Cascadia EE logo
Cascadia EE
Seattle, Washington

Occupational Therapist

Occupational TherapistFull-Time

Listed compensation

$60/hour

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Position Summary

An Occupational Therapist (OT) is responsible for the assessment of referred patients that require rehabilitation services which includes: providing direct patient care to assess their medical condition, functional capabilities, limitations and restrictions and potential for rehabilitation.

Also, the OT will establish and administer a treatment program with specific goals determined according to the patient's capacity and tolerance under the direction of a physician.

In addition, the OT must set realistic and achievable goals for their patients, document and record the patient's condition and educate patients and families in an appropriate occupational therapy method.

Essential Functions

Optimizes the functionality and skills of patients by providing, directing and/or overseeing therapy in the following: screening of all residents, assessing and treating all patients who might benefit from therapy as referred by state-approved referral source.

  • Adheres to Minimum Data Set (MDS) procedures and effective care planning.
  • Thoroughly document progress toward identified objectives and communicating patient status and needs to the patient, family, and other involved professionals.
  • Refers patients for treatment to Certified Occupational Therapy Assistants (COTA), where appropriate.
  • Provides consultation and clinical supervision to COTAs in the facility.

Directs COTA(s) and Rehab Aide(s) in skilled tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and facilitate the ongoing development of clinical skills in accordance with State Practice Acts, Omnibus Reconciliation Act (OBRA).

Build a strong rehabilitation practice within each facility by performing or directing and supervising occupational therapy staff in the following activities: establishing and maintaining courteous and helpful interaction patterns with staff, patients, and families which reflect sensitivity to individual needs and a problem-solving approach; actively integrating therapy’s role into facility and interdisciplinary treatment team.

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications.

Ensures punctuality and regular attendance for assigned shifts.

Other Functions

  • Provides skilled occupational therapy services / interventions in accordance with physician orders.
  • Assesses patient needs, plans for, evaluates and modifies care to meet goals of occupational therapy interventions.
  • Other duties as assigned.

Knowledge/Skills/Abilities

Ability to communicate effective treatments and procedures to residents, families, and nursing facility.

Ability to maintain patient/resident confidentiality.

Requirements

Qualifications

Education

Must have graduated from an accredited school of occupational therapy.

Licenses/Certification

  • Current state license as an Occupational Therapist.
  • Current CPR certification.

Experience

Six months experience in a long term care environment preferred.

Key Responsibilities

The Occupational Therapist is responsible for assessing patient conditions, developing treatment programs, and providing direct care to improve functional capabilities. They also supervise Certified Occupational Therapy Assistants and collaborate with the interdisciplinary team to ensure effective rehabilitation outcomes.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient assessmentTreatment planningPatient educationDocumentationInterdisciplinary collaboration

Occupational Therapist Career Context

In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$113k (300 salary observations; 519 listings), vs ~$97k nationally (6,587 salary observations; 25,232 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 Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$125k midpoint carries the purchasing power of roughly $117k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Occupational Therapy listings this role was benchmarked against, 3% are remote, 45% have no call, 60% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$125k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

23 matches · ranked by pay

Salary Distribution23 jobs · 19 employers

3
<$95k
5
$95k-100k
8
$100k-110k
2
$110k-140k
5
$140k+

Annual compensation range

Benefits & Perks23 jobs · 19 employers

401k / retirement match
83%
Sign-on bonus
48%
CME allowance
35%
Loan repayment
26%
PSLF eligible
17%

Share of similar jobs offering each benefit

#1

Occupational Therapist III EX

UCSF · Oakland, California

$67.06-$90.53/hr
#2

Occupational Therapist

Ironside Human Resources · Fairfield, California

$75-$90/hr
#3

Occupational Therapist (Home Health)

$130k-$160k
#4

Occupational Therapist Matawan NJ

$140k
+ 21 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,297 comparable listings. Shaded area = the share scoring below this one.

Living in Seattle

Typical 3-bedroom home value
$881k
Typical market rent
$2,234/mo
Residents’ average commute
26 min
Metro price indexU.S. average = 100
111.1
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 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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