Occupational Therapist - PEDIATRIC HOME HEALTH
Listed compensation
$72 per hour
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Small Hands Big Hearts, a Merakey Company, we strive to Help Every Angel Reach Therapeutic Success.
We are seeking a Pediatric Home Health Occupational Therapist (OT) in the SAN ANTONIO area.
Occupational Therapists Earn up to $72 per hour, with the pay structure at $18.00 per unit for up to 4 units per hour.
Position Details
A Licensed Occupational Therapist who provides coordinated care to patients of all age groups. Plans, implements, and evaluates patient care plans to restore or maintain patient wellbeing. Evaluates occupational roles and occupational performance of patients with physical, psycho-social, and/or cognitive impairments. Provides intervention to deficits and elicits responses.
Collaborates with an interdisciplinary team.
Essential Functions
- Design and administer the therapy treatment plan.
- Applies concepts of infection control and universal precautions in coordinating/performing patient care activities to prevent contamination and transmission of disease.
- Accept clinical assignments that are consistent with education and competence to care for patients.
- Uses effective interpersonal relations and communication skills; facilitates the use of these skills by other team members to achieve desirable outcomes.
- Meets mandatory continuing education requirements of the agency/licensing board.
- Demonstrates commitment, professional growth, and competency.
Benefits
Merakey offers benefits tailored to support your unique work arrangements.
- DailyPay -- access your pay when you need it!
- Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
- Voluntary limited benefits offered through the American Worker. Offerings include limited* medical, dental, vision, disability and life insurance.
(*not a substitute for major medical insurance).
- Access to Care.com for backup childcare, elder care, and household services (for FFS employees working at least 170 hours per quarter).
- Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
- Enjoy our On the Goga well-being platform, featuring self-care tools and resources.
- Employee discounts and savings programs on entertainment, travel, and lifestyle
- Access to Pryor Online Learning for free online personal development classes.
About Merakey
Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year.
Click here to watch a video about Merakey.
Merakey strictly follows a zero-tolerance policy for abuse.
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status.
Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!
Qualifications
The ideal candidate will possess the following qualifications:
- Master’s Degree in Occupational Therapy
- Current Texas State License as an Occupational Therapist
- Current Texas Driver’s License with reliable transportation
Key Responsibilities
The Occupational Therapist will plan, implement, and evaluate patient care plans to restore or maintain the well-being of pediatric patients in a home health setting. They will also collaborate with an interdisciplinary team to provide interventions for physical, psycho-social, and cognitive impairments.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Pediatrics — Occupational Therapist Career Context
Of the 50 active Pediatrics listings this role was benchmarked against, 2% are remote, 40% have no call, 54% require no weekends.
Pediatrics pay on WeekdayDoc is up 2.0% vs. the prior quarter (through Oct 2026).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $150k | Pediatrics median $99k (middle half $95k–$133k)16 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$154k in purchasing power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Pediatrics listings in Texas | 144 active | 700 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 2% remote · 40% no call · 54% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Texas Occupational Therapist listings: 10% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026 |
| New Pediatrics listings | 1,210 in the last 30 days | 738 the 30 days before (+64%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Pediatrics pay trend | +2.0% vs prior quarter | —through Oct 2026 |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$150k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.
Top Occupational Therapist Jobs
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