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Encompass
Snoqualmie, Washington

Pediatric Occupational Therapist (Early Supports/Birth-3)

Occupational TherapistNo nightsFull-Time

Listed compensation

$79k-$114k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Job Details:

Job Location: Client home visits in Snoqualmie Valley - Snoqualmie, WA 98065, Position Type: Full Time, Salary Range: $78936.00 - $114275.00Salary/year, Job Shift: Day, Help Children Grow Through In-Home Pediatric Therapy Occupational Therapist (ESIT) $78,936 - $114,275 annually* depending on experience and hours/week ($37.95 - $54.94 per hour) * 52-week year equivalent; Encompass operates on a 51-week year. 30 - 40 hours per week (fulltime benefits at 30 hours) Medical (80% Company-paid) Dental/Vision Company paid Life/AD&D, EAP, Wellness 401K and 401K Matching Vacation/Sick Leave 11 Paid Holidays, plus bonus week of company PTO Build a flexible, family-friendly schedule Work with a team of supportive, knowledgeable providers In-home visits with local travel; mileage reimbursement Based out of Encompass Child Development Center, 9050 384th Ave SE, Snoqualmie, WA Eligible for Public Service Loan Forgiveness (PSLF) Program Join the Encompass Early Support for Infants and Toddlers (ESIT) team serving children from birth to three through in-home, family-centered early support services. Our ESIT (Early Support for Infants and Toddlers) Team is hiring an Occupational Therapist to work with children birth to three and their families! Join our team of providers and our mission as we partner with families to build healthy foundations and a community where all children thrive. You will be joining a team that is focused on holistic, wrap-around care to meet the critical individual needs of the developing child and support for the family. You will be working with a team of providers offering transdisciplinary care in a community that connects with, encourages, and builds relationships with one another. Scope: The ESIT Occupational Therapist is responsible for the planning and implementation of developmental supports in collaboration with the early supports team and families, creating plans that support functional development and the child and family’s ability to meaningfully participate in daily living and community activities. The occupational therapist works with families and their children ages birth to three years old in the child’s natural environment which may include home, childcare, or other community-based settings using a parent coaching model. ESSENTIAL DUTIES AND RESPONSIBILITIES: Caseload Management/Record Keeping: Develop on-going individualized goals and regular progress reports Complete written daily treatment notes, evaluation reports, and billing in a timely manner Monitor and track caseload requirements with on-going new referrals Participate in staff development/training opportunities Maintain high standards of confidentiality, attendance, and flexibility, while working cooperatively with supervisors, other employees, and families. Other duties as assigned Direct Service/Teamwork: Provide developmental supports to children and families, encouraging parent participation during treatment to prioritize parent involvement and training Provide parent/family coaching support Evaluate children across domain areas for program qualification Include parents in decision making opportunities during home visits and progress report/reassessment periods Participate with team members on a regular basis and provide transdisciplinary consultations with other providers as needed Demonstrate a desire to identify, gain knowledge in, and awareness of individual experiences and systems oppressions that impact ESIT families/caregivers and children in underserved populations centered around race, ethnicity, sexual orientation, belief systems, physical/mental/neurodevelopment differences, marital status, and gender. Commitment to the Encompass Culture Charter Supervise interns as needed Qualifications: QUALIFICATIONS: Required: Graduate of an accredited Occupational Therapy program with valid Washington State Licensure Pass Washington State DSHS criminal history and background check and FBI fingerprint check if not in state for more than the past 3 years Infant and child CPR, first aid, and bloodborne pathogens training within 90 days of hire Valid Washington State driver’s license and vehicle insurance Preferred: Early Intervention experience At least one year of pediatric experience Bilingual in English and Spanish PHYSICAL DEMANDS: This is an active job requiring lifting up to 25-30 lbs., frequently squatting, sitting on the floor, and actively working with young children. What is ESIT? Research shows that identifying developmental delays early and providing Early Intervention supports before age three can have a lasting impact on a child's development. Early Support for Infants and Toddlers (ESIT), Washington's Part C Early Intervention program, partners with families to provide family-centered care through natural environment services, including in-home therapy, home visits, and other community-based services. Our team of Washington State Licensed Occupational Therapists uses a parent coaching approach to help children from birth to age 3 develop skills related to eating, sleeping, walking, talking, playing, learning, relationships, and daily routines. Services are individualized through each child's Individual Family Service Plan (IFSP) and designed to support success within the family's everyday environments and activities. Why clinicians love ESIT

