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Brighton Center
San Antonio, Texas

Pediatric Occupational Therapist

Occupational Therapist 8.0 Work-LifeNo weekendsNo nightsFull-Time

Listed compensation

$70K - $90K

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about call expectations, benefits and time off.

Posted 5mo ago

Job Description

Job DetailsJob Location: Higgins - San Antonio, TX 78217Position Type: Full TimeEducation Level: Graduate DegreeSalary Range: $70,287.23 - $90,000.00 SalaryJob Shift: Typically, M-F 8am to 5pmJob Category: Health CareGENERAL DESCRIPTION OF POSITION This position is responsible for providing direct occupational therapeutic services to children for acquisition and mastery of functional skills in order to reduce or overcome limitations resulting from disabilities or developmental delays. This position evaluates, assesses, develops, and carries out treatment plans, documents progress and required processes, educates families and community partners and collaborates with physicians and other care providers. Occupational Therapists at Brighton Center are hired to serve the organization as a whole. Program placement (e. g., Pediatric Therapy Clinic or Early Childhood/Early Intervention services) is determined following the interview process based on candidate strengths, experience, and organizational need. Services are delivered in a variety of settings aligned with Brighton Center's programs and may include clinic, home, community or natural environments. This role requires flexibility, independent work, and travel within the service area. ESSENTIAL FUNCTIONS This position requires face to face interactions with staff, board, vendors, and the general public on a daily basis to accomplish all essential functions of the position. EVALUATIONS & PLAN OF CARE Participate as a member of an interdisciplinary team to evaluate and assess children using standardized assessment tools and clinical judgment. Accurately score evaluations, determine service eligibility or medical necessity as applicable, and appropriately share results with families or caregivers. Develop individualized treatment plans or contribute to IFSP/POC development by identifying functional goals, outcomes, and intervention strategies that reflect family priorities and child needs. Submit all required evaluation and planning documentation within established timelines and program deadlines. SERVICE DELIVERY & TREATMENT IMPLEMENTATION Provides individualized, direct therapy services to children with disabilities or developmental delays, in accordance with established treatment plans, Plans of Care (POC) or Individualized Family Service Plans (IFSP) as applicable. Implement evidence-based, family-centered, and developmentally appropriate therapeutic interventions that support functional independence and participation in daily routines Ensures the completion of all authorized therapy visits or units within the authorization timeframe, proactively managing scheduling and providing necessary make-up sessions for missed appointments. Equips families and caregivers with effective strategies to empower them to enhance the child's community participation. Maintains comprehensive, accurate, and timely documentation of all services rendered, ensuring full compliance with agency policies, Medicaid guidelines, and private insurance standards and regulations. OTHER FUNCTIONS Participates in monthly team meetings, discipline, agency, and staffing meetings to ensure family and child outcomes are met and required information is secured. Other duties to support the delivery and quality of services that are provided to Brighton families. QUALIFICATIONS Required: Degreed and current Texas Licensure in occupational therapy. Proficiency in Microsoft Office including Word, Excel, Outlook and Access as well as Adobe. Preferred: Prior experience in ECI, Special Education, Early Childhood Education, or a family-centered service organization. Bilingual in Spanish. NECESSARY SKILLS

