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Upstream Rehabilitation
Spokane, Washington

Occupational Therapist - Hand Therapist - Northwest Orthopaedic Specialists

Occupational TherapistFull-Time

Listed compensation

$82k-$100k

The week · per this posting · weekdays assumed

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

Posted 22m ago · Verified live

Job Description

Integrity Rehab Group is an industry leading therapy management company that partners with physician practices across the nation. In partnering with Northwest Orthopaedic Specialists we have become a preferred outpatient orthopedic therapy service provider to the Spokane Valley, WA community.

To further support the needs of this community we are looking to add an experienced Occupational Therapist/Hand Therapist to our team that is committed to providing a remarkable patient experience through advancing our vision of coordinating patient-centered care with an emphasis on comprehensive evidence-based treatment.

This is enhanced through building integral relationships with our physician partners. Together, we strive to provide exceptional patient outcomes and a positive atmosphere for patient healing while promoting a collaborative and supportive work environment.

Competitive Compensation: $85,000 - $100,000

Company Benefits

  • Sign On Incentives
  • Tuition Reimbursement
  • 40 Min Scheduling
  • Annual continuing education benefit $1500, free MedBridge subscription, mentorship, and flexible work schedules
  • A comprehensive benefits package with PTO, holiday pay, health/pharmacy/dental/vision, 401k match
  • Opportunities for physician interaction including clinic shadowing and surgery observation
  • Therapy license renewal reimbursement
  • Leadership development coursework and mentorship
  • CHT Fellowship
  • Life Insurance: will cover 1 x your base salary
  • Voluntary Short –Term and Long-Term Disability insurance available

Employee Assistance Program that provides support, resources, and information for personal and work-life issues

Requirements

  • Current or pending Washington OT license
  • Minimum 1 Year Hand Therapy work experience required
  • Graduate of an accredited occupational therapy program

CPR Certified

This annual salary ranges within the specified amounts depending on experience, credentials, certifications, and other qualifications. Full-time positions may also have the opportunity to participate in bonus programs or other incentive plans.

  • Washington pay range
  • $82,000—$100,000 USD

Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.

Key Responsibilities

Provide comprehensive, evidence-based occupational and hand therapy to patients in an outpatient orthopedic setting. Collaborate with physician partners to coordinate patient-centered care and ensure positive clinical outcomes.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Clinical ShadowingPatient AssessmentRehabilitation PlanningCollaborative Care

Orthopedic Surgery — Occupational Therapist Career Context

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$91k midpoint carries the purchasing power of roughly $85k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 45 active Orthopedic Surgery listings this role was benchmarked against, 44% have no call, 67% require no weekends.

What does the Orthopedic Surgery market look like in Washington?
MeasureThis jobMarket
Listed pay$82k–$100kOrthopedic Surgery median $114k (middle half $98k–$125k)445 comparable listings, Nov 2026
Cost-of-living adjusted pay~$85k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
All orthopedic surgery listings in Washington271 active10,105 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 44% no call · 67% no weekends45 benchmarked listings
Sign-on & loan repaymentsign-on bonusWashington occupational therapist listings (all specialties): 18% state a sign-on bonus (median $10k) · 12% offer loan repayment271 active listings, Nov 2026
New Orthopedic Surgery listings349 in the last 30 days189 the 30 days before (+85%)U.S., first seen on WeekdayDoc, Nov 2026
Upstream Rehabilitation#8 of 11 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Washington figures use all orthopedic surgerys: too few Washington Orthopedic Surgery postings state pay.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$91k midpoint, that is roughly $4k–$6k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

28 matches · ranked by pay

Salary Distribution

28 jobs · 16 employers
6
<$95k
16
$95k-110k
1
$120k
3
$125k-140k
2
$140k

Annual compensation range

Benefits & Perks

27 jobs · 16 employers
401k / retirement match
93% this job
CME allowance
41% this job
Sign-on bonus
37% this job
Loan repayment
15%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Occupational Therapist Marlboro NJ

Healthcare Recruitment Counselors · Marlboro, New Jersey

$140k
#2

Occupational Therapist Matawan NJ

Healthcare Recruitment Counselors · Matawan, New Jersey

$140k
#3

PACE Occupational Therapist, Compton Center

$92k-$134k
#4

OCCUPATIONAL THERAPIST

$89k-$130k
+ 26 more · ranked by pay

Work-life snapshot

median 6.0this job 4.8
Better work-life than 40% of Hand Therapist (OT) listings

Listing-based score, 0–10, across 166 comparable listings. Shaded area = the share scoring below this one.

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About Upstream Rehabilitation

Hospitals and Health Care
1,001-5,000 employees

Benefits & Perks

Sign-On Incentives
Tuition Reimbursement
40-Minute Scheduling
$1,500 Annual Continuing Education Benefit
Free MedBridge Subscription
Mentorship
Flexible Work Schedules
PTO

Living in Spokane

Typical 3-bedroom home value
$394k≈ 4.8× annual pay
Typical market rent
$1,483/mo≈ 22% of gross pay
Residents’ average commute
21 min
Metro price indexU.S. average = 100
100.3
State income tax
None
Sources & methodology

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

BEA 2024 · Spokane-Spokane Valley, WA metro prices. Housing figures are city-level.

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