch for more than 5 minutes
- Climbing
- Power grasping using both hands
- Lifting/carrying up to 50 lbs
- Repositioning patients up to 100 lbs without assistance
- Repositioning patients up to 250 lbs with assistance
- Pushing up to 75 lbs
- Pushing 100+ lbs
- Rare Activities
- Lifting/carrying up to 75 lbs
- Pushing a wheelchair or wheeled bed containing a patient up to 250 lbs with assistance
Pay Range
$43.80 - $61.34
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time.
Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
Key Responsibilities
Evaluate patients, develop and implement occupational therapy care plans, monitor progress, and manage discharge planning for a defined caseload. Lead clinical programs, mentor and assess staff, teach patients and learners, and contribute to program development, quality improvement, research, and administrative work.
Requirements
A bachelor's degree in Occupational Therapy, an occupational therapist license, Basic Life Support certification, and 5–8 years of related experience are required; a master's degree and AOTA membership are preferred. Candidates should have computer and web-application familiarity and demonstrate advanced clinical judgment, communication, teamwork, and patient-care skills.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 5+ years of experience
Key Skills
Occupational Therapist Career Context
In Massachusetts, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$90k (249 salary observations; 546 listings), vs ~$97k nationally (6,672 salary observations; 25,638 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 Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$109k midpoint carries the purchasing power of roughly $103k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Of the 43 active Occupational Therapy listings this role was benchmarked against, 5% are remote, 37% have no call, 67% require no weekends.
Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).
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