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Cole Health
Texas · Remote OK

Fully Remote Occupational Therapist

Occupational TherapistIncludes weekendsContract

Listed compensation

$45/hr

The week · per this posting · weekdays assumed

Ask the employer about call expectations, nights and shift pattern and time off.

Posted 3mo ago

Job Description

Pediatric Telehealth Occupational Therapist (OT)

FLEXIBLE SCHEDULE | MAKE AN IMPACT FROM HOME | JOIN OUR PEDIATRIC THERAPY TEAM

Are you a passionate Occupational Therapist who loves helping children reach their fullest potential? Join our growing pediatric telehealth team and provide meaningful therapy services to children and families — all from the comfort of your own professional workspace.

As a Pediatric Telehealth Occupational Therapist, you will support children of various ages by helping them build independence in daily living skills, improve motor abilities, and develop the sensory, cognitive, and emotional skills they need to thrive.

You’ll be part of a collaborative pediatric therapy team that values connection, quality care, and making a difference in the lives of children and families.

Compensation

  • $45 per billable hour ($11.25 per unit)
  • $70 per completed evaluation

Compensation is based on attended and completed patient appointments.

Schedule & Flexibility

  • Primary need: After-school hours through 7 PM
  • Weekend availability is also needed
  • Flexible scheduling based on patient needs and therapist availability

What Makes This Role Unique

This is an independent contractor telehealth opportunity designed for therapists who enjoy autonomy, flexibility, and the ability to manage their own caseload while still being connected to a supportive pediatric therapy team.

Successful therapists in this role are confident providing the full scope of occupational therapy services through telehealth, including evaluations, treatment sessions, and ongoing patient care.

What You’LL Do

Evaluations & RE-Evaluations

  • Complete initial evaluations and required re-evaluations for patients on your caseload
  • Develop individualized plans of care based on clinical findings, family goals, and patient needs

Provide Telehealth Therapy Services

  • Deliver evidence-based occupational therapy interventions through virtual platforms
  • Help children improve functional skills and independence in daily activities

Partner with Families

  • Provide coaching, education, and strategies to families, caregivers, and teachers
  • Help carry over therapeutic goals into home and community environments

Monitor Progress

  • Track and document patient progress
  • Adjust treatment plans as needed
  • Communicate updates with families and healthcare professionals

Collaborate with a Pediatric Team

  • Work alongside Speech Therapists, Physical Therapists, physicians, and other professionals to provide coordinated care

What We’RE Looking For

A Therapist Who Is

  • Comfortable working independently in a contractor-based role
  • Able to manage a caseload, documentation, scheduling, and family communication independently
  • Confident completing both evaluations and treatment sessions
  • Comfortable learning and navigating telehealth technology
  • Professional, organized, and committed to delivering high-quality care

Telehealth Readiness

Prior telehealth experience is preferred, but not required.

We Are Looking for Therapists Who

  • Are comfortable using technology and learning new platforms
  • Can independently navigate virtual therapy tools
  • Have a reliable internet connection
  • Have access to a quiet, secure space for virtual sessions
  • Can troubleshoot basic technology needs such as video platforms, virtual meeting links, and digital communication tools

Training & Support

We want our therapists set up for success!

New therapists will receive paid required onboarding and training to help them become familiar with our processes, expectations, and telehealth workflows.

Additional optional support opportunities may be available; however, optional meetings or check-ins are not compensated unless designated as required.

This role is designed for therapists who are confident practicing independently within their scope of care while having access to a collaborative team environment.

Qualifications

Education

  • Master’s or Doctorate degree in Occupational Therapy required (unless transitioned into accreditation with a bachelor’s degree)

Licensure

  • Active Occupational Therapy license in the state where services are provided (primarily Texas)

Experience

  • Pediatric occupational therapy experience preferred
  • Telehealth experience is a plus

Skills

  • Strong communication skills (written and verbal)
  • Knowledge of pediatric developmental milestones and therapeutic techniques
  • Comfortable using telehealth platforms and technology
  • Compassionate, patient-centered approach when working with children and families

Additional Requirements

  • Professional and secure workspace for virtual therapy sessions
  • Reliable internet connection
  • Ability to work with a diverse population of children and families
  • Successful completion of background check and reference requirements

Ready to make a difference in the lives of children while enjoying the flexibility of telehealth? Apply today and join our pediatric therapy team!

Key Responsibilities

Provide virtual occupational therapy services to children, including conducting evaluations and developing individualized plans of care. Collaborate with families and a multidisciplinary pediatric team to improve patients' functional independence and daily living skills.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Patient EvaluationTreatment PlanningFamily CoachingCase ManagementClinical DocumentationEvidence-Based InterventionSensory IntegrationMotor Skills DevelopmentCognitive Skill DevelopmentInterdisciplinary Collaboration

Occupational Therapist Career Context

Of the 40 active Occupational Therapist listings this role was benchmarked against, 53% have no call, 65% require no weekends — this position is remote.

Occupational Therapist pay on WeekdayDoc is up 2.6% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Fully Remote Occupational Therapist at Cole Health a 7.3 out of 10 for work-life balance — classified as very good. This places the position in the top 15% of all occupational therapist listings evaluated on our platform. Contributing factors include remote work flexibility.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$58k midpoint, that is roughly $2k–$4k a year versus a typical 4–7% state rate.

Top contract/1099 Occupational Therapist Jobs

24 matches · ranked by pay

Salary Distribution24 jobs · 18 employers

11
<$115k
3
$115k-135k
5
$135k-155k
5
$155k-175k

Annual compensation range

Benefits & Perks20 jobs · 18 employers

401k / retirement match
90%
CME allowance
65%
Sign-on bonus
50%
Loan repayment
15%
Relocation assistance
10%

Share of similar jobs offering each benefit

#1

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

NewYork-Presbyterian Hospital · New York, New York

$70.76-$81.01/hr
#2

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#3

Occupational Therapist

$68-$75/hr
#4

School Occupational Therapist (OT) - Manhattan

$75 an hour
+ 22 more · ranked by pay

Work-life snapshot

7.3/ 10
Listing-based score
  • Remote
  • Includes weekends
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About Cole Health

Medical Practices
Spring, TX
201-500 employees

Benefits & Perks

Fully remote
Flexible schedule
Paid onboarding and training
Collaborative team environment