Brighton Center
San Antonio, Texas
PRN Pediatric Occupational Therapist - Clinic
Listed compensation
$60-$75/hr
Listing transparency3 of 6 stated
Ask the employer about the work setting, call expectations and nights and shift pattern.
- Employment & setting
- Per Diem
- Call expectations
- Not specified
- Weekends
- No weekends
Posted 1mo ago · Verified live
Job Description
- Salary Range: $60.00 - $75.00 HourlyTravel Percentage: 0%Job Shift: Typically, M-F 8am to 5pmJob Category: Health CarePediatric Occupational Therapist Join our fun and engaging pediatric clinic as a PRN Occupational Therapist, with approximately 20 to 30 hours available each week based on scheduling needs. Partner with children and families to build essential developmental skills in an inclusive child development learning lab where every child’s abilities are recognized and supported. GENERAL DESCRIPTION OF POSITION: This position provides services within the Early Childhood Intervention (ECI) program in accordance with HHSC guidelines and IDEA Part C requirements to infants, toddlers, preschool-aged children, and their caregivers to support the development and mastery of functional skills and reduce the impact of developmental delays or disabilities. Services are delivered in accordance with the Individuals with Disabilities Education Act (IDEA) and regulated by the Health and Human Services Commission (HHSC). This position serves as part of an interdisciplinary team to evaluate, assess, support eligibility determination, and develop and implement individualized treatment plans. The therapist is responsible for documenting progress, ensuring compliance with program requirements, and collaborating with families, educators, physicians, and other healthcare providers to support coordinated, high-quality care across settings. The therapist applies both a coaching and clinical approach, supporting caregivers and teachers in embedding evidence-based strategies into daily routines while also delivering skilled therapeutic interventions as appropriate. This role includes participation in initial evaluations and ongoing assessment of child progress. Services are delivered across natural environments, including homes, childcare centers, and classroom settings, with a strong emphasis on classroom-based support, observation, and collaboration with teaching staff. This role requires flexibility in scheduling and service delivery across locations. ESSENTIAL FUNCTIONS This position requires face to face interactions with staff, board, vendors, and the general public on a daily basis to accomplish all essential functions of the position. DIRECT SERVICE AND INTERVENTION
- Provide direct therapy services within the ECI program to children with disabilities or developmental delays in accordance with the Individualized Family Service Plan (IFSP) and/or Plan of Care (POC), ensuring services begin within required timelines (e. g., 28 days of enrollment for ECI). Deliver ECI services using the coaching model, including providing parents and/or caregivers with strategies to support the child’s participation in daily routines and natural environments, to support IFSP outcomes and Plan of Care goals in accordance with ECI requirements. Ensure all authorized therapy visits/units are completed within required timeframes, including proactive scheduling and completion of make-up sessions as needed. Provide caregiver education, training, and home program strategies to promote carryover, safety, and functional skill development across environments. Collaborate with families, educators, and interdisciplinary team members to support consistent intervention strategies and inclusive practices across home, community, and/or preschool settings. Provide coaching, modeling, and guidance on adaptive strategies and materials to enhance participation and independence. Support family engagement and strengthen caregiver-child interactions to promote learning throughout daily activities. Service delivery will take place within designated service areas; travel across teams or zip codes may be required based on program needs. EVALUATIONS, ELIGIBILITY, IFSP, AND PLAN OF CARE Conduct evaluations and/or participate in interdisciplinary assessments to determine eligibility for services using standardized tools (e. g., DAYC-2) and clinical judgment, in accordance with HHSC/ECI rules, regulations, and program standards Accurately score assessment tools, interpret results, and determine eligibility in compliance with HHSC/ECI rules, Medicaid, and program policies. Clearly and appropriately share evaluation results with parents/caregivers. Develop individualized Plans of Care (POC) and/or contribute to the development of the IFSP, ensuring goals are functional, measurable, and support the child’s participation in daily routines. Ensure treatment plans include appropriate interventions, short- and long-term goals, and measurable outcomes. Submit all evaluation documentation, including required tools and eligibility components, within established timelines. DOCUMENTATION AND COMPLIANCE
- Maintain accurate, timely, and complete documentation of all services, including collaborative documentation when applicable.
- Ensure all documentation meets agency standards as well as HHSC/ECI, Medicaid, and private insurance requirements, and maintain compliance with all state and federal ECI timelines, including but not limited to the 28-day timeline for initiation of services.
- Complete all required documentation within established timelines and ensure records are finalized (not left in modifiable status). TEACHER ENGAGEMENT AND COLLABORATION Collaborates with PIT EISs and teaching staff to support inclusive, individualized classroom environments aligned with licensing, Texas Rising Star (TRS), and National Association for the Education of Young Children (NAEYC) standards, while supporting ECI service delivery and the alignment of IFSP outcomes and Plan of Care goals within classroom settings.