  • You influence the earliest years - Support development when the brain is growing fastest - Help families build strong foundations for lifelong success
  • You coach parents, not just children - Build caregiver confidence - Create lasting change - Empower families with practical strategies that fit into their daily routines
  • You meet children & families where life happens: Homes, childcare settings, community environments
  • You’re never practicing alone: - Collaborative interdisciplinary team - Ongoing consultation and support - Shared mission and learning Why Encompass? For over 50 years, Encompass has proudly served the Snoqualmie Valley and Issaquah communities as a private nonprofit dedicated to helping children and families thrive. Our mission is simple yet powerful: to partner with families to build healthy foundations for children. We believe that what happens early in life truly matters and we are passionate about providing high-quality, innovative early childhood education and therapeutic services to every child in our community. At Encompass, you’re not just taking a job. You’re becoming part of a mission-driven community that values connection, growth and impact. Every day, your work helps create a positive experience for families and supports children in reaching their fullest potential. Encompass is a private nonprofit serving the Snoqualmie Valley and Issaquah communities for over 50 years. Our mission is to partner with families to build healthy foundations for children. We believe what happens early in life matters. We offer high quality, leading edge early childhood educational and therapeutic services to all children in our communities. Encompass is an Equal Opportunity Employer. Qualified applicants receive consideration for employment without discrimination based on gender, marital status, race, color, religion, national origin, age, or the presence of a non job related medical condition or handicap. The information in this job description has been designed to indicate the general nature and level of work performed by employees in this job. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees in this job. Reasonable accommodation may be made to enable a person with a disability to perform the essential functions of the job.

Key Responsibilities

The Occupational Therapist will provide in-home developmental support and parent coaching for children from birth to three years old. They are responsible for managing a caseload, developing individualized goals, and collaborating with a transdisciplinary team to ensure holistic care.

Requirements

Candidates must be graduates of an accredited Occupational Therapy program with a valid Washington State license. The role requires the ability to pass a background check and perform physical tasks such as lifting up to 30 lbs and working on the floor.

Qualifications

Experience
2+ years of experience

Certifications

CPR (preferred)

Key Skills

Treatment planningDocumentationCommunication

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pediatric Occupational Therapist (Early Supports/Birth-3) at Encompass a 6.2 out of 10 for work-life balance — classified as good. This places the position in the Above average in Pediatrics (Occupational Therapy) — ranked against 628 active Pediatrics (Occupational Therapy) listings on WeekdayDoc. Contributing factors include no night shifts.

Pediatrics — Occupational Therapist Career Context

Of the 40 active Pediatrics listings this role was benchmarked against, 3% are remote, 40% have no call, 73% require no weekends.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$97k midpoint carries the purchasing power of roughly $90k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$97k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

21 matches · ranked by pay

Salary Distribution21 jobs · 18 employers

10
<$105k
4
$105k-120k
3
$120k-135k
3
$135k-150k
1
$160k

Annual compensation range

Benefits & Perks20 jobs · 18 employers

401k / retirement match
85% this job
Sign-on bonus
55%
CME allowance
35%
Loan repayment
30% this job
Relocation assistance
15%

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
+ 19 more · ranked by pay

Work-life snapshot

median 4.8this job 6.2
Better work-life than 70% of Pediatrics (Occupational Therapy) listings

Listing-based score, 0–10, across 628 comparable listings. Shaded area = the share scoring below this one.

  • No nights
  • On-site

Living in Snoqualmie

Typical 3-bedroom home value
$904k≈ 11.4× annual pay
Typical market rent
$3,499/mo≈ 53% of gross pay
Residents’ average commute
29 min
Metro price indexU.S. average = 100
111.1
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 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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

Encompass logo

About Encompass

Individual and Family Services
Snoqualmie, Washington
51-200 employees

Benefits & Perks

Medical (80% Company-paid)
Dental/Vision
Company-paid Life/AD&D
EAP
Wellness
401K and 401K Matching
Vacation/Sick Leave
11 Paid Holidays