Occupational Therapist/ Certified Hand Therapist, MH Hand Therapy, Per Diem, Days
Listed compensation
$54.32-$81.48/hr
The week · per this posting
Schedule not stated in this posting — no days, weekends, call or nights given.
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
About Marinhealth
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay.
With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly.
MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties.
We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Company
Marin General Hospital dba MarinHealth Medical Center
Compensation Range
$54.32 - $81.48
Work Shift
8 Hour (days) (United States of America)
Scheduled Weekly Hours
0
Job Description Summary
The Hand Therapist demonstrates advanced clinical reasoning skills in assessing and treating patients with a variety of simple to complex upper extremity injuries. The therapist works as an integral part of an interdisciplinary team and treats patients both in the clinic and in the hospital.
The therapist orients new staff; mentors staff when appropriate and may supervise students within the respective discipline. Secondary to the Hand Therapist's certification, the CHT will be expected to adhere to the scope of practice associated with their specific discipline.
Job Requirements, Prerequisites and Essential Functions
Job Specifications:
Education
Bachelors, Masters or Doctoral degree from an Occupational Therapy school, which has been accredited by AOTA’s Accreditation Council for Occupational Therapy Education (ACOTE®) or that has been approved by the World Federation of Occupational Therapy or another nationally recognized accrediting agency.
Applicant must also have active licensure through the California Board of Occupational Therapy (CBOT); California State, Department of Consumer Affairs.
Experience
Five (5) years of progressively responsible and directly related work experience.
License and Certifications
Registered Occupational Therapist - The California Board for Occupational Therapy (CBOT) (OTR) required at hire.
- Certified Hand Therapist (CHT) required at hire.
- Basic Life Support (BLS) required at hire.
Prerequisite Skills
Ability to provide appropriate care and progress treatment based on professional standards of practice, and on the needs of the specific individual, including age and developmental considerations, cultural and psychosocial issues, precautions and medical condition
Ability to communicate effectively, both orally and in writing
Ability to demonstrate advanced professional and clinical skills; keeps abreast of current trends and practice issues in hand therapy
Ability to utilize sound clinical reasoning to determine appropriate patient interventions; demonstrates good safety awareness, judgment and problem analysis and resolution
- Knowledge and adherence performance standards specific to the clinician's professional organization
- Knowledge of computer systems and software used in functional area
- Knowledge of Etiology and pathology of medical conditions that may manifest with signs or symptoms in the hand or upper extremity
- Knowledge of evaluation and treatment methodologies as applied to patients
- Knowledge of Kinesiology and biomechanics relative to the shoulder, elbow, forearm, wrist and hand Knowledge of principles of tissue/wound healing Knowledge of regulatory practice requirements
- Knowledge of surface anatomy of the shoulder, elbow, forearm, wrist and hand
Primary Customer Served (Age Specific Criteria)
- (( ) Infants: Birth up to 1 year
- ( ) Toddlers: 1 up to 3 years
- ( ) Preschool Children: 3 up to 6 years
- ( ) School Age Children: 6 up to 12 years
- (X) Adolescents: 12 up to 18 years
- (X) Early Adults: 18 up to 45 years
- (X) Middle Adults: 45 up to 61 years
- (X) Late Adults: 61 up to 80 years
- (X) Late, Late Adults: 80 years and up
This position is not a patient care position. The incumbent will, in many cases, be the initial face of the organization to a variety of external constituencies. As such, a high degree of professionalism, tact, and communication skills are required.
Patient Privacy (HIPAA Compliance)
Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description.
Duties And Responsibilities
- Essential (Not Modifiable)
- Completes all documentation and billing accurately and in a timely fashion, including Medicare forms, monthly progress notes and discharge summaries.
- Ensures that prescriptions are up-to-date and comprehensive for the treatments given
- Consistently follows up on outstanding issues, including contacting physicians for changes or additions to orders, new prescriptions, and discharge planning.
- Coordinates care of patient with other health professionals; including MD's and case managers.
Discharges patient from treatment when appropriate with adequate discharge planning including equipment procurement and family training, and communicates appropriately to patient, family and health care team.
