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DESC
Seattle, Washington

Occupational Therapist - STAR Center

Occupational TherapistNo weekendsNo nightsFull-Time

Listed compensation

$109k-$120k

The week · per this posting · weekdays assumedWeekdays only

Ask the employer about call expectations.

Posted 2mo ago

Job Description

Days Off: Saturday, Sunday

Shift

Day. Some flexibility available for this shift, depending on selected candidate's preference. Options are: 9:00am - 5:00pm, 8:30am - 4:30pm, or 10:00am - 6:00pm.

Insurance Benefits: Medical (no premiums/payroll deductions for employee coverage), Dental, Life, Long-term Disability

Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan

Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW.

About DESC

Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions.

Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.

DESC operates five shelter/emergency housing programs,19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder.

Job Description

DESC is looking for an experienced and enthusiastic occupational therapist to join our growing Division of Occupational Therapy! This unique and exciting opportunity is OT at its finest: collaborating with clients to maximize engagement and independence in meaningful routines and valued occupations. These may include ADLs/IADLs, leisure activities, household management, decreasing substance use, sustaining housing, and community integration.

Our clientele consists of highly vulnerable adults facing significant untreated and undertreated challenges related to mental health and substance use disorders. This is primarily a behavioral health role, but basic knowledge of OT interventions for physical dysfunction is expected.

Most services will be provided within the shelter, with additional outreach work conducted as needed to support an individual’s successful transition to permanent supportive housing. Therapy may be conducted individually or in groups.

The ideal candidate is innovative, adaptable, and committed to serving the most vulnerable of our community. Preference given to candidates with behavioral health experience.

This position will report to the Occupational Therapy Supervisor.

Major Duties and Responsibilities

Provide high-quality occupational therapy evaluations and treatment interventions (individual and groups) to clients with serious mental illness, history of incarceration, substance use disorder, and/or history of homelessness. Services may be provided in the shelter or in permanent supportive housing sites

  • Complete written documentation in manner and timeline required by department and agency
  • Develop and maintain strong collaborative relationships with multidisciplinary teams, DESC Housing staff, and community partners to ensure full continuity of care for clients.
  • Participate in team meetings, in-services, and agency trainings as assigned

Other Duties & Responsibilities

  • Support and participate in departmental operations and development
  • Comply with applicable program research and evaluation procedures
  • Other duties as assigned.

Requirements

Minimum Qualifications

  • Licensed by the state of Washington as an Occupational Therapist or has a valid probational certificate issued by the state of Washington to practice occupational therapy.
  • Graduation from an accredited Occupational Therapy program.
  • Ability to meet Washington Department of Health requirements for registration as a Registered Agency Affiliated Counselor (AAC) or any other superseding credential.
  • Interest or experience in working with clients who have difficulty engaging with traditional programs.
  • Excellent communication skills and professional work ethic.
  • Ability to work effectively with clients displaying a wide range of behaviors.

Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.

Ability to drive an agency or personal vehicle to conduct agency-related business, including a current Washington State driver's license and insurable driving record.

BLS/CPR Certification (can be obtained after hire).

Preferred Qualifications

  • Professional fluency in a second language besides English
  • Experience working with adults who have experienced homelessness
  • Experience working with adults who have experienced mental health and substance use issues

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required to sit, drive, walk, stand, communicate with other employees and vendors, is required to lift and carry items weighing up to 25 pounds and operate computer hardware systems.

Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Considerable stress may occur. Employees will be working both indoors and outdoors in all types of weather.

Equal Opportunity Employer

DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants.

The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.

Key Responsibilities

Provide high-quality occupational therapy evaluations and interventions for clients experiencing homelessness, mental health issues, and substance use disorders. Collaborate with multidisciplinary teams and housing staff to ensure continuity of care and support successful community integration.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Mental health supportADL/IADL assessmentCrisis interventionCase managementMultidisciplinary collaborationPatient evaluationGroup therapyIndividual therapy

Occupational Therapist Career Context

In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$113k (206 salary observations; 494 listings), vs ~$96k nationally (4,769 salary observations; 24,610 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

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 Occupational Therapy listings this role was benchmarked against, 8% are remote, 43% have no call, 73% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 2.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist - STAR Center at DESC a 6.8 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,471 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

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 Occupational Therapist Jobs

21 matches · ranked by pay

Salary Distribution21 jobs · 19 employers

11
<$110k
3
$110k-130k
3
$130k-150k
2
$150k-170k
2
$170k+

Annual compensation range

Benefits & Perks19 jobs

401k / retirement match
84% this job
Sign-on bonus
63%
CME allowance
42%
Loan repayment
37%
PSLF eligible
16%

Share of similar jobs offering each benefit

#1

Occupational Therapist II EX

UCSF · San Francisco, California

$64.05-$86.19/hr
#2

Virtual Occupational TherapistContract

Lets Therapy · Media, Pennsylvania

$82.50 per hour
#3

Head Occupational Therapist (Inpatient Rehabilitation & Acute Care) | NYP-CUIMC | Full-Time | Mon - Fri | Day Shift

$70.76-$81.01/hr
#4

Occupational Therapist (Home Health)

$130k-$160k
+ 19 more · ranked by pay

Work-life snapshot

median 4.8this job 6.8
Better work-life than 70% of Occupational Therapy listings

Listing-based score, 0–10, across 9,471 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • On-site

Living in Seattle

Typical 3-bedroom home value
$881k≈ 8.1× annual pay
Typical market rent
$2,234/mo≈ 25% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

DESC logo

About DESC

Mental Health Care
Seattle, WA
501-1,000 employees

Benefits & Perks

Medical (no premiums/payroll deductions for employee coverage)
Dental
Life
Long-term Disability
Employee Assistance Program (EAP)
Flexible Spending Account (FSA)
ORCA card subsidy
Paid Time Off (34 days per year)