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Select Physical Therapy
San Antonio, Texas

Certified Hand Therapist - PRN

CounselorPer Diem

Listed compensation

$50/hr

The week · per this posting

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

Posted 54m ago · Verified live

Job Description

  • Position: Certified Hand Therapist (CHT)
  • Location: San Antonio, TX
  • Schedule: PRN, as needed
  • Compensation: $50.00/hour
  • We are seeking a PRN Certified Hand Therapist (CHT) to join our team at our outpatient orthopedic clinic!

In this role, you’ll treat various upper extremity disorders including tendon injuries, sprains, strains, post-operative fractures, and more. Experience in custom splinting is required.

Our regional hand therapy coordinator will work with you to ensure you have everything you need to succeed.

Why Choose Us

Hand Therapy Program: Our national hand therapy program spans 32 states, with over 300 CHTs and 300 hand therapists across the country.

Educational Opportunities: Take part in the National Upper Extremity (UE) symposium, national journal club, free local continuing education programs, national study group and additional certification courses.

Responsibilities

Responsible for the evaluation, plan of care, treatment, re-evaluation, discharge, and appropriate communications of high quality hand therapy services to patients and customers.

Provide comprehensive and individualized treatment programs.

Maintain positive level of interaction with facilities and clients. Enhance and expand client relations with facilities and their staff.

Stay current and up to date with Occupational Therapy research and employ Evidence Based Practice (RCB, clinician expertise, patient perception).

Qualifications

  • Graduate of an accredited school for occupational or physical therapy
  • Hold specialty certification or licensure in hand therapy
  • National registration and state licensure or registration required
  • Previous, demonstrated marketing experience
  • Solid experience in application of custom splinting pre and post-op orthopedic
  • CPR certification
  • Valid state driver’s license

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Orthopedic rehabilitationPatient evaluationTendon injury treatmentPost-operative careClinical documentationPatient communication

Counselor Career Context

Of the 41 active Mental Health Therapy listings this role was benchmarked against, 49% are remote, 10% have no call, 78% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$104k midpoint carries the purchasing power of roughly $107k 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 ~$104k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top contract/1099 Counselor Jobs

41 matches · ranked by pay

Salary Distribution22 jobs · 18 employers

13
<$65k
3
$65k-90k
1
$92k
5
$115k-140k

Annual compensation range

Benefits & Perks15 jobs

401k / retirement match
67%
Loan repayment
47%
CME allowance
27% this job
Sign-on bonus
20%

Share of similar jobs offering each benefit

#1

Mental Health Therapist (Part-Time, W2)Contract

Two Chairs · Texas

$58.5-$85/hr
#2

Licensed Therapist (LCSW, LMFT, LPCC, Psychologist) – Remote California – 10991099

Open Mind Health · Stockton, California

$70-$80/hr
#3

Psychotherapist Outpatient Clinic – LCSW / LMHC / LMFT/Independent Contractor/Port Orange

$60-$70/hr
#4

Psychotherapist Outpatient Clinic – LCSW / LMHC / LMFT/Independent Contractor/The Villages

$60-$70/hr
+ 39 more · ranked by pay

Work-life snapshot

median 6.2this job 3.0
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,062 comparable listings. Shaded area = the share scoring below this one.

Living in San Antonio

Typical 3-bedroom home value
$226k
Typical market rent
$1,386/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
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 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

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

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About Select Physical Therapy

Hospitals and Health Care
Mechanicsburg, PA
10,000+ employees

Benefits & Perks

Continuing Education
National Hand Therapy Program
Free Local Continuing Education Programs