Occupational Therapist
Listed compensation
$50-$57/hr
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 an hourly range of $50.00 to $57.00. 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 Worcester, MA is seeking 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 benefit package including, but not limited to:
- Flexible Schedules: Minimum 20 hours (Monday through Friday) 8:30am to 4:30pm
- Health Insurance, including Fitness Benefits and Wellness Incentive Program.
- Sick time
- 403(b) with employer matching
- Professional Development Trainings
- Paid professional license renewal fees
- Clinical supervision, mentoring, and team support
- Mileage reimbursement
Position Responsibilities
- Participate in multidisciplinary team assessments of client’s developmental status.
- Provide direct services and activities developmentally appropriate for children 0-3 and their families.
- Participate in the development of Individual Family Service Plan (IFSP) with responsibility for identifying goals, objectives, and strategies related to the child’s development.
- Complete progress notes, reports, assessments, and correspondence as appropriate
- Provides 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 cognitive, adaptive behavior, social-emotional, self-care, fine motor, gross motor, and communication development.
- Assess family and child strengths/resources, concerns, and progress.
- Act as service coordinator for the family by scheduling, developing, implementing, monitoring, and evaluating the intervention plan for each family on caseload, ensuring that appropriate procedures and timelines are followed.
- Provides supportive professional assistance to families.
- Facilitate parent-child interactions to encourage child's development; assist families to act as advocates for their child.
Position Requirements
- Current licensure as a Occupational Therapist by the Massachusetts Board of Registration of Allied Health Professions
- One year of early intervention experience or at least one year of experience working in pediatrics
- 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 also collaborate with multidisciplinary teams to develop and implement Individual Family Service Plans (IFSP) while supporting families through education and advocacy.
Requirements
Candidates must hold a current Massachusetts Occupational Therapist license and possess at least one year of experience in early intervention or pediatrics. Strong organizational, communication, and documentation skills are required, along with reliable transportation.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
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 ~$111k midpoint carries the purchasing power of roughly $105k 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 | ~$105k in purchasing power | Massachusetts index 105.8 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Massachusetts | 226 active | 9,040 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 12% remote · 26% no call · 58% 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 | 1,579 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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