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Cascadia EE
Vancouver, Washington

Occupational Therapist

Occupational TherapistPer Diem

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 54m ago · Verified live

Job Description

Status: PRN

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 medical conditions and functional capabilities to develop and administer personalized rehabilitation treatment programs. They also provide clinical supervision to assistants and collaborate with the interdisciplinary team to ensure effective patient care and documentation.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient assessmentTreatment planningPatient educationInterdisciplinary collaboration

Occupational Therapist Career Context

In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$113k (234 salary observations; 533 listings), vs ~$97k nationally (5,202 salary observations; 27,817 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 Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)). 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Washington?
MeasureThis jobMarket
Washington vs national$113k median in Washington$97k nationally (+17%)234 state / 5,202 national salary observations
Cost of livingWashington index 107.0US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Washington226 active8,909 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 2% remote · 44% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedWashington Occupational Therapist listings: 15% state a sign-on bonus (median $10k) · 11% offer loan repayment262 active listings, Nov 2026
New Occupational Therapy listings3,118 in the last 30 days1,744 the 30 days before (+79%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Occupational Therapist Jobs

43 matches · ranked by pay

Salary Distribution

39 jobs · 33 employers
12
<$105k
11
$105k-125k
11
$125k-145k
5
$145k-165k

Annual compensation range

Benefits & Perks

39 jobs · 33 employers
401k / retirement match
100%
CME allowance
51%
Sign-on bonus
21%
Loan repayment
13%
PSLF eligible
10%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist - Inpatient

Providence · Issaquah, Washington

$48.79-$75.74/hr
#3

Occupational Therapist, OT, Flexible Schedule, Home Health

$70-$75/hr
#4

School-Based Occupational Therapist (OT)

$67-$73/hr
+ 41 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 9,077 comparable listings. Shaded area = the share scoring below this one.

Living in Vancouver

Typical 3-bedroom home value
$473k
Typical market rent
$1,803/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
105.4
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 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

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