Occupational Therapist
Listed compensation
$66k-$71k
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 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.
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
Provide home and community-based early intervention services to infants and toddlers with developmental delays using a parent coaching model. Collaborate with multidisciplinary teams to develop and implement Individual Family Service Plans while maintaining accurate clinical documentation.
Requirements
Requires current licensure as an Occupational Therapist by the Massachusetts Board of Registration of Allied Health Professions. Candidates should have at least one year of experience in Early Intervention or three years of experience working with infants, toddlers, and families.
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 ~$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).
| 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 | ~$65k in purchasing power | Massachusetts index 105.8 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Massachusetts | 226 active | 9,039 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 12% remote · 28% no call · 56% 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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