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Tri-County Therapy
Mount Pleasant, South Carolina

Pediatric Occupational Therapist (OT)

Occupational TherapistContract

Listed compensation

$63k-$91k

The week · per this posting · weekdays assumed

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

Posted 1mo ago

Job Description

Join Tri-County Therapy (TCT) a leading pediatric therapy company serving children from birth to 18 years old across South Carolina. Our mission is to provide high-quality therapy services while building a diverse, empowered, and innovative team.

We use a multi-disciplinary approach (OT, SLP, PT) with an incredibly collaborative team to provide services in clinics, homes, schools, and community settings.

With clinics in Charleston, Ladson, Mount Pleasant, Greenville, and Anderson, TCT has built a reputation for excellence in pediatric therapy. Our team delivers compassionate, evidence-based care in a supportive, growth-focused environment. We believe in empowering our therapists with training, resources, and a collaborative culture to achieve the best outcomes for the children and families we serve.

We Are Growing and Currently Interviewing For

Full-Time Mixed OT treating in our Mount Pleasant, SC clinic and community (homes, preschools, early intervention)

Independent Contractor Clinic OT treating in our Mount Pleasant, SC clinic (afternoons only)

Occupational Therapist Job Responsibilities

Evaluate assessment and test results and medical background information to diagnose and create individualized treatment plans for fine motor, sensory regulation, visual motor/perceptual, feeding, daily living skills, and other related disorders.

Identify patients who could benefit from adaptive equipment or sensory regulation equipment and support family to obtain medically necessary equipment

Accept a variety of patients to treat various diagnoses, including more specific treatment/strategy techniques (deficits/delays related to sensory regulation, sensory-based feeding, executive functioning, emotional regulation, infants, etc..) and can treat with minimal oversight from leadership

Record therapy notes (SOAP), patient observations, evaluation reports, care plans (POCs), and discharge of clients

Instruct clients in techniques for more effective carryover of strategies and techniques.

Develop individualized occupational therapy exercise programs and home programs for families to implement, to maximize functional outcomes

Ensure regular communication with parents or caregivers and educate/instruct patients and family members in strategies to facilitate progress.

Occupational Therapist Job Requirements

  • A current State of South Carolina professional license (SC LLR).
  • Graduated from an accredited university with a bachelor’s degree or higher in Occupational Therapy.
  • Sensory & Feeding experience are a plus!
  • Knowledge and understanding of children’s developmental stages from ages 0-18 to properly analyze the growth, movement (motor), cognitive, and maturation process/transition between skill levels.
  • Previous pediatric experience is required through employment or clinical rotation.

Occupational Therapist Compensation & Pay Structure

Base Salary includes therapy sessions and administrative time (documentation, caregiver communication, etc.) for full-time W2 positions.

  • Bonus Commission for increased productivity
  • Independent contractors and part-time employees are paid per visit

Occupational Therapist Benefits

  • Health & Dental Insurance
  • 401(k) Retirement Plan
  • Paid Time Off (PTO) and Paid Holidays
  • Continuing Education Programs
  • Professional CEU Scholarship Opportunities
  • Short Term-Disability Insurance Options
  • Life & Vision Insurance Options
  • Covered Professional Liability Insurance iPad and Therapy Equipment

Why Join TCT?

We’re passionate about professional development, team collaboration, and client success. Our integrated leadership model provides you with:

  • A direct manager for operational support
  • A Lead Occupational Therapist for clinical guidance, training, and documentation review

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Key Responsibilities

The Occupational Therapist will evaluate, diagnose, and create individualized treatment plans for pediatric patients to improve fine motor, sensory, and daily living skills. They are also responsible for documenting therapy notes, educating families on home programs, and collaborating with a multi-disciplinary team to ensure optimal functional outcomes.

Requirements

Candidates must hold a bachelor's degree or higher in Occupational Therapy and possess a current South Carolina professional license. Previous pediatric experience is required, along with a strong understanding of child developmental stages from birth to 18 years old.

Qualifications

Education
Bachelor degree

Key Skills

Pediatric Occupational TherapyFine Motor SkillsVisual Motor SkillsFeeding TherapyIndividualized Treatment PlanningSOAP DocumentationPatient AssessmentCaregiver EducationEvidence-based PracticeCollaborative Care

Pediatrics — Occupational Therapist Career Context

Of the 40 active Pediatrics listings this role was benchmarked against, 3% are remote, 40% have no call, 68% require no weekends.

The cost-of-living index for South Carolina is 93.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$77k midpoint carries the purchasing power of roughly $82k in an average-cost state. 60.6% of South Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Occupational Therapist Jobs

25 matches · ranked by pay

Salary Distribution25 jobs · 15 employers

1
$90k
16
$95k-110k
3
$110k-150k
5
$150k+

Annual compensation range

Benefits & Perks22 jobs · 15 employers

401k / retirement match
82% this job
Sign-on bonus
50%
CME allowance
41% this job
Loan repayment
23%
Relocation assistance
5%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational TherapistContract

Luna Physical Therapy · Chicago, Illinois

$68-$75/hr
#3

School Occupational Therapist (OT) - Manhattan

$75 an hour
#4

School Occupational Therapist (OT) - Brooklyn

$75 an hour
+ 23 more · ranked by pay

Work-life snapshot

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

Listing-based score, 0–10, across 633 comparable listings. Shaded area = the share scoring below this one.

Living in Mount Pleasant

Typical 3-bedroom home value
$733k≈ 11.6× annual pay
Typical market rent
$2,446/mo≈ 47% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
101.0
State income tax
Up to 6.5%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Charleston-North Charleston, SC metro prices. Housing figures are city-level.

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

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About Tri-County Therapy

Medical Practices
Ladson, South Carolina
51-200 employees

Benefits & Perks

Health & Dental Insurance
401(k) Retirement Plan
Paid Time Off (PTO) and Paid Holidays
Continuing Education Programs
Professional CEU Scholarship Opportunities
Short Term-Disability Insurance Options
Life & Vision Insurance Options
Covered Professional Liability Insurance