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Beautiful Gate Center
North Charleston, South Carolina

Occupational Therapist Level II - OTR/L

Occupational TherapistNo callFull-Time

Listed compensation

$50-$52/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 9m ago · Verified live

Job Description

Occupational Therapist (Pediatric) / Level I or II - OTR/L (OT Dept. Lead)

Our Center is looking to hire a passionate, well organized, energetic clinical OT provider specialized in pediatrics and sensory integration disorders to onboard and support growing clientele currently waitlisted. Preferred candidate to have NDT certification to treat this population, but it is not required.

This position requires providing a wide range of direct services to pediatric to adult clients having challenging, or barrier-type, behaviors and included rendering clinical assessments and evaluations, conducting inter-disciplinary evaluations, 1:1 direct service provision, progress reporting, completing insurance authorizations, familial involvement, completing case reviews for intake, training/mentoring, multi and inter-disciplinary collaboration, crafting treatment plans and sensory diets, developing Center-wide recreational indoor / outdoor activities, crafting and implementing activities for external non-profit charitable events, supporting other OT department staff and clinical practicum and supervising COTA staff in clinical environment and year-round Center-Based, day treatment programs.

Occupational treatments to occur in a day treatment clinical setting working alongside populations including Level II and III Autism, Global Developmental Delays, Non-verbal, life skill delayed, intellectually delayed, having behavior barriers and other developmental challenges. Many of the clients use Assistive Technology devices for communication integrated into various therapy treatments.

Position Qualifications

Competencies:

Engage with clinical team members daily to create a positive, fun, and professional team-oriented culture in a fast-paced and expanding diverse group practice.

Experience overseeing and implementing OT Student Practicum and Internship program across multiple agency relationships

Enter progress notes on a daily basis and comply with provider terms and point of service documentation and conditions

Provide supervision and department oversight to COTA employees

Demonstrate ability to communicate effectively and timely to keep goals and objectives of the organization moving forward.

Must have diverse prior clinical experience developing, writing, implementing and evaluating individuals for Occupational Therapy Services which shall also include working with patients using (AAC) Alternative and Augmentative Communication Technologies.

Prior experience collaborating and coaching other therapeutic disciplines in standards for providing evidence-based, best practice, Occupational Therapy service delivery.

  • Must have clinical working knowledge of HIPAA privacy and policy practices and standards of performance.
  • Strong experience in administering a variety of OT assessments and evaluations
  • Prior clinical and/or educational experience working 1:1 with clients with developmental and behaviors challenges.

Prior Experience Supporting Full Caseload of Clients

  • Experience working collectively among executive leadership, a multi-disciplinary team, directors, administrative staff, while supporting a diverse clientele and busy schedule.
  • Demonstrate discretion and the ability to maintain confidential and private information.
  • Demonstrate compliance regarding training of internal company policies and procedures.

Demonstrate strong working knowledge of SC medical billing practices and policies to ensure compliance with state agencies including, DDSN, DHHS, Private Insurance Carriers, ADA and SC State Medicaid/Healthy Connections, SC Medicaid Waivers, and more.

Skills & Abilities

  • Education & Licensing:
  • Must be in possession of a current SC state license to practice and be able to provide NPI Number (preferred but not required)
  • Must be registered with National Board for Certification in Occupational Therapy (NBCOT) or other OTA board.
  • Must have Master’s Degree in Occupational Therapy from an accredited university
  • Additional certification in Sensory Processing Disorder required
  • Additional certification in NDT preferred, not required

Experience

Minimum 5-10 years of rendering services in clinical setting to children and adults.

Technology Skills

  • Strong knowledge using PC, MAC, IPAD and TouchIt technologies.
  • Basic knowledge or exposure to use of Augmentative & Alternative Communication Hi-Tech Speech Devices in a therapy session – preferred skill but not required.
  • Strong working knowledge of Central Reach Behavioral Health & Medical Billing Software.
  • Strong working knowledge of Central Reach Data Collection Module
  • Strong working knowledge of Google eSuite Platform: Drive, Calendar, Meetings, Etc.
  • Some conceptual and working knowledge with IEP third party software platforms
  • Strong working knowledge of Microsoft Word, Excel & PowerPoint

Strong Knowledge of office technologies, i. e: iCloud technology for record keeping and document storage uploads, fax, scanner, label makers, laminating machine, printers, walkie-talkies, etc.

