Occupational Therapist
Listed compensation
$72k-$77k
The week · per this posting · Monday – Friday
Ask the employer about the work setting, call expectations, nights and shift pattern and time off.
Job Description
This position offers a salary range of $72,000 to $77,000. Actual pay will be based on relevant skills, qualifications, and experience.
Are you looking for a rewarding opportunity working with the pediatric population (children birth to 3 years)? Are you passionate about making a difference in the lives of families? Thom Child & Family Services located in Boston, MA is seeking a licensed Occupational Therapist/OT to join their team.
As an Early Intervention Occupational Therapist/Clinician, you will be responsible for providing home and community-based early intervention services to infants and toddlers who have or are at risk for developmental delays and their families in both their homes and community settings.
You will partner with parents/caregivers to ensure service delivery is individualized, meaningful for the family, and grounded in evidence-based practice. Through this collaborative process, you ensure families’ priorities, needs, culture, and values are prioritized.
Thom Child & Family Services offers competitive salaries and a comprehensive benefits package including, but not limited to:
- Compensation & Benefits
- Salary range: $72,000–$77,000, based on relevant skills, qualifications, and experience
- Productivity bonus opportunities
- Mileage reimbursement
- 403(b) retirement plan with employer match
Schedule & Paid Time Off
- Flexible FT, PT, Per Diem, and flexible hours
- Monday–Friday schedule, generally between 8:30 a. m. and 4:30 p. m.
- Generous vacation time
- 96 hours of sick time annually
- 12 paid holidays
- Up to 24 hours of professional development/conference time annually
Health & Insurance Benefits
- Medical, dental, and vision insurance
- Fitness benefits and wellness incentive program
- Employer-sponsored Health Reimbursement Account
- Section 125 flexible benefits plan for medical and dependent care expenses
- Employer-paid long-term disability insurance
- Employer-paid life and accidental death and dismemberment insurance
- Employee Assistance Program
Optional Coverage Is Also Available, Including
- Short-term disability insurance
- Accident insurance
- Cancer insurance
- Professional Support & Development
- Paid professional license renewal fees
- Clinical supervision and structured orientation
- Ongoing mentoring and team support
- Scholarship opportunities through the Fazzio Scholarship and Thom Academy
- Tools Provided
- Employer-issued laptop
- Employer-issued cell phone
Position Responsibilities
- Participate in multidisciplinary team assessments of the client’s developmental status.
- Assess family and child strengths/resources, concerns, and progress.
- Provide child and family centered services and activities developmentally appropriate for children birth to three and their families using parent coaching model.
- Provide service coordination by scheduling, developing, implementing, monitoring, and evaluating the intervention plan for each family, ensuring that appropriate procedures and timelines are followed.
- Partner with families in the development of Individual Family Service Plans (IFSPs) to identify goals, objectives, and strategies related to the child’s development.
- Facilitate parent-child interactions to encourage child's development; assist families to act as advocates for their child.
- Complete progress notes, reports, assessments, and correspondence as appropriate using the Thom electronic documentation system.
- Provide individual and group intervention for infants and toddlers from birth to three years old who have developmental delays or who are at risk for delays in the areas of cognition, adaptive behavior, social-emotional development, self-care, fine motor, gross motor, and communication.
Position Requirements
- Current licensure as an Occupational Therapist by the Massachusetts Board of Registration of Allied Health Professions
- Experience with infants, toddlers and families is preferred
- Knowledge of family systems and early childhood development.
- Ability to engage in meaningful, therapeutic relationships with children, parents/caregivers, and community partners.
- Commitment to delivering individualized and culturally humble services.
- Excellent written and verbal communication and organizational skills.
- Abide by all confidentiality and professional boundaries standards.
- Good computer skills as well as strong documentation skills.
- Current driver’s license and reliable transportation.
- Bilingual/Bicultural a plus.
Hear From Our Team
Learn what our employees value about working at Thom Child & Family Services:
“My wonderful, supportive colleagues. My flexible work schedule.”
“The opportunity to truly support families knowing that I'm helping guide them during an important time”
“Making a meaningful difference in the lives of babies & their families, witnessing those first milestones, supporting my colleagues and seeing my team members support each other”
No Phone Calls or Recruiters Please
Thom Child and Family Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, familial status, domestic violence status, or any other status protected by law.
Key Responsibilities
The Occupational Therapist will provide home and community-based early intervention services to infants and toddlers with developmental delays. They will partner with families to develop individualized service plans and facilitate parent-child interactions to support developmental goals.
Requirements
Candidates must hold a current Massachusetts license as an Occupational Therapist and possess a valid driver's license. Experience working with infants, toddlers, and families is preferred, along with strong communication and documentation skills.
Qualifications
- Education
- Professional certificate or licensure
Key Skills
Occupational Therapist Career Context
In Massachusetts, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$91k (191 salary observations; 603 listings), vs ~$96k nationally (5,026 salary observations; 27,299 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $70k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.3 / 10 · above average in occupational therapy | ranked against 8,973 Occupational Therapy listingslisting-based score, 0–10 |
| Massachusetts vs national | $91k median in Massachusetts | $96k nationally (−5%)191 state / 5,026 national salary observations |
| Cost-of-living adjusted pay | ~$70k in purchasing power | Massachusetts index 105.8 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Massachusetts | 226 active | 9,038 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 12% remote · 28% no call · 56% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Massachusetts Occupational Therapist listings: 14% state a sign-on bonus (median $5k) · 7% offer loan repayment236 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,162 in the last 30 days | 1,578 the 30 days before (+100%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +4.3% vs prior quarter | —through Oct 2026 |
| Thom Child & Family Services | #12 of 12 for pay | Top Employers work-life index |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Occupational Therapist at Thom Child & Family Services a 6.3 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 8,973 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.
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