Upstream Rehabilitation logo
Upstream Rehabilitation
Spokane, Washington

Occupational Therapist - Hand Therapist - PRN - Northwest Orthopaedic Specialists

Occupational TherapistPer Diem

Listed compensation

$50-$60/hr

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted just now · Verified live

Job Description

Integrity Rehab Group is an industry leading therapy management company that partners with physician practices across the nation. In partnering with Northwest Orthopaedic Specialists, we have become a preferred outpatient orthopedic therapy service provider to the Spokane, WA community.

To further support the needs of this community we are looking to add an PRN Occupational Therapist/Hand Therapist to our team that is committed to providing a remarkable patient experience through advancing our vision of coordinating patient-centered care with an emphasis on comprehensive evidence-based treatment.

This is enhanced through building integral relationships with our physician partners. Together, we strive to provide exceptional patient outcomes and a positive atmosphere for patient healing while promoting a collaborative and supportive work environment.

Competitive Hourly Rate: $50-60/hour

PRN Benefits

  • 20% Continuing Ed Discount with IAMT
  • Free MedBridge account
  • 401k

Employee Assistance Program that provides support, resources, and information for personal and work-life issues

Requirements

  • Current or pending Washington OT license
  • Hand Therapy work experience required
  • Graduate of an accredited occupational therapy program

CPR Certified

Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.

Key Responsibilities

Provide comprehensive evidence-based occupational and hand therapy to patients in an outpatient orthopedic setting. Collaborate with physician partners to ensure exceptional patient outcomes and a supportive healing environment.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Orthopedic Surgery — Occupational Therapist Career Context

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$114k midpoint carries the purchasing power of roughly $107k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Orthopedic Surgery listings this role was benchmarked against, 3% are remote, 53% have no call, 63% require no weekends.

What does the Orthopedic Surgery market look like in Washington?
MeasureThis jobMarket
Listed pay$104k–$125kOrthopedic Surgery median $114k (middle half $94k–$125k)426 comparable listings, Nov 2026
Cost-of-living adjusted pay~$107k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Orthopedic Surgery listings in Washington267 active10,017 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 3% remote · 53% no call · 63% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedWashington Occupational Therapist listings: 16% state a sign-on bonus (median $10k) · 12% offer loan repayment267 active listings, Nov 2026
New Orthopedic Surgery listings338 in the last 30 days228 the 30 days before (+48%)U.S., first seen on WeekdayDoc, Nov 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

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$114k midpoint, that is roughly $5k–$8k a year versus a typical 4–7% state rate.

Top contract/1099 Occupational Therapist Jobs

40 matches · ranked by pay

Salary Distribution

21 jobs
4
<$110k
5
$110k-125k
7
$125k-140k
1
$152k
4
$155k+

Annual compensation range

Benefits & Perks

28 jobs
401k / retirement match
86% this job
CME allowance
61% this job
Sign-on bonus
21%
Loan repayment
21%
Relocation assistance
11%

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

Home Care Occupational Therapist- Per DiemPer Diem

US Physical Therapy · Port Washington, New York

$70-$90/hr
#3

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

$80-$90/hr
#4

Occupational Therapist, OT

$70-$80/hr
+ 38 more · ranked by pay

Work-life snapshot

median 6.0this job 3.0
Below most Hand Therapist (OT) listings for work-life

Listing-based score, 0–10, across 166 comparable listings. Shaded area = the share scoring below this one.

Upstream Rehabilitation logo

About Upstream Rehabilitation

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

Benefits & Perks

401k
Continuing Education Discount (20% with IAMT)
Free MedBridge account
Employee Assistance Program

Living in Spokane

Typical 3-bedroom home value
$394k
Typical market rent
$1,483/mo
Residents’ average commute
21 min
Metro price indexU.S. average = 100
100.3
State income tax
None
Sources & methodology

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

BEA 2024 · Spokane-Spokane Valley, WA metro prices. Housing figures are city-level.

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