  • Ability to demonstrate, understanding and apply our Core Values which are at the heart of our organization and are embedded in all roles.
  • High quality of work, organization and planning skills, problem solving and decision-making skills, self- improvement and initiative, adaptability and flexibility, excellent communication skills (written and verbal), ability to work well with others and independently.
  • Comprehensive knowledge of typical and atypical development in children birth to three years old
  • Comprehensive knowledge of childhood conditions that relate to the provision of early intervention services
  • Comprehensive knowledge of and understanding of team and family dynamics.
  • Ability to contribute as a leader and facilitator on teams which include parents, caregivers, and other professional staff.
  • Ability to comprehend and adhere to family-centered, activity-based early intervention practices.
  • Ability to work sensitively with families from a variety of cultural orientations.
  • Ability to learn, interpret, and apply rules and regulations.
  • Ability to maintain data quality/integrity.
  • Ability to communicate effectively (written and verbal) with families, staff, and community members.
  • Ability to professionally represent the agency and provide overview of all agency services to clients in an effective and persuasive manner.
  • Ability to work with others in a supportive, professional and collaborative manner.
  • Ability to maintain a good working relationship with all co-workers and the general public and to use good judgment in recognizing scope of authority.
  • Fosters teamwork and proactively addresses conflict seeking timely resolution.
  • Demonstrates behavior that is professional, ethical and responsible.
  • Ability to align with Brighton Center Core Values.
  • Ability to perform under minimal supervision with considerable requirements for initiative, discretion, independent thought, judgment and self-motivation in matters of significance to families as well as the agency.
  • Ability to make effective presentations on behalf of the organization both internally and externally. MENTAL & PHYSICAL DEMANDS
  • Ability to maintain emotional control under stress and empathize with staff, supervisors and families we serve.
  • Ability to effectively prioritize tasks and calendar according to impending deadlines.
  • Ability to use critical thinking and problem-solving skills.
  • Ability to ensure personal accountability.
  • Ability to compute and compile reports and perform calculations.
  • Ability to use reasoning and analytical skills.
  • Ability to meet the physical demand of working with young children, such as bending, climbing, crawling, grasping kneeling, reaching, squatting, standing, stooping, twisting and sitting on the floor.
  • Ability to lift and/or move up to 40 lbs.
  • Ability to work flexible hours.
  • Ability to drive personal vehicle and have/maintain personal auto liability insurance.
  • Ability to stand for extended periods.
  • Ability to remain seated for extended periods of time.
  • Ability to monitor a computer screen for extended periods of time.
  • Some weekend hours may be required for outreach purposes. TOP COMPETENCIES
  • Interpersonal Skills
  • Written Communications / Presentation Skills
  • Customer Focus
  • Decision Quality and Problem Solving
  • Managing and Measuring Work
  • Time Management
  • Action Oriented / Drives for Results
  • Managing through Processes and Systems Qualifications

Key Responsibilities

Provide direct occupational therapy services to children to overcome disabilities and developmental delays through individualized treatment plans. Collaborate with interdisciplinary teams and families to implement evidence-based interventions in clinic, home, and community settings.

Requirements

Requires a graduate degree and current Texas licensure in occupational therapy. Proficiency in Microsoft Office and Adobe is required, with a preference for bilingual Spanish speakers and experience in early childhood education.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Pediatric CareTreatment PlanningFamily-Centered InterventionCase DocumentationInterdisciplinary CollaborationSpanish Bilingualism

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pediatric Occupational Therapist at BRIGHTON CENTER a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Pediatrics (Occupational Therapy) — ranked against 628 active Pediatrics (Occupational Therapy) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Pediatrics — Occupational Therapist Career Context

In Texas, the Pediatrics weighted monthly median benchmark on WeekdayDoc is ~$86k (50 salary observations; 272 listings), vs ~$90k nationally (483 salary observations; 1,477 listings). Monthly aggregates cover 2026-03-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

Of the 50 active Pediatrics listings this role was benchmarked against, 38% have no call, 72% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$80k midpoint carries the purchasing power of roughly $83k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$80k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

24 matches · ranked by pay

Salary Distribution24 jobs · 20 employers

12
<$105k
4
$105k-120k
3
$120k-135k
3
$135k-150k
2
$150k

Annual compensation range

Benefits & Perks23 jobs · 20 employers

401k / retirement match
87%
Sign-on bonus
57%
CME allowance
48%
Loan repayment
26%
PSLF eligible
13%

Share of similar jobs offering each benefit

#1

Occupational Therapist

MGA Homecare · Fort Worth, Texas

up to $150,000
#2

Occupational Therapist (Maternity Relief)

MGA Homecare · McKinney, Texas

up to $150,000
#3

Occupational Therapist

$96k-$141k
#4

Occupational Therapist Matawan NJ

$140k
+ 22 more · ranked by pay

Work-life snapshot

median 4.8this job 8.0
Among the best 10% of Pediatrics (Occupational Therapy) listings for work-life

Listing-based score, 0–10, across 628 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • On-site

Living in San Antonio

Typical 3-bedroom home value
$226k≈ 3.2× annual pay
Typical market rent
$1,386/mo≈ 24% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
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 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

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

Brighton Center logo

About Brighton Center

Primary and Secondary Education
San Antonio, TX
51-200 employees