Occupational Therapist - Fee For Service (34586)

Occupational TherapistContract

Listed compensation

Salary Range: $25.50–$51.00

The week · per this posting · weekdays assumed

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

Posted 6mo ago

Job Description

  • Job Location: Fredonia site - Fredonia, NY 14063
  • Position Type: Fee For Service
  • Salary Range: $25.50 - $51.00

CommissionBuffalo Hearing & Speech is looking for a pediatric licensed Occupational Therapist to work in a Fee for Service (FFS) capacity at our Preschool program in Fredonia. This position will pay $25.50 for a 30 minute classroom therapy session. BHSC also offers a free continuing education series to employees and our FFS employees are eligible to accrue paid sick leave.

Job Summary

The Occupational Therapist is responsible for providing OT services to children and clients of BHSC whose ability to function is impaired by congenital or developmental disability, physical illness or injury, through examinations, evaluations, diagnosis, prognosis and interventions for the highest functional outcomes.

Essential Functions: Responsible for evaluation of therapy needs. Participate in the creation of the treatment plan, revising as necessary.

Perform occupational therapy procedures as ordered by physician or documented on IEP, Communicate with OT/PT manager as appropriate to evaluate patiene needs Collaborates with OT supervisor, teachers, parents/families, and/or other personnel concerning patient’s care and activities, developing plans for services and/or making recommendations.

Complete all paperwork requirements related to patient care (including keeping logs with OT supervisor signatures for the purpose of documenting OT supervising).

Prepares a wide variety of written materials (e. g. draft evaluation findings, observations, proposed occupational therapy IEP goals, etc.) for the purpose of documenting activities, providing written reference and/or conveying information.

Make recommendations for purchases of specialized program materials, supplies and adaptive equipment. Transports self between multiple sites within the district for the purpose of providing educational occupational therapy to students and clients.

Participate in formal staff training, continuing education services and formalized in-service training as appropriate. Performs other related duties requested by your supervisor.

Skills: Thorough knowledge of the principles and practices of occupational therapy Thorough knowledge of standards of clinical practice established by the American Occupational Therapy Association Ability to exhibit sound, professional judgment and maturity Strong technology and computer skills Preparing and maintaining accurate records Operating equipment used in Occupational Therapy Education: Masters in Occupational therapy curriculum accredited jointly by the council of medical education of the American Medical Association and the American Occupational Therapy Association Required License/ Registration/ Certification: New York State Licensed and Registered as an Occupational Therapist Physical Requirements: Physical actions may include, but are not limited to; standing, sitting, bending, lifting, kneeling, squatting, reaching, crawling, running, twisting & turning.

Vision, speech, tactical and hearing senses adequate to perform job requirements. Frequent sitting/ standing and when appropriate, floor sitting with pediatric patients.

Qualifications

Key Responsibilities

The Occupational Therapist provides necessary OT services to children with functional impairments due to developmental disabilities or injury through examinations, evaluations, diagnosis, and interventions to achieve the highest functional outcomes. Essential functions include creating and revising treatment plans, collaborating with staff and families, and completing all required patient care documentation.

Requirements

Candidates must possess a Master's degree in Occupational Therapy from an accredited curriculum and hold a New York State License and Registration as an Occupational Therapist. Required knowledge includes principles of occupational therapy and AOTA clinical practice standards, alongside the ability to perform necessary physical actions for pediatric patient care.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Pediatric TherapyTreatment PlanningIEP DocumentationPatient Care CommunicationRecord KeepingTechnology SkillsAdaptive Equipment Recommendation

Occupational Therapist Career Context

In New York, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (410 salary observations; 884 listings), vs ~$97k nationally (6,684 salary observations; 25,690 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$51k midpoint carries the purchasing power of roughly $47k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 45 active Occupational Therapy listings this role was benchmarked against, 9% are remote, 38% have no call, 58% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Top contract/1099 Occupational Therapist Jobs

29 matches · ranked by pay

Salary Distribution29 jobs · 16 employers

13
<$105k
11
$105k-120k
2
$120k-135k
2
$140k
1
$160k

Annual compensation range

Benefits & Perks28 jobs · 16 employers

401k / retirement match
93%
CME allowance
50% this job
Sign-on bonus
36%
Loan repayment
21%
PSLF eligible
11%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist Matawan NJ

Healthcare Recruitment Counselors · Matawan, New Jersey

$140k
#3

Occupational Therapist Marlboro NJ

$140k
#4

Occupational Therapist (OT) Acute Care

$80k-$130k
+ 27 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 9,348 comparable listings. Shaded area = the share scoring below this one.

Living in Fredonia

Typical 3-bedroom home value
$219k≈ 4.3× annual pay
Median resident rent
$878/mo≈ 21% of gross pay
Residents’ average commute
17 min
State income tax
Up to 10.9%
Sources & methodology

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

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

Buffalo Hearing & Speech Center logo

About Buffalo Hearing & Speech Center

Education Administration Programs
Buffalo, New York
201-500 employees

Benefits & Perks

Free Continuing Education
Paid Sick Leave