Ascension logo
Ascension
Smithville, Texas

Occupational Therapist

Occupational TherapistPer Diem

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 40m ago · Verified live

Job Description

  • Your future role at a glance
  • Location: Smithville, Texas
  • Hospital: Seton Smithville Regional Hospital
  • Department: Acute Care | Inpatient Rehabilitation
  • Schedule: PRN | Day

#NextGenHealthcare

How you’ll make an impact in this role

Evaluate patient needs in collaboration with physicians, care teams and families to design personalized care plans that support recovery.

Deliver targeted therapeutic care and maintain clear documentation to guide patients steadily toward their goals.

Empower patients, families and caregivers by teaching practical rehabilitation techniques tailored to their specific diagnosis.

Coordinate daily caseloads with therapy and medical staff to prioritize patient care needs and ensure seamless handoffs.

What minimum requirements you’ll need

Licensure / Certification / Registration

BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.

Occupational Therapy (OT) credentialed from the Texas Board of Occupational Therapy Examiners within 6 Months (180 days) of hire date or job transfer date required.

Education

Bachelor's degree required. Master's OR Doctorate degree preferred.

  • Benefits that help you thrive
  • Retirement: 403(b) plan
  • Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud Prevention Notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees.

To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify Statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Key Responsibilities

Evaluate patient needs in collaboration with medical teams to design and implement personalized rehabilitation care plans. Coordinate daily caseloads and provide therapeutic instruction to patients and their families to support recovery goals.

Requirements

Requires a Bachelor's degree and an Occupational Therapy credential from the Texas Board of Occupational Therapy Examiners. Candidates must also obtain BLS certification within 30 days of hire.

Qualifications

Education
Bachelor degree

Key Skills

Patient evaluationCare planningCaseload managementPatient care coordination

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$95k (125 salary observations; 1,198 listings), vs ~$96k nationally (2,981 salary observations; 13,210 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 2% are remote, 38% have no call, 64% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Occupational Therapist Jobs

35 matches · ranked by pay

Salary Distribution35 jobs · 29 employers

20
<$115k
5
$115k-135k
5
$135k-155k
5
$155k-175k

Annual compensation range

Benefits & Perks30 jobs · 29 employers

401k / retirement match
93% this job
CME allowance
63%
Sign-on bonus
57%
Loan repayment
20%
Relocation assistance
17%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Citrus Heights, California

$130k-$160k
#2

Occupational TherapistContract

Luna Physical Therapy · Chicago, Illinois

$68-$75/hr
#3

School Occupational Therapist (OT) - Manhattan

$75 an hour
#4

School Occupational Therapist (OT) - Brooklyn

$75 an hour
+ 33 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,467 comparable listings. Shaded area = the share scoring below this one.

Living in Smithville

Typical 3-bedroom home value
$319k
Median resident rent
$1,230/mo
Residents’ average commute
29 min
State income tax
None
Sources & methodology

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

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

Ascension logo

About Ascension

Hospitals and Health Care
St. Louis, MO
10,000+ employees

Benefits & Perks

403(b) plan
Employee Assistance Program
Counseling and Peer Support
Spiritual Care
Stress Management Resources