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San Antonio, Texas

Occupational Therapist

Occupational TherapistFull-Time

Listed compensation

$70k-$85k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations and weekend coverage.

Posted 11m ago · Verified live

Job Description

  • 1202 E. Sonterra Blvd., Building 6, Suite 609, San Antonio, TX 78258
  • $5000 Sign On Bonus and/or Loan Payment Assistance Available
  • Schedule: Flexible (could work 4 10's, traditional schedule, etc.)

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

  • $70,000 – $85,000 annually, based on experience
  • Paid based on clock-in/clock-out
  • Flexible other pay models could 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 Stipend
  • 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 transform children's lives within a collaborative clinical environment. Engage in interdisciplinary teamwork with physical therapists, speech therapists, and behavior analysts to support complex cases.

Requirements

Must be a licensed Occupational Therapist in the state of Texas. At least one year of pediatric experience is preferred, along with a passion for pediatric healthcare and professional growth.

Qualifications

Education
Professional certificate or licensure

Certifications

Board Certification

Key Skills

Clinical assessmentTreatment planningPatient careDocumentationCommunicationAdaptabilityTime managementSpanish language proficiency

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).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Work-life score5.7 / 10 · above average in occupational therapyranked against 9,225 Occupational Therapy listingslisting-based score, 0–10
Listed pay$70k–$85kOccupational 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 powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas900 active9,174 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 8% remote · 44% no call · 52% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas 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
Sources: WeekdayDoc live listing index (9,225 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

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.

Top Occupational Therapist Jobs

28 matches · ranked by pay

Salary Distribution

28 jobs · 18 employers
8
<$95k
11
$95k-110k
3
$110k-125k
2
$125k-140k
4
$140k+

Annual compensation range

Benefits & Perks

25 jobs · 18 employers
401k / retirement match
96% this job
CME allowance
56% this job
Sign-on bonus
52% this job
Loan repayment
20%
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

Occupational Therapist

MGA Homecare · Dallas, Texas

up to $150,000
#2

Occupational Therapist (Maternity Relief)

MGA Homecare · McKinney, Texas

up to $150,000
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist Marlboro NJ

$140k
+ 26 more · ranked by pay

Work-life snapshot

median 4.8this job 5.7
Better work-life than 60% of Occupational Therapy listings

Listing-based score, 0–10, across 9,225 comparable listings. Shaded area = the share scoring below this one.

Benefits & Perks

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
$500 Annual Stipend

Living in San Antonio

Typical 3-bedroom home value
$224k≈ 3.2× annual pay
Typical market rent
$1,381/mo≈ 24% of gross pay
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.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.