Occupational Therapist

Occupational TherapistFull-Time

Listed compensation

$39.42 Hourly

The week · per this posting · weekdays assumed

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

Posted 7mo ago · Verified live

Job Description

  • Job Location: McKinney, TX 75069
  • Position Type: Full Time
  • Education Level: 4 Year Degree
  • Salary Range: $39.42 Hourly

*Hiring an Occupational Therapist for Grayson/Fannin Counties* Performance of complex early intervention services which foster and monitor child progress in the acquisition and mastery of functional skills to reduce or overcome limitations resulting from disabilities or developmental delays to infants and toddlers and their families, under the authority of Health and Human Services Commission.

Essential tasks include collaboration as a member of interdisciplinary teams, evaluation, assessment, eligibility determination, treatment planning, documentation, therapeutic intervention and consultation services in family homes and community settings, records review, and maintenance, other ECI related duties required.

Additionally: Performs motor, sensory motor and developmental evaluation and assessment accurately, using formal testing methods and Informed Clinical Opinion, in order to establish eligibility and developmental needs.

Participates as a collaborative team member for the Development of an Individualized Family Service Plan. Follows Provision of Occupational therapy Services as outlined in the IFSP. Follows Provision of direct services to families in accordance with ECI of LifePath Systems productivity standards.

Meets timeframes in accordance with Lifepath Systems ECI Program. Functions as a contributing and effective team member of the ECI team. Qualifications

Education, Training and Experience (including licensure and certification)

  • Minimum: Bachelor’s or Master’s level degree, Licensed by the Texas Board of Occupational Therapy Examiners, current OTR status.
  • Must complete required hours for continuing professional education and ethics as discipline applicable.
  • After employment, must complete required ECI State Trainings and LPS required trainings. Must have reliable transportation and a valid driver’s license. Knowledge, Skills, and Abilities
  • Comprehensive knowledge of typical and atypical child development, and childhood disabilities, birth to three.
  • Comprehensive knowledge of and understanding of team and family dynamics.
  • Ability to contribute discipline specific skills and clinical judgment as a member of an interdisciplinary team which include parents, caregivers, and other professional staff.
  • Ability to perform under minimal supervision with considerable requirements for initiative, discretion, independent thought, judgment, and self-motivation in matters of significance to families as well as the agency.
  • Well-developed interpersonal skills, oral and written communication skills, time management /organization skills, and basic computer skills.
  • Ability to independently conduct discussions and formulate recommendations for developmentally appropriate treatment plans.
  • Ability to comprehend and adhere to current methodologies in early intervention practices in the provision of Occupational Therapy services.

Key Responsibilities

The Occupational Therapist will perform early intervention services, including evaluations, assessments, and treatment planning for infants and toddlers. They will collaborate with interdisciplinary teams to foster child progress and ensure services are delivered in accordance with Individualized Family Service Plans.

Requirements

Candidates must hold a Bachelor's or Master's degree and be licensed by the Texas Board of Occupational Therapy Examiners with current OTR status. Reliable transportation and a valid driver's license are required to perform home and community-based visits.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Clinical assessmentInterdisciplinary collaborationIndependent judgmentDisability support

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$93k (223 salary observations; 3,083 listings), vs ~$97k nationally (5,562 salary observations; 29,543 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)), so the posted ~$82k midpoint carries the purchasing power of roughly $84k 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 score7.2 / 10 · top 10% in occupational therapyranked against 9,043 Occupational Therapy listingslisting-based score, 0–10
Listed pay$82kOccupational Therapy median $101k (middle half $85k–$146k)13 comparable listings, Nov 2026
Texas vs national$93k median in Texas$97k nationally (−4%)223 state / 5,562 national salary observations
Cost-of-living adjusted pay~$84k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas917 active9,040 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 6% remote · 36% no call · 58% 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 listings3,212 in the last 30 days1,658 the 30 days before (+94%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+3.8% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (9,043 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist at COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Occupational Therapy — ranked against 9,043 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 ~$82k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

25 matches · ranked by pay

Salary Distribution

25 jobs · 14 employers
4
<$95k
13
$95k-115k
5
$115k-135k
3
$135k-155k

Annual compensation range

Benefits & Perks

22 jobs · 14 employers
401k / retirement match
95%
CME allowance
55%
Sign-on bonus
41%
Loan repayment
14%
PSLF eligible
5%

Share of similar jobs offering each benefit

#1

Occupational Therapist Marlboro NJ

Healthcare Recruitment Counselors · Marlboro, New Jersey

$140k
#2

Occupational Therapist Matawan NJ

Healthcare Recruitment Counselors · Matawan, New Jersey

$140k
#3

Occupational Therapist II, 40 Hours Days, University Campus

$77k-$139k
#4

PACE Occupational Therapist, Compton Center

$92k-$134k
+ 23 more · ranked by pay

Work-life snapshot

median 4.8this job 7.2
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,043 comparable listings. Shaded area = the share scoring below this one.

Living in McKinney

Typical 3-bedroom home value
$391k
Typical market rent
$1,741/mo
Residents’ average commute
28 min
Metro price indexU.S. average = 100
103.1
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 · Dallas-Fort Worth-Arlington, TX metro prices. Housing figures are city-level.

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