Pediatric Occupational Therapist

Pediatric Occupational Therapist (OT)

Full-Time & PRN Opportunities | Charleston, SC Area | Pediatric Therapy

Looking for a pediatric OT position where you can build meaningful relationships with families, grow your clinical skills, and have a multidisciplinary team behind you?

Tri-County Therapy (TCT) is a therapist-owned pediatric therapy practice serving children from birth through age 18 across South Carolina. Our Occupational, Speech, and Physical Therapy teams work collaboratively to help children build the skills they need to participate more fully and independently in everyday life.

We are growing throughout the Charleston area and have multiple opportunities for Pediatric Occupational Therapists—from full-time clinic positions to mixed clinic/community roles and flexible afternoon PRN opportunities.

• Current OT Openings
• Summerville / North Charleston + Ladson Clinic – Full-Time OT
• A mixed position providing pediatric OT services in the Summerville/North Charleston community along with clinic-based treatment at our Ladson office.
• West Ashley / Charleston – Full-Time Clinic OT (December, 2026)
• Join our West Ashley team with a consistent pediatric caseload in our Charleston-area clinic.
• Ladson – PRN Clinic OT | Afternoons Only
• A great option for an OT looking to add flexible afternoon pediatric clinic hours.
• Mount Pleasant – Full-Time Mixed Clinic + Community OT
• Enjoy variety throughout your week with a combination of treatment in our Mount Pleasant clinic and community settings, including homes, preschools, and early intervention.
• Mount Pleasant – PRN Clinic OT | Afternoons Only
• Provide pediatric OT services in our Mount Pleasant clinic on a flexible PRN afternoon schedule.

Why OTs Choose Tri-County Therapy

• At TCT, we want our therapists to have the clinical support, resources, and flexibility they need to focus on what matters most—their patients.
• Collaborative multidisciplinary team of OTs, SLPs, PTs, and therapy assistants
• Dedicated OT clinical leadership and mentorship
• Established referral network and consistent patient volume

Bonus Compensation Opportunities for Full-time Therapists

• Opportunities to develop specialty interests in areas such as sensory processing, feeding, emotional regulation, executive functioning, and early intervention
• Continuing education support and CEU scholarship opportunities
• Therapy materials and equipment provided iPad provided for documentation
• Professional growth opportunities within an established and growing pediatric practice
• Clinic and community-based opportunities depending on the position

What You'll Do

As a Pediatric Occupational Therapist at TCT, you'll evaluate and treat children with a wide variety of developmental needs while partnering closely with their families and other members of their care team.

You'll Have Opportunities To

• Evaluate pediatric patients and develop individualized plans of care
• Treat areas including fine motor development, visual-motor and visual-perceptual skills, sensory processing and regulation, feeding, self-care and activities of daily living, executive functioning, and other functional skills
• Develop individualized treatment activities and home programs to promote carryover outside of therapy
• Educate and collaborate with parents and caregivers regarding treatment strategies and progress

Identify potential needs for adaptive or sensory equipment and assist families with obtaining medically necessary equipment when appropriate

Complete evaluations, daily documentation, progress reports, plans of care, and discharge documentation in a timely manner

• Collaborate with SLPs, PTs, educators, physicians, and other professionals involved in the child's care
• Build your skills in the areas of pediatric OT that interest you most

What We're Looking For

• Degree in Occupational Therapy from an accredited program
• Current South Carolina Occupational Therapy license or eligibility for licensure
• Pediatric experience through employment or clinical rotation
• Knowledge of child development and developmental milestones from birth through adolescence
• Strong communication, organization, and collaboration skills
• A family-centered approach to pediatric care
• Experience with sensory processing and/or pediatric feeding is a plus, but not required

Compensation

• Full-Time W-2 Positions
• Base compensation includes both direct therapy and administrative responsibilities such as documentation and caregiver communication
• Bonus compensation opportunities based on productivity
• PRN Positions
• Paid per completed visit
• Flexible afternoon scheduling based on position and patient availability

• Full-Time Benefits
• Health and dental insurance
• 401(k) retirement plan
• Paid time off
• Paid holidays
• Continuing education programs
• CEU scholarship opportunities
• Professional liability coverage iPad and therapy materials/equipment provided
• Optional vision, life, and short-term disability insurance

Clinical Support That Goes Beyond a Caseload

• Our therapists don't have to figure everything out on their own.
• TCT's leadership structure provides both operational and clinical support, including:
• Your Manager: Helps with scheduling, caseload development, operational needs, and day-to-day support.
• Your Lead Occupational Therapist: Provides clinical guidance, training, mentorship, documentation support, and a resource for questions as you grow your pediatric OT skills.
• Chief Clinical Officer: Provides ongoing check-ins and helps foster clinical growth and opportunities

You'll also work alongside a multidisciplinary team of pediatric professionals who regularly collaborate to support their patients.

Come Grow With Us!

Tri-County Therapy has been serving South Carolina families since 2013, and we're excited to continue growing our Charleston-area OT team.

Whether you're looking for a full-time pediatric career, a mix of clinic and community treatment, or flexible PRN afternoon hours, we may have an opportunity that fits what you're looking for.

Apply today and come see what it's like to grow your career with Tri-County Therapy!