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Therapy & rehab

Occupational Therapist- Pediatrics

First Step Nursing and Therapy Services logoFirst Step Nursing and Therapy ServicesConverse, TXShiftsPosted 3d ago

How this pay compares

This posting does not state an hourly rate. Open occupational therapist jobs in Texas post a median of $55 an hour, the middle half $48.86–$65, across 59 jobs that state their pay. Occupational therapists employed in Texas earn a median of $51.03 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).

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About the job

First Steps Nursing and Therapy is looking to hire registered Occupational Therapist to provide in home therapy services to children in San Antonio, Texas and the surrounding areas.

At First Steps Nursing and Therapy we are committed to serving the disadvantaged and the disabled youth population. We provide therapy for children 21 and under in the comfort of their own home. Our values consist of integrity, compassion, and excellence, which are reflected in the day to day business operations of the company and our clinicians.

Job Summary

The therapist is a qualified professional person who directs, supervises, evaluates and provides therapy services to patients in the home as prescribed by the attending physician.

Qualifications

  • Licensure or certification by the state of Texas as a Certified Occupational Therapist
  • One (1) full year of work experience preferred
  • Pediatric and home health experience is preferred (not required)
  • Excellent communication and interpersonal skills to effectively interact with patients, families, and healthcare teams.
  • Familiarity with Kantime and EVV

Responsibilities

  • Conduct evaluations and complete evaluation reports in timely manner
  • Plan activities and provide occupational therapy services
  • Record type of treatment and patient’s reaction to it on clinical/progress notes and incorporated in the patient’s record weekly.
  • Maintain adequate records on all patient’s, including summary reports
  • Utilize community resources and Agency personnel for proper referral
  • Attend case conferences as requested
  • Participate in staff development activities and in-service education as requested
  • Confirm, on a weekly basis, the scheduling of visits with the Therapy Coordinator to coordinate necessary visits with other personnel
  • Participate with staff, patient, and physician in discharge planning activities

Skills

The required and preferred skills are essential for delivering high-quality therapeutic care and ensuring positive patient outcomes. Clinical expertise allows therapists to accurately assess patient needs and design effective treatment plans tailored to individual goals. Strong communication skills facilitate clear explanations of therapy techniques and foster collaboration with multidisciplinary teams and families. Proficiency with documentation and technology ensures compliance with healthcare regulations and supports continuity of care. Additionally, cultural competence and adaptability enable therapists to provide inclusive and patient-centered services across diverse populations and settings.

Locations: 78253, 78228, 78218, 78207, 78251, 78254, 78109, 78214

From First Step Nursing and Therapy Services's job posting, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.

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About First Step Nursing and Therapy Services

First Step Nursing and Therapy Services hires nurses and therapists in San Antonio, Converse and other towns in Texas.

Hires in TexasPay on its listings: 72.2% of its open jobs state an hourly rate

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