Douglas-A-Thom Clinic logo
Douglas-A-Thom Clinic
Waltham, Massachusetts

Occupational Therapist

Occupational Therapist Above average in Occupational TherapyNo weekendsFull-Time

Listed compensation

$66k-$71k

Listing transparency3 of 6 stated

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

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
No weekends
Posted 1h ago · Verified live

Job Description

This position offers a salary range of $66,000 to $71,000. 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 Waltham, 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:

* Flexible Schedules: FT: 30-40 hours Monday through Friday

* Health, Dental and Vision Insurance, including Fitness Benefits and Wellness Incentive Program

* Generous vacation and personal time

* Sick time (96 hours every year)

* Professional Development/Conference time

* Paid holiday (12 paid holidays)

* 403(b) with employer matching

* Section 125 flexible benefits plan (Medical and dependent care)

* Thom Sponsored Health Reimbursement Account

* Employer-sponsored Long-term disability insurance

* Employer-sponsored Life Insurance

* Employer-sponsored Accidental Death and Dismemberment Insurance

* Productivity Bonus Plan

* Opportunity for scholarship through Fazzio scholarship and Thom Academy

* Paid professional license renewal fees.

* Clinical supervision, orientation program, mentoring and team support.

* Employee Assistance Program (EAP)

* Mileage reimbursement

* Employer issued laptop and cell phone

* Other optional benefits:

* Short-term Disability Insurance

* Accident Insurance

* Cancer Insurance

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.

* 1 year experience in Early Intervention or minimum 3 years' experience working 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.

* Fluency in Spanish language or Portuguese is a plus.

 #IND

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 provides home and community-based early intervention services to infants and toddlers with developmental delays. They collaborate with families to develop and implement individualized intervention plans while facilitating parent-child interactions.

Requirements

Candidates must hold a current Massachusetts Occupational Therapist license and possess strong knowledge of early childhood development. Experience in early intervention or working with infants and families is preferred, along with excellent communication and documentation skills.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Occupational therapyPediatric careDevelopmental assessmentCase managementFamily systems knowledgeAdvocacyCommunication skillsComputer literacy

Occupational Therapist Career Context

Of the 50 active Occupational Therapy listings this role was benchmarked against, 2% are remote, 70% have no call, 74% require no weekends.

The cost-of-living index for Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$69k midpoint carries the purchasing power of roughly $65k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Douglas-A-Thom Clinic ranks #11 of 11 employers hiring Occupational Therapist on WeekdayDoc by average advertised pay.

Occupational Therapy pay on WeekdayDoc is up 5.3% vs. the prior quarter (through Aug 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist at Douglas-A-Thom Clinic 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 8,803 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Occupational Therapist Jobs

24 matches · ranked by pay

Salary Distribution23 jobs · 18 employers

7
<$100k
9
$100k-120k
2
$120k-140k
3
$140k-160k
2
$160k

Annual compensation range

Benefits & Perks24 jobs · 18 employers

401k / retirement match
92% this job
CME allowance
54%
Sign-on bonus
42%
Loan repayment
8%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

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$130k-$160k
#2

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$129k–$160k
#3

Occupational Therapist (OT)

$130k-$150k
#4

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$130k–$148k
+ 22 more · ranked by pay

Work-life snapshot

6.3/ 10
Listing-based score

Above average in Occupational Therapy

A signal to investigate—not a guarantee about the workplace.

  • No weekends
Douglas-A-Thom Clinic logo

About Douglas-A-Thom Clinic

Individual and Family Services
Framingham, Massachusetts
201-500 employees

Benefits & Perks

Flexible Schedules (FT: 30-40 hours Monday-Friday)
Health, Dental and Vision Insurance
Fitness Benefits and Wellness Incentive Program
Generous vacation and personal time
Sick time (96 hours every year)
Professional Development/Conference time
Paid holidays (12 paid holidays)
403(b) with employer matching