Occupational Therapist

Occupational Therapist Top 25% in Occupational TherapyFull-Time

Listed compensation

$39.42 Hourly

Listing transparency1 of 6 stated

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

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 5mo ago

Job Description

Job DetailsJob Location: McKinney, TX 75069Position Type: Full TimeEducation Level: 4 Year DegreeSalary 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

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 25% in Occupational Therapy — ranked against 9,045 active Occupational Therapy listings on WeekdayDoc.

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (161 salary observations; 1,957 listings), vs ~$96k nationally (4,072 salary observations; 22,315 listings). Monthly aggregates cover 2026-01-01 through 2026-09-01; these are not the modal's selected comparable-job medians.

Of the 50 active Occupational Therapy listings this role was benchmarked against, 2% are remote, 56% have no call, 70% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.2% vs. the prior quarter (through Aug 2026).

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).

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

22 matches · ranked by pay

Salary Distribution22 jobs · 18 employers

8
<$95k
4
$95k-110k
5
$110k-125k
3
$125k-140k
2
$140k+

Annual compensation range

Benefits & Perks21 jobs · 18 employers

401k / retirement match
86%
CME allowance
62%
Sign-on bonus
33%
Loan repayment
33%
Relocation assistance
10%

Share of similar jobs offering each benefit

#1

Occupational Therapist

Amedisys · Hayward, California

$129k–$160k
#2

Acute Care Occupational Therapist

Sentara Health · Hampton, Virginia

$96k-$141k
#3

Occupational Therapist (OT)

$100k-$130k
#4

Occupational Therapist, Home Health

$94k-$129k
+ 20 more · ranked by pay

Work-life snapshot

7.2/ 10
Listing-based score

Top 25% in Occupational Therapy

Living in McKinney

Typical 3-bedroom home value
$392k
Typical market rent
$1,773/mo
Residents’ average commute
28 min
Metro price indexU.S. average = 100
103.1
State income tax
None
Sources & methodology

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