- Conducts classroom observations to identify needs, inform coaching cycles, and provide differentiated support to teachers.
- Provides ongoing coaching to teachers using the ECI coaching model to embed evidence-based strategies into daily routines and classroom activities, while supporting ECI service delivery and the alignment of IFSP outcomes and Plan of Care goals within classroom settings.
- Maintains documentation related to classroom support, including tracking strategies, progress, and identified needs to support transitions, assessments, and care coordination. PROFESSIONAL DEVELOPMENT AND TRAINING Partners with program leadership to design and support professional development aligned with inclusive practices and program goals. Develops and maintains training resources to support ongoing teacher development. Facilitates and presents training during Inclusion Conferences and other internal or community-based learning opportunities. OTHER FUNCTIONS Attends and actively participates in team, discipline, agency, lunch and learns, and staffing meetings to support child outcomes, service coordination, and compliance with program requirements. Participates in inclusion conferences, staffing's, and collaborative meetings with educators and program staff to support inclusive practices and alignment of intervention strategies.
- Maintains required professional licensure and completes all continuing education requirements in accordance with discipline-specific and state licensing standards.
- Supports program operations and service delivery, including participation in initial enrollments, obtaining TRFs, coordination activities, and other duties that promote quality services for children and families.
- Supports ECI program operations, including enrollment, service coordination, and compliance with HHSC requirements.
- ability and flexibility, excellent communication skills (written and verbal), ability to work well with others and independently. Ability to implement developmentally appropriate practices within the program. Ability to work well independently, manage multiple projects and prioritize duties. Ability to communicate effectively (written and verbal) with families, staff, and community. Ability to work with others in a supportive, professional, and cooperative manner. Fosters teamwork and proactively addresses conflict seeking timely resolution. Proficiency in Microsoft Office including Word, Excel, Outlook and Access as well as Adobe products. Ability to effectively interact and relate to children in a developmentally appropriate manner; must be sensitive to individual children’s differences and needs, and willing to adjust the program curriculum to meet those individual needs. Must be motivated to learn and grow in an educational environment; and be willing to continually increase knowledge in the field of Early Childhood Education. Must be able to relate with and speak
Key Responsibilities
Provide direct pediatric occupational therapy services within the ECI program to support developmental skills and functional mastery. Collaborate with families, educators, and interdisciplinary teams to implement individualized treatment plans and coaching strategies in natural environments.
Requirements
Requires a Master's degree in Occupational Therapy and an active Texas licensure. Candidates must demonstrate experience in providing therapeutic services to children ages 0-5 and possess strong organizational and communication skills.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Pediatric TherapyDevelopmental AssessmentTreatment PlanningClassroom CollaborationTime ManagementInterdisciplinary CollaborationEvidence-based Practice
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates PRN Pediatric Occupational Therapist - Clinic at BRIGHTON CENTER a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Pediatrics (Occupational Therapy) — ranked against 676 active Pediatrics (Occupational Therapy) listings on WeekdayDoc. Contributing factors include no weekend requirements.
Pediatrics — Occupational Therapist Career Context
Of the 40 active Pediatrics listings this role was benchmarked against, 5% are remote, 38% have no call, 63% require no weekends.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
Top Occupational Therapist Jobs
40 matches · ranked by paySalary Distribution28 jobs
6<$115k
4$115k-130k
5$130k-145k
9$145k-160k
4$160k+
Annual compensation range
Benefits & Perks32 jobs · 31 employers
401k / retirement match
81%
CME allowance
72% this job
Sign-on bonus
31%
Relocation assistance
13%
Loan repayment
6%
Share of similar jobs offering each benefit
Home Care Occupational Therapist- Per Diem (Western Nassau County)Per Diem
US Physical Therapy · Garden City, New York
Occupational Therapist- Home Health- Saint Cloud
Home Care Providers Group · Saint Cloud, Minnesota
#3
Occupational Therapist, OT, PRN, Flexible Schedule
$65-$75/hr#4
Occupational Therapist-PRN
$58-$68/hr+ 38 more · ranked by pay
Work-life snapshot
6.4/ 10
Listing-based score
Listing-based score
Above average in Pediatrics (Occupational Therapy)
A signal to investigate—not a guarantee about the workplace.
- No weekends
Benefits & Perks
PRN position with approximately 20-30 hours per week
Typically M-F 8am to 5pm
Collaborative interdisciplinary team
Professional development and training opportunities