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Legacy Health
Vancouver, Washington

Occupational Therapist - Acute Care

Occupational TherapistFull-Time

Listed compensation

$48.69-$69.65/hr

The week · per this posting · weekdays assumed

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

Posted 49m ago · Verified live

Job Description

Your greatest reward is helping patients return to the work and life they enjoy. As an Occupational Therapist, you will assess, plan, and implement personalized treatment programs designed to achieve the best possible outcomes for each patient. If you share this passion and enjoy working within a multidisciplinary team while supervising support personnel, we invite you to explore this rewarding opportunity.

This is an acute care position.

Responsibilities

Evaluate patients’ abilities and limitations.

Establish treatment goals based on evaluation findings and referral reasons, considering neuromuscular movement and stability, sensation, activities of daily living (ADLs), perception, cognition, vocational and prevocational abilities, developmental status, dysphagia, manual muscle testing, range of motion, body mechanics, and other relevant assessments.

Assess home and work environments, recommending physical barrier modifications or ergonomic adaptations as needed.

Administer therapy according to established plans, utilizing appropriate procedures, equipment, and techniques within the scope of Occupational Therapy practice.

  • Recommend adaptive equipment, complete justification documentation, and coordinate delivery.
  • Re-evaluate patients regularly to assess progress and provide discharge recommendations when appropriate.
  • Collaborate and co-treat with therapists from other disciplines.
  • Fabricate splints as required.
  • Maintain timely and accurate documentation of patient care in accordance with established standards.
  • Educate patients and caregivers on therapy goals, treatment methods, home program execution, and injury prevention strategies.
  • Supervise patient care activities performed by aides, assistants, attendants, and volunteers.

Qualifications

Education

As required by licensure.

Skills

Able to render patient services and supervise Certified Occupational Therapy Assistants (OTA/COTA), Therapy Aides and students.

  • Excellent organizational skills to facilitate program development.
  • Demonstrates competency, as appropriate to the ages of patients served, in the ability to obtain and interpret information in terms of the patients needs; of knowledge of normal growth and development; and an understanding of the range of the treatment needed.
  • Skilled in home program development and family training.
  • Knowledge in appropriate selection and use of DME (adaptive equipment.)
  • Computer skills.

Licensure

  • Occupational Therapist License required.
  • BLS for Provider certification from the American Heart Association required.

Pay Range

USD $48.69 - USD $69.65 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: legacyhealth.org

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient assessmentTreatment planningNeuromuscular assessmentDysphagia managementErgonomic adaptationSplint fabricationPatient educationSupervision

Occupational Therapist Career Context

In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$113k (302 salary observations; 522 listings), vs ~$97k nationally (6,660 salary observations; 25,593 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 Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$123k midpoint carries the purchasing power of roughly $115k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Occupational Therapy listings this role was benchmarked against, 3% are remote, 35% have no call, 60% require no weekends.

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

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$123k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

25 matches · ranked by pay

Salary Distribution25 jobs · 17 employers

2
<$95k
8
$95k-105k
9
$105k-110k
2
$110k-130k
4
$130k+

Annual compensation range

Benefits & Perks25 jobs · 17 employers

401k / retirement match
84%
Sign-on bonus
36%
CME allowance
28%
Loan repayment
24%
PSLF eligible
12%

Share of similar jobs offering each benefit

#1

Home Health Occupational TherapistPer Diem

Ace Home Health Care & Hospice · San Jose, California

$154k-$207k
#2

Occupational Therapist III EX

UCSF · Oakland, California

$67.06-$90.53/hr
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist Marlboro NJ

$140k
+ 23 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 9,294 comparable listings. Shaded area = the share scoring below this one.

Living in Vancouver

Typical 3-bedroom home value
$476k
Typical market rent
$1,828/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
105.4
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 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

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