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Monarch
Asheboro, North Carolina

Occupational Therapist

Occupational TherapistNo weekendsFull-Time

Listed compensation

$74,880

The week · per this posting · Monday – Friday

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 3mo ago

Job Description

Scheduled Weekly Hours: 40 Schedule: Monday - Friday (8:30am - 4:30pm) Pay Range Minimum: $74,880.00 Education We're Looking for: Bachelors: Occupational Therapy (Required), Masters: Occupational Therapy Certifications We're Looking For: Occupational Therapist (OTR/OTA-L) - State Board of Occupational Therapy Experience We're Looking For: Experience with children/youth/adolescents in a Crisis setting | Required Experience working with children, adolescents, or transition-aged youth with a mental health diagnosis, an intellectual/developmental disability, or substance use disorder | Required Mental Health Experience | 2 Years | Required Job Description Summary: The Occupational therapist will complete OT screens, comprehensive OT evaluations guided by standard, standardized assessments and the OT process, provide 1:1 and group OT treatment as well as specialized OT consultative services and community OT outreach services for underserved groups and populations.

This position will help individuals, groups and populations maximize occupational participation in meaningful daily activities, including but not limited to, self-care activities, instrumental activities of daily living, work and educational occupations, and activities involving social participation. What You'll Do: 1.

Collaboratively address the occupational needs of individuals, groups and populations via provision of quality and outcome oriented occupational therapy services, by assessing and interpreting individuals’ and group assessment and evaluation results and determining appropriate treatment. 2.

Develop a plan of care and group protocols to help individuals and groups address barriers to occupational participation via person and occupation-centered interventions. 3. Lay out the types of activities and specific goals to be accomplished which will be incorporated in the individual’s person-centered plan 4.

Document goals, applicable interventions and progress adhering to reimbursement and practice act standards. 5. Collaborate with treatment team for care coordination and incorporation of OT services in the individual’s person-centered plan. 6.

Promote occupational engagement and participation by selecting and utilizing appropriate screens, assessments and interventions for individuals, groups and populations based on the occupational profile and desired functional outcomes. 7.

Address both mental and physical impairments impacting occupational performance, as well as contextual barriers and recommend compensatory strategies, to include but not limited to recommendations and trainings for assistive technology, adaptive equipment and durable medical equipment. 8.

Complete home safety evaluations and provide workplace accommodations consultation to support independent living and employment, respectively. 9. Educate an individual’s family and/or employer about how to accommodate and support occupational engagement. 10.

Assure continuation of therapeutic plan following discharge by designing and instructing individuals, families, and caregivers in occupation-centered interventions; recommending and/or providing assistive equipment and recommending additional services as needed. 11.

Assess and document individual and group progress for billing, reporting to physicians and other healthcare providers and communication to team members. 12. Plan, organize, and hold group sessions at least three times weekly. 13. Attend and actively participate in meetings and trainings as required. 14.

Maintain certification/licensure in all agency, state and federal training requirements. 15. Maintain all necessary documentation and records in a timely manner. This may include the use of an Electronic Health Record system (EHR). 16.

Demonstrate knowledge of and comply with all agency policies and procedures, as well and service definitions related to specific programs. 17. Complete all other relevant responsibilities as assigned by the supervisor. 18. Driving and travel may be required. 19.

Additional Job Description Degree in Occupational Therapy required. 20. Completion of an accredited occupational therapy educational curriculum.

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process. Make a Difference in Someone’s Life! At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island.

As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders. Monarch is an

Equal Opportunity Employer

Monarch offers opportunities as diverse as the people we support and the communities we serve. Monarch is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity. Monarch does not accept paper applications.

Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor.

This job description is subject to revision at the discretion of Monarch. Department: BH - Licensed Professional Since 1958, Monarch has been about helping others and improving lives. Our caring, supportive team of professionals provides services that help people thrive.

If you’re looking for a career with purpose, we have a place for you at Monarch. We see the possibilities that exist for people living with mental illness, substance use disorders, intellectual and developmental disabilities and traumatic brain injuries and we help others see them as well.

At Monarch, you’ll see the impact of your work every day when a man with a disability achieves his dream of finding a job, when a woman struggling with addiction walks into treatment for the first time or when a child facing a mental health crisis finds comfort and support. You can make a difference. Join us today!

Monarch is nationally accredited by The Joint Commission and committed to providing the highest quality health care for the people we support. To learn more about our services and the many ways we provide support, please call (866) 272-7826 or visit monarchnc.org.

Key Responsibilities

The Occupational Therapist will conduct comprehensive evaluations and provide 1:1 and group treatment to help individuals maximize occupational participation in daily activities. Responsibilities include developing person-centered plans of care, coordinating with treatment teams, and providing consultative services for underserved populations.

Requirements

Requires a degree in Occupational Therapy and valid OTR/OTA-L state licensure. Candidates must have at least 2 years of mental health experience and specific experience working with children or youth in crisis settings.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Mental Health AssessmentCrisis InterventionTreatment PlanningPatient EvaluationCase ManagementHome Safety EvaluationGroup TherapyClinical Documentation

Occupational Therapist Career Context

In North Carolina, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$92k (197 salary observations; 713 listings), vs ~$97k nationally (6,588 salary observations; 25,229 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 North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $79k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 43 active Occupational Therapy listings this role was benchmarked against, 7% are remote, 47% have no call, 63% require no weekends.

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

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist at MONARCH a 6.0 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,285 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Occupational Therapist Jobs

20 matches · ranked by pay

Salary Distribution20 jobs · 15 employers

8
<$105k
6
$105k-120k
2
$120k-135k
3
$135k-150k
1
$160k

Annual compensation range

Benefits & Perks19 jobs · 15 employers

401k / retirement match
95% this job
Sign-on bonus
63%
CME allowance
53%
Loan repayment
26%
Relocation assistance
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

Sentara Health · Norfolk, Virginia

$96k-$141k
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist Marlboro NJ

$140k
+ 18 more · ranked by pay

Work-life snapshot

median 4.8this job 6.0
Better work-life than 60% of Occupational Therapy listings

Listing-based score, 0–10, across 9,285 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Asheboro

Typical 3-bedroom home value
$256k≈ 3.4× annual pay
Typical market rent
$1,105/mo≈ 18% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
92.9
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Greensboro-High Point, NC metro prices. Housing figures are city-level.

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