St Michael Medical Center logo
St Michael Medical Center
Silverdale, Washington

Occupational Therapist

Occupational TherapistFull-Time

Listed compensation

$47.41-$78.23/hr

The week · per this posting · weekdays assumed

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

Posted 54m ago · Verified live

Job Description

Where You’ll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891.

Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education.

Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence.

When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Job Summary and Responsibilities

As an Occupational Therapist, you will help patients regain independence and quality of life so they can safely perform daily activities. Every day you will assess diverse patients (orthopedic, neurological, sensory, cancer recovery, etc.), develop treatment plans, and conduct evaluations/re-evaluations.

You will be expected to collaborate with interdisciplinary teams, document thoroughly, and provide positive, motivating care to a high volume of patients. To be successful in this role, you must be flexible, adaptable, exceptionally organized, and a personable, motivating team player.

Performs patient assessment/data collection, interprets findings and formulates treatment plans. Reviews medical record/documentation prior to initial evaluation to familiarize self with patient’s history and obtains necessary information to perform a thorough, quality assessment.

Develops Occupational Therapy plan of care to meet established goals and individualized needs of patient/client. Selects and administers assessment tools according to standards as established by profession and department.

Implements and updates therapeutic plan of care and treatment based on patient needs throughout patient’s treatment/stay.

Implements treatment and conducts treatment program which may include but is not limited to: activities of daily living, transfers, strengthening, range of motion, home evaluation, family training, cognitive training, job analysis/ work preparation, equipment recommendations and ordering.

Regularly assesses clinical signs and symptoms to determine effectiveness of treatment, progress of patient towards goals, the need for modifying goals and treatment.

Performs treatment according to according to established protocols or accepted clinical standards of practice using a variety of modalities and implements new and innovative treatment approaches. Adheres to most recent treatment plan and documented frequency per evaluation/certification or reassessment/recertification. Initiates discharge from occupational therapy when the patient has received maximum benefit from occupational therapy.

Identifies and implements strategies to meet the educational needs of the patient/family/significant others as it relates to Occupational Therapy. Participates in supervision and performance feedback of staff, aides, students, volunteers as requested. Completes all required documentation, in an accurate and thorough manner, of Occupational Therapy treatment in accordance with FHS documentation standard.

Utilizes documentation that meets the accepted clinical, hospital and departmental standards and chart review criteria. Completes documentation responsibilities in a timely manner according to hospital and departmental criteria.

Participates in chart review process and adjusts practices according to feedback as provided.

Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services.

Patient Population Served: Demonstrates knowledge and proper skills associated with the department’s defined specific populations served.

Lead Job Duties: Completes / monitors daily patient schedule and oversees clinical patient loads. Communicates with and keeps Supervisor or Manager apprised of matters regarding daily schedule or staffing issues. Provides rounds coverage as appropriate. Oversees scheduling of patient programs, i. e.

Joint Class, Stroke Night, Parkinson’s Group, etc. as appropriate. Oversees and/or delegates orientation of new staff, students, and volunteers. Acts as liaison to Director, Manager, Supervisor, department staff and other disciplines. Meets with Director, Manager or Supervisor monthly.

Communicates team input regarding program development/enhancement. Coordinates and/or facilitates team communication and effectiveness.

Schedules and facilitates team meetings on a regular basis as requested. Meets with clinical leads/team leaders from other disciplines and/or other departments. Promotes and ensures collaboration between clinical staff and support staff.

Communicates support staff availability for therapy related tasks and determines appropriate method for work completion. Takes responsibility to ensure quality performance, efficiency, and effectiveness of the team. Takes authority to triage and problem-solve for daily team functioning as appropriate.

Provides Manager or Supervisor appropriate input regarding therapist performance standards and technical competencies.

Job Requirements

Required

Graduation from an accredited School of Occupational Therapy and completion of Clinical Fieldwork and at least three (3) months prior experience in physical disabilities and a broad base of medical surgical knowledge, with case experience with the following: neurological impairments, orthopedic impairments, and critical care that demonstrates attainment of the requisite job knowledge skills/abilities., upon hire and

Injured worker rehab program: Two (2) years full-time experience within last five years, with caseload emphasis on physical disabilities, especially treatment of the subacute injured workers with return to work needs (i. e., Physical Capacity Evaluation, Work Conditioning). and

Lymphedema OT: Two (2) years full-time experience within last five years recommended, with caseload emphasis acute physical disabilities, especially in the treatment of lymphedema. and

  • Lead: minimum of two years of clinical occupational therapy experience in the direct delivery of patient care
  • Occupational Therapist: WA, upon hire and
  • Basic Life Support - CPR, upon hire

Preferred

Pain management program: Two (2) years full-time experience within last five years, with caseload emphasis on physical disabilities, injured worker care, or pain management

Key Responsibilities

The Occupational Therapist will assess diverse patients, develop individualized treatment plans, and implement therapeutic interventions to improve patient independence. The role also involves leading clinical teams, overseeing scheduling, and ensuring high-quality documentation and patient care standards.

Requirements

Candidates must have graduated from an accredited School of Occupational Therapy and hold a valid Washington state license. At least two years of clinical experience is required for lead and specialized roles, along with Basic Life Support certification.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

BLS

Key Skills

Treatment planningNeurological rehabilitationOrthopedic rehabilitationLymphedema treatmentClinical documentationInterdisciplinary collaborationPatient educationDischarge planning

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 ~$131k midpoint carries the purchasing power of roughly $122k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 44 active Occupational Therapy listings this role was benchmarked against, 5% are remote, 34% have no call, 66% require no weekends.

What does the Occupational Therapy market look like in Washington?
MeasureThis jobMarket
Listed pay$99k–$163kOccupational Therapy median $119k (middle half $108k–$130k)11 comparable listings, Nov 2026
Cost-of-living adjusted pay~$122k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Washington229 active9,129 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 5% remote · 34% no call · 66% no weekends44 benchmarked listings
Sign-on & loan repaymentnot statedWashington occupational therapist listings (all specialties): 17% state a sign-on bonus (median $10k) · 12% offer loan repayment266 active listings, Nov 2026
New Occupational Therapy listings3,238 in the last 30 days1,701 the 30 days before (+90%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.7% vs prior quarter—through Oct 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 ~$131k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

26 matches · ranked by pay

Salary Distribution

26 jobs · 18 employers
6
<$95k
13
$95k-115k
3
$115k-135k
3
$135k-155k
1
$207k

Annual compensation range

Benefits & Perks

25 jobs · 18 employers
401k / retirement match
88%
Sign-on bonus
44%
CME allowance
40%
Loan repayment
16%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Home Health Occupational TherapistPer Diem

Ace Home Health Care & Hospice · San Jose, California

$154k-$207k
#2

Occupational Therapist Marlboro NJ

Healthcare Recruitment Counselors · Marlboro, New Jersey

$140k
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist II, 40 Hours Days, University Campus

$77k-$139k
+ 24 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 9,043 comparable listings. Shaded area = the share scoring below this one.

St Michael Medical Center logo

About St Michael Medical Center

Hospitals and Health Care
Tacoma, Washington
5,001-10,000 employees

Living in Silverdale

Typical 3-bedroom home value
$560k
Typical market rent
$2,093/mo
Residents’ average commute
24 min
Metro price indexU.S. average = 100
105.6
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 · Bremerton-Silverdale-Port Orchard, WA metro prices. Housing figures are city-level.

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