Occupational Therapist Home Care, Silver Spring
- BLS
- NRP
- Driver's license
How this pay compares
This posting does not state an hourly rate. Open occupational therapist jobs in Maryland post a median of $57 an hour, the middle half $48–$60, across 57 jobs that state their pay. Occupational therapists employed in Maryland earn a median of $51.43 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Occupational therapists in Maryland: pay by town and employer
Licensed in another state?
Maryland issues and accepts OT Compact privileges: an occupational therapist or OT assistant whose home state is a member can take this job on a compact privilege instead of a Maryland license. (Occupational Therapy Compact Commission, 9 Nov 2026.) For a Maryland license, apply to the Maryland Board of Occupational Therapy Practice for a license by endorsement ($200, by its own page): what Maryland asks. Every state's OT Compact status.
What Maryland requires of an occupational therapist
Occupational Therapist license, from the Maryland Board of Occupational Therapy Practice.
- The board may waive the examination for an applicant licensed in another state whose requirements are at least equivalent to Maryland's (Md. Code, Health Occ. 10-306). The application includes verification of NBCOT certification or examination, verification of every license held in another state or country, fingerprints for a criminal history records check, the Maryland jurisprudence examination, and either current NBCOT certification or proof of continuing competency (COMAR 10.46.01.02).
- Staying active: Licenses run two-year terms expiring June 30 and require 24 contact hours of continuing competency activities per term (at least 16 on occupational therapy principles and procedures), with current NBCOT certification accepted in their place (COMAR 10.46.04.04).
Occupational therapist jobs and requirements in Maryland · Every state's rule
Physical, occupational, speech and respiratory therapy jobs in our research
- How long these jobs stay listed: Still listed at 7 days 87.1%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
About the Job
General Summary of Position
Provides evaluation and occupational therapy treatment in accordance with agency standards the laws and regulations governing the provision of occupational therapy services in the State of Maryland District of Columbia or Virginia and other regulatory requirements.
Primary Duties and Responsibilities
- Analyzes and documents patients and family's responses to interventions. Evaluates measurable progress toward goals and revise plan of care. Identifies and modifies underlying factors that impede progress toward goals. Makes recommendations for updates in plan of care using knowledge of interventions and resources. Establishes and documents teaching plan for patients/families based on patients' level of knowledge diagnosis prescribed treatment and available resources. Communicates (verbal written demonstration) respectfully with patients/families supervisor peers and other health team members. Establishes visit schedule and informs patient/family and team supervisor.
- Contributes to the achievement of established goals and objectives and adheres to department policies procedures quality standards and safety standards. Completes annual Code of Conduct Compliance and other mandatory training.
- Demonstrates basic leadership skills as a Case Manager and with other responsibilities as required.
- Implements an effective occupational therapy treatment plan in conjunction with the patient their family/caregiver the patient's physician and other members of the health care team and modifying treatment plan as needed. Evaluation includes interview observation palpation specialized assessments including but not limited to goniometry muscle strength testing and sensory testing. Such assessments require use of tools (e.g. goniometer sphygmomanometer stethoscope) and the possession of sight and hearing senses or the use of prosthetics that will enable these senses to function adequately.
- Independently implements and documents plan of care for patients with routine to complex problems to facilitate continuity of care. Documented interventions are related to plan of care. Interventions reflect the standard of care for patient condition/diagnosis. Interventions include utilizing agency and community resources. Performs occupational therapy interventions consistent with home care protocols. Interventions reflect knowledge of standard home care supplies and equipment used in patient care.
- Independently organizes patient assignments for completion of tasks within acceptable time frames. Seeks assistance from OT III Rehab Care Manager or supervisor regarding complex patient problems. Maintains necessary clinical records collects data and prepares reports on activities. Submits completed admission records within 48 hours and daily records within 24 hours with Ninety-five percent accuracy on technical audit. Recertification completed prior to recert date. Maintains caseload mix and productivity for acuity level of patients.
- Initiates and participates in regularly scheduled case conferences; includes all disciplines. Includes patient and family in mutual goal setting and care plan revision.
- Maintains effective working relationships with other departments and participates in multidisciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and agency in community outreach efforts. Enhances growth and development and enriches personal knowledge and skill through participation in educational programs and affiliations.
- Performs history and assessment related to an episode of patient illness to determine the patient's habilitation/rehabilitation needs. Recommends adaptive equipment and/or home modifications to maximize the patient's functional abilities and safety. Identifies primary patient problems from assessment. Identifies discharge planning needs including referrals to appropriate community resources. Interprets abnormal clinical data to anticipate problems associated with changing patient status.
- Performs other duties as assigned.
- Performs procedures and modalities including but not limited to therapeutic exercise functional mobility training gait training heat/cold application and ultrasound.
Minimal Qualifications
Education
- Master's degree Graduation from an ACOTE accredited educational program in Occupational Therapy that is recognized by the Board of OT required
Experience
- 1-2 years Clinical experience required
Licenses and Certifications
- Health Services\OT - Occupational Therapist - Registered License to practice Occupational Therapy in the District of Columbia Maryland or Virginia or any combination based on work location(s) Upon Hire required and
- DL - Valid State Driver's License in good standing with a dependable vehicle for transportation Upon Hire required
- CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required
- Additional unit/specialty certifications may vary by department or business unit.
Knowledge Skills and Abilities
- Good clinical skills.
- Verbal and written communication skills.
- Basic computer skills preferred.
- Smart Phone experience.
This position has a hiring range of
USD $74,214.00 - USD $134,596.00 /Yr.
From MedStar Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About MedStar Health
MedStar Health hires nurses, therapists and imaging techs in Maryland, District of Columbia and Virginia.
Hires in Maryland, District of Columbia, VirginiaPay on its listings: shown on each listing that states it
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