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Nemours Children's Health
Wilmington, Delaware

Occupational Therapist (Casual/PRN)

Occupational TherapistIncludes weekendsPer 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 9m ago · Verified live

Job Description

Nemours Children’s Hospital, Delaware is hiring a Casual/PRN Occupational Therapist to provide coverage as needed in our inpatient programs located in Wilmington, DE. Coverage needs include weekends.

This is a great opportunity to join a busy and growing Therapy team. We provide occupational therapy for patients with a wide variety of diagnoses, ranging in age from birth to 17. We are also an early intervention partner with Delaware’s Birth to Three Early Intervention Program, providing clinic-based services.

Provides discipline specific patient examination, evaluation, intervention, documentation, parent/caregiver education, communication, and coordination of care with medical/clinical staff and outside agencies as appropriate within the discipline specific scope of practice and the guidelines designated by the department and the Delaware Valley policies and procedures. Actively participates in departmental education activities in order to expand knowledge of patient populations and evidence-based practice.

  • Demonstrates proficiency in the care of all ages: pediatrics and adolescents. Demonstrates proficiency in the care of neonates as required by assignment.
  • Able to provide occupational therapy services to a variety of patient types with recognition of his/her own limitations while seeking appropriate mentorship as needed.
  • Completes timely documentation as required by departmental policy #7980.3.3, Joint Commission, and CARF standards.
  • Attends meetings related to patient treatment and contributes to discussion as an interdisciplinary team member.
  • Consults with other services, families, and outside agencies to recommend durable medical equipment, home/school modifications and transitional therapy program prior to discharge from therapy.
  • Maintains knowledge of and familiarity with insurance referral/authorization process and documentation requirements related to therapy services.
  • Completes all mandatory training; may include, but not limited to safety, infection control, corporate compliance, HIPAA, bioterrorism, CPR and program specific respiratory training.
  • When required by assignment, participates in weekend/holiday inpatient coverage rotation.

Job Requirements

  • Master's Degree in Occupational Therapy or its equivalent from an ACOTE-accredited university required.
  • Minimum of three (3) to six (6) months experience required. New graduates will be considered based on educational experiences.
  • State of Delaware Occupational Therapist License required upon hire. Compact licensure is acceptable for primary licensure when the practitioner is eligible and maintains an active home-state license in a Compact state.
  • American Heart Association BLS certification required within 6 months of date of hire and must be maintained for duration of employment.
  • Member of professional specialty organizations (AOTA, State Occupational Therapy Assoc.) preferred.
  • Experience with physically and/or mentally challenged populations preferred.
  • Clinical affiliation and/or work experience in pediatrics preferred.

Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.

Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.

Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.

Learn more at Nemours.org.

Key Responsibilities

Provide discipline-specific patient examination, evaluation, intervention, and documentation for pediatric patients in an inpatient setting. Coordinate care with medical staff and families while participating in interdisciplinary team meetings and departmental education activities.

Requirements

Requires a Master's Degree in Occupational Therapy from an ACOTE-accredited university and a State of Delaware Occupational Therapist License. Candidates must have at least three to six months of experience and maintain American Heart Association BLS certification.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Patient evaluationParent educationCare coordinationPediatric careNeonatal careDurable medical equipment recommendationInsurance authorizationHIPAA compliance

Occupational Therapist Career Context

The cost-of-living index for Delaware is 99.8 (US average = 100; BEA Regional Price Parities (2024)). 63.5% of Delaware clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 8% are remote, 54% have no call, 58% require no weekends.

What does the Occupational Therapy market look like in Delaware?
MeasureThis jobMarket
Listed paynot listedOccupational Therapy median $108k (middle half $101k–$115k)29 comparable listings, Nov 2026
Cost of livingDelaware index 99.8US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Delaware30 active9,009 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 8% remote · 54% no call · 58% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS Occupational Therapist listings: 11% state a sign-on bonus (median $5k) · 8% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings3,162 in the last 30 days1,579 the 30 days before (+100%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.3% 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.

Top contract/1099 Occupational Therapist Jobs

41 matches · ranked by pay

Salary Distribution

32 jobs · 31 employers
14
<$105k
6
$105k-125k
7
$125k-145k
5
$145k-165k

Annual compensation range

Benefits & Perks

33 jobs · 31 employers
401k / retirement match
94%
CME allowance
58%
Sign-on bonus
24%
Loan repayment
21%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#3

School-Based Occupational Therapist (OT)

$67-$73/hr
#4

Occupational Therapist, OT

$62-$72/hr
+ 39 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 8,973 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Living in Wilmington

Typical 3-bedroom home value
$296k
Typical market rent
$1,757/mo
Residents’ average commute
24 min
Metro price indexU.S. average = 100
102.6
State income tax
Up to 6.6%
Sources & methodology

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

BEA 2024 · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD metro prices. Housing figures are city-level.

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