Examines, assesses and documents skeletal, muscular, nervous, vascular, lymphatic, skin, and connective tissue status;
Assesses and documents psychosocial, functional and ergonomic factors and status; identifies impairments, functional limitations and disabilities based on the results of assessment; reassesses and documents patient status at appropriate intervals.
Performs all necessary patient care documentation, including assessment, plan of care, progress notes, discharge summaries, and charges for evaluation and treatment.
Documentation reflects patient status, progress or change, and participation by patient and family in goal setting and delivery of care. Performs complex patient care tasks with advanced skills in clinical reasoning, problem-solving and treatment interventions.
Assesses and treats patients within professional organization's scope of practice including but not limited to the application of modalities, therapeutic exercise and splint fabrication.
Provides direct patient care that meets department and professional standards of practice, including patient assessment, development of therapy care plan, patient treatment, family/caregiver training and discharge planning.
- Selects and administers appropriate assessment and treatment techniques.
- Performs age-appropriate competency skills in area of practice and with respect to individual patient's problems.
- Provide information to Occupational Therapy Supervisor about complicated patient situations.
- Supervises students when assigned; provides mentoring and orientation to others when appropriate.
- Secondary (Modifiable)
The following duties and responsibilities pertain to hand therapy consultation, evaluation and/or treatment, within the Marin Health Medical Center (hospital) location, including physical disabilities units as well as behavioral health unit.
Perform evaluation of the functional performance of inpatients and establishes a plan of treatment consistent with occupational therapy Scope of Practice; this involves the patient and his/her family in the design, goals and plan of treatment Evaluates effectiveness and outcomes of occupational therapy interventions, including evidence-based measures and practices, as well as the patient’s and family’s response to therapeutic interventions
Works proactively with health care team (occupational therapy supervisor, nursing, dietary, physical therapy, speech pathology, care coordination, social work, department navigators, physicians, etc) to continually assess patient’s discharge planning needs and ensure timely discharge of patient.
Functions independently in performing occupational therapy treatments, which may include, but are not limited to, retraining in self-care, functional mobility, functional cognitive assessment/interpretation, neuro re-education, upper extremity function, splinting/bracing to support functional task participation (and/or progression of positioning/stabilization per surgeon protocols within the acute stages of upper extremity recovery), visual-perception screen/assessment or retraining activities, medication management, home management/safety, adaptive or durable medical equipment assessment, recommendation and retraining. Identifies a patient and caregiver, family, and/or significant other’s specific learning needs and plans appropriate teaching interventions
Remain up to date with updates on procedures, policies and protocols within the acute care occupational therapy department. Other duties as assigned.
Accommodation
Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org.
C.A.R.E.S. Standards:
MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.
Health & Immunizations
To protect employees, patients, and our community, MarinHealth require
Key Responsibilities
The therapist assesses and treats patients with complex upper extremity injuries in both clinical and hospital settings. They are responsible for accurate documentation, billing, and coordinating care within an interdisciplinary team.
Requirements
Candidates must hold a degree from an accredited Occupational Therapy program and possess active California licensure. A Certified Hand Therapist (CHT) credential and five years of directly related work experience are required.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 5+ years of experience
Key Skills
Occupational Therapist Career Context
In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$117k (745 salary observations; 2,304 listings), vs ~$97k nationally (5,279 salary observations; 29,546 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 California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$141k midpoint carries the purchasing power of roughly $128k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $113k–$169k | Occupational Therapy median $146k (middle half $146k–$146k)22 comparable listings, Nov 2026 |
| California vs national | $117k median in California | $97k nationally (+21%)745 state / 5,279 national salary observations |
| Cost-of-living adjusted pay | ~$128k in purchasing power | California index 110.7 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in California | 882 active | 8,990 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 6% remote · 50% no call · 58% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | California occupational therapist listings (all specialties): 15% state a sign-on bonus (median $5k) · 5% offer loan repayment938 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,212 in the last 30 days | 1,658 the 30 days before (+94%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +4.1% vs prior quarter | —through Oct 2026 |
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