PRN Occupational Therapist - Acute Care

Occupational TherapistIncludes weekendsPer Diem

Listed compensation

$45-$55/hr

The week · per this posting

Ask the employer about call expectations, nights and shift pattern and time off.

Posted 25m ago · Verified live

Job Description

Job Overview & Responsibilities

Are you passionate about expanding access to transformative care, leading the way in innovative therapy practices, and pursuing clear, tangible pathways for professional growth and development? At PT Solutions, we’re hiring for Occupational Therapists in San Marcos, TX who are ready to elevate their careers while making a real difference in the lives of patients and our communities.

Why Join PT Solutions?

PT Solutions works together with Christus Santa Rosa Hospital - Medical Center to provide rehabilitation therapy services in order to best serve patients in the area. We have been recognized as a USA Today Top Workplace five years in a row, including 2026!

At PT Solutions, we are founded by clinicians. Our mission is expanding access to transformative care because people matter—people who need care, and our people who provide care.

As part of our team, you’ll join innovators and advocates, passionate about advancing access to quality care and making a lasting impact on patients, communities, and the industry. That means more collaboration for evidence-based therapy when and where it’s needed. It also means tangible opportunities for your future through learning and advancement.

  • Hospital/Clinic Address: 1305 Wonder World Dr, San Marcos, Texas 78666
  • PRN Shift/Hour Requirements: 2 weekend day shifts per month, 1 major holiday, 1 minor holiday
  • Your Responsibilities as an Acute Care Occupational Therapist
  • Deliver evidence-based, quality care to each patient empowering them to previous level of functioning or proceed to next level of care
  • Establish timely treatment plans for each patient’s specific needs

Demonstrate a positive connection with patients, patient families, fellow clinicians, and other hospital team members

Build and maintain relationships throughout the hospital (I. e. physicians, case management, nurses, etc)

Qualifications & Pay Range

Qualifications

  • Graduate of an ACOTE approved occupational therapy program
  • Registered with NBCOT
  • Current or pending state licensure
  • Basic Life Support certification

Compensation

Pay Range: $45.00-$55.00 an hour (Any posted pay range considers multiple compensations factors including background, experience, and work location while also allowing for salary growth within the position)

Company Overview

A Top Workplace

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities.

From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

PT Solutions has been named a 2026 USA Today Top Workplace for the fifth consecutive year, based entirely on employee feedback. We’ve also earned five Culture Excellence Awards for Innovation, Professional Development, Work-Life Flexibility, Appreciation, and Purpose & Values.

This recognition reflects a culture built around supporting our people. It’s not just what we do, but how we make people feel. Through human connection, intentional care, and being all in for one another, we create experiences that make a difference. Because together, we do great better.

Let’s go further together and transform care. Join the #PTSLife today! To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn.

We are an equal opportunity employer and welcome all qualified candidates to apply!

Key Responsibilities

Deliver evidence-based, quality occupational therapy care to patients in an acute care setting to improve their level of functioning. Build and maintain collaborative relationships with physicians, nurses, case managers, and patient families.

Qualifications

Education
Professional certificate or licensure

Certifications

BLS

Key Skills

Evidence-based practiceTreatment planningPatient careClinical documentationInterdisciplinary collaboration

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (221 salary observations; 3,012 listings), vs ~$97k nationally (5,263 salary observations; 28,727 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$104k midpoint carries the purchasing power of roughly $107k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Listed pay$94k–$114kOccupational Therapy median $125k (middle half $125k–$125k)11 comparable listings, Nov 2026
Texas vs national$94k median in Texas$97k nationally (−3%)221 state / 5,263 national salary observations
Cost-of-living adjusted pay~$107k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas905 active8,931 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 8% remote · 43% no call · 75% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedTexas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings3,211 in the last 30 days1,611 the 30 days before (+99%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.4% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$104k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top contract/1099 Occupational Therapist Jobs

40 matches · ranked by pay

Salary Distribution

20 jobs
9
<$115k
3
$115k-130k
4
$130k-145k
4
$145k-160k

Annual compensation range

Benefits & Perks

26 jobs · 25 employers
401k / retirement match
85%
CME allowance
73%
Sign-on bonus
27%
Loan repayment
15%
Relocation assistance
15%

Share of similar jobs offering each benefit

#1

Home Care Occupational Therapist- 1099 (Eastern Suffolk County)Per Diem

US Physical Therapy · Selden, New York

$65-$90/hr
#2

Occupational Therapist - $80 to 90 per hour - Part Time

Boston Speech Therapy · Boston, Massachusetts

$80-$90/hr
#3

Occupational Therapist, OT

$70-$80/hr
#4

Occupational Therapist, OT, Flexible Home Health Schedule

$65-$75/hr
+ 38 more · ranked by pay

Work-life snapshot

median 4.8this job 1.5
Below most Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,068 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes weekends
PT Solutions Physical Therapy logo

About PT Solutions Physical Therapy

Hospitals and Health Care
Atlanta, GA
1,001-5,000 employees

Benefits & Perks

Professional development opportunities
Mentorship opportunities
Clinical education

Living in San Marcos

Typical 3-bedroom home value
$286k
Typical market rent
$1,433/mo
Residents’ average commute
24 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.