Occupational Therapist (OT)

Occupational TherapistNo nightsFull-Time

Listed compensation

$75k-$85k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Job Details:

Job Location: Epworth - Webster - St. Louis, MO, Position Type: Full Time, Education Level: Graduate Degree, Salary Range: $75000.00 - $85000.00Salary, Travel Percentage: Up to 25%, Job Shift: Day, Job Category: Nonprofit - Social Services, Summary The Occupational Therapist (OT) provides evaluation, treatment, consultation, and transition support to children, adolescents, young adults, and families across Epworth’s residential services, outpatient services, and transitional living programs for youth.

The OT assesses functional abilities, sensory processing needs, developmental skills, executive functioning, and activities of daily living to support each youth’s physical, emotional, social, educational, and behavioral well-being.

Working as part of a multidisciplinary team, the Occupational Therapist develops and implements individualized, trauma-informed treatment plans that promote independence, participation, self-regulation, community integration, and successful transitions among home, school, residential, outpatient, employment, and community environments.

Primary Responsibilities: Conduct comprehensive occupational therapy evaluations to assess sensory processing, fine motor skills, self-care abilities, social participation, and daily living skills.

Identify strengths, barriers, and treatment needs through observation, standardized assessments, and collaboration with caregivers and treatment team members. Develop recommendations and treatment plans based on assessment findings.

Design and implement individualized occupational therapy interventions that support client treatment goals. Provide individual and group occupational therapy services. Develop sensory regulation strategies and environmental modifications that enhance client functioning and participation.

Teach coping skills, self-regulation techniques, and adaptive strategies to promote independence and emotional well-being. Monitor progress and adjust treatment plans as needed.

Deliver occupational therapy assessment and intervention within the youth’s living environment; address sensory regulation, self-care, sleep routines, meal participation, social engagement, school readiness, and safe participation in daily routines; train residential staff to reinforce individualized strategies consistently across shifts.

Provide clinic-based individual, family, and group services; establish measurable functional goals with youth and caregivers; support carryover of strategies in home, school, and community settings; coordinate care with external providers when appropriate.

Assess and strengthen independent living skills, including personal care, home management, meal planning and preparation, transportation use, time management, organization, community safety, education and employment routines, and use of community resources; contribute to person-centered transition and discharge plans that prepare youth for greater independence.

Coordinate continuity of care as youth move among residential, outpatient, transitional living, family, educational, employment, and community settings. Participate in multidisciplinary treatment team meetings.

Collaborate with residential staff, therapists, educators, case managers, medical providers, and families to support client success. Provide consultation and education regarding sensory processing, developmental needs, adaptive functioning, and environmental supports.

Assist staff in implementing therapeutic strategies and accommodations. Maintain accurate, timely, and complete clinical documentation in accordance with agency, state, federal, and professional standards.

Complete evaluations, treatment notes, progress summaries, and discharge recommendations within required timeframes. Ensure compliance with Medicaid, licensing, accreditation, and ethical standards. Provide education and training to families, caregivers, and staff regarding therapeutic interventions and strategies.

Support family involvement in treatment planning and transition planning. Participate in agency training, quality improvement activities, and professional development opportunities. Maintain current knowledge of occupational therapy best practices, evidence-based interventions, and trauma-informed care approaches.

Maintain professional licensure and require continuing education credits. Perform other duties as assigned. Supervisory Responsibilities: None Salary Range: $75,000.00 - $85,000.00 Qualifications: Master's or Doctoral Degree in Occupational Therapy from an accredited program.

Current Missouri Occupational Therapist License (or eligibility for licensure). Current NBCOT certification is preferred. Current CPR and First Aid certification preferred or ability to obtain upon hire. Minimum one to two years of occupational therapy experience preferred.

Experience working with children, adolescents, behavioral health populations, residential treatment, foster care, or trauma-affected youth strongly preferred. Experience with diverse populations.

Job Knowledge, Skills and Abilities: Knowledge of child development, sensory integration, trauma-informed care, and behavioral health interventions. Strong clinical assessment and treatment planning skills. Ability to work collaboratively within a multidisciplinary team.

Strong verbal, written, and interpersonal communication skills. Ability to maintain confidentiality and professional boundaries. Proficiency with electronic health records and documentation systems.

Proficient with Microsoft Outlook, Word, Excel & Teams Physical Requirements: Ability to sit, stand, walk, bend, and move throughout facilities and community settings. Ability to demonstrate therapeutic activities and interventions.

Ability to safely assist children and adolescents during therapeutic activities when necessary. Ability to lift up to 25 pounds occasionally.

Working Environment: Services may be provided in residential treatment facilities, outpatient clinics, transitional living sites, schools, family homes, and community-based settings.

The role requires flexibility to provide individual, group, consultative, and environment-based interventions based on program and youth needs. Exposure to youth experiencing emotional, behavioral, developmental, sensory, or functional challenges. Local travel among program sites and community locations may be required.

Qualifications

Key Responsibilities

The Occupational Therapist provides comprehensive evaluations and trauma-informed treatment plans to support the functional, emotional, and behavioral well-being of youth in residential and outpatient settings. They collaborate with a multidisciplinary team to implement interventions that promote independence, self-regulation, and successful community integration.

Requirements

Candidates must hold a Master's or Doctoral degree in Occupational Therapy and possess a current Missouri license or eligibility for one. Experience working with children, adolescents, or trauma-affected populations is strongly preferred.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)

Certifications

CPR (preferred)

Key Skills

Individualized interventionsMultidisciplinary collaborationCrisis interventionMicrosoft office suite

Occupational Therapist Career Context

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$80k midpoint carries the purchasing power of roughly $88k in an average-cost state. 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 4% are remote, 46% have no call, 54% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Top Occupational Therapist Jobs

18 matches · ranked by pay

Salary Distribution18 jobs · 13 employers

7
<$105k
5
$105k-120k
2
$120k-135k
3
$135k-150k
1
$160k

Annual compensation range

Benefits & Perks17 jobs · 13 employers

401k / retirement match
94%
Sign-on bonus
65%
CME allowance
53% this job
Loan repayment
24%
Relocation assistance
12%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist

Sentara Health · Norfolk, Virginia

$96k-$141k
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist Marlboro NJ

$140k
+ 16 more · ranked by pay

Work-life snapshot

median 4.8this job 5.1
Better work-life than 50% of Occupational Therapy listings

Listing-based score, 0–10, across 9,226 comparable listings. Shaded area = the share scoring below this one.

  • No nights

Living in St. Louis

Typical 3-bedroom home value
$258k≈ 3.4× annual pay
Typical market rent
$1,334/mo≈ 21% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
95.1
State income tax
Up to 5.3%
Sources & methodology

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

BEA 2024 · St. Louis, MO-IL metro prices. Housing figures are city-level.

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

Epworth Children & Family Services logo

About Epworth Children & Family Services

Non-profit Organization Management
St. Louis, MO
51-200 employees