Other Requirements

  • Strong organizational and electronic record keeping skills required
  • Strong written, oral and soft communication skills required
  • Demonstrate ability to be flexible and adapt to change.
  • Always maintain professional appearance with staff and clientele
  • Aptitude for critical thinking and problem solving required
  • Intermittent and minimal travel may be required for training, special meetings, BGC events, in-home observations, business development, continuing education, conferences, and more.
  • Maintain licensing, certification and CEUs every year.
  • Must pass background checks with drug testing, fingerprinting included
  • CPR and First Aid Certifications, preferred

Crisis Prevention Training Required

References and work materials may also be verified.

Physical Demands

Hearing: Adequate to perform job duties in person and over the telephone. Speaking: Must be able to communicate clearly to clients in person and over the telephone.

Vision: Visual acuity adequate to perform job duties, including visual examination of clients and reading information from printed sources and computer screens. Other: Requires frequent lifting and carrying items weighing up to 30 pounds unassisted, including assisting special needs children when required.

Adequate physical ability including sufficient manual dexterity to perform the requisite therapies. Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting and sitting, with some heavy lifting, pushing and pulling exerted regularly throughout a regular work shift.

Requires exposure to communicable diseases, bodily fluids, medicinal preparations and other conditions common to a clinic environment.

Key Responsibilities

The Occupational Therapist will provide direct pediatric clinical services, including assessments, treatment planning, and sensory diet development for clients with developmental challenges. Additionally, the role involves supervising COTA staff, mentoring students, and collaborating with an interdisciplinary team to ensure high-quality care and compliance.

Requirements

Candidates must hold a Master’s degree in Occupational Therapy, a current South Carolina state license, and NBCOT registration. A minimum of 5-10 years of clinical experience and certification in Sensory Processing Disorder are required, with NDT certification preferred.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

CPR (preferred)

Key Skills

Pediatric Occupational TherapyClinical AssessmentAAC TechnologiesHIPAA ComplianceCase ManagementInterdisciplinary Collaboration

Occupational Therapist Career Context

The cost-of-living index for South Carolina is 93.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$106k midpoint carries the purchasing power of roughly $113k in an average-cost state. 60.6% of South Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Occupational Therapy listings this role was benchmarked against, 5% are remote, 45% have no call, 60% require no weekends.

What does the Occupational Therapy market look like in South Carolina?
MeasureThis jobMarket
Work-life score6.4 / 10 · top 25% in occupational therapyranked against 9,043 Occupational Therapy listingslisting-based score, 0–10
Listed pay$104k–$108kOccupational Therapy median $98k (middle half $88k–$109k)191 comparable listings, Nov 2026
Cost-of-living adjusted pay~$113k in purchasing powerSouth Carolina index 93.7 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in South Carolina178 active9,059 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 5% remote · 45% no call · 60% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedSouth Carolina occupational therapist listings (all specialties): 12% state a sign-on bonus (median $5k) · 15% offer loan repayment200 active listings, Nov 2026
New Occupational Therapy listings3,240 in the last 30 days1,701 the 30 days before (+90%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.7% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (9,043 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist Level II - OTR/L at Beautiful Gate Center a 6.4 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Occupational Therapy — ranked against 9,043 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no on-call duties.

Top Occupational Therapist Jobs

23 matches · ranked by pay

Salary Distribution

23 jobs · 14 employers
6
<$90k
12
$90k-110k
0
$110k-130k
4
$130k-150k
1
$150k

Annual compensation range

Benefits & Perks

22 jobs · 14 employers
401k / retirement match
95%
CME allowance
45%
Sign-on bonus
41%
Loan repayment
5%
PSLF eligible
5%

Share of similar jobs offering each benefit

#1

Pediatric Occupational Therapist

MGA Homecare · Grand Prairie, Texas

up to $150,000
#2

Occupational Therapist Marlboro NJ

Healthcare Recruitment Counselors · Marlboro, New Jersey

$140k
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist II, 40 Hours Days, University Campus

$77k-$139k
+ 21 more · ranked by pay

Work-life snapshot

median 4.8this job 6.4
Better work-life than 80% of Occupational Therapy listings

Listing-based score, 0–10, across 9,043 comparable listings. Shaded area = the share scoring below this one.

  • No call

Living in North Charleston

Typical 3-bedroom home value
$308k
Typical market rent
$1,742/mo
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 (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

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

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