Adjunctive Therapist - CTRS, Per Diem/On-Call (Sacramento)
- PRN / per diem
- BLS
How this pay compares
This posting states $30 an hour. Open recreational therapist jobs in California post a median of $34.88 an hour, the middle half $31–$44.47, across 11 jobs that state their pay, so this one is below the middle half of what they post. Recreational therapists employed in California earn a median of $47.20 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).
Recreational therapists in California: pay by town and employer
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
POSITION TITLE: Adjunctive Therapist (CTRS, OTR, or ATR)
REPORTS TO (TITLE): Director of Social Services
DESCRIPTION OF POSITION
The AT Therapist delivers structured therapeutic recreation services through group and individual sessions using modalities such as art, movement, exercise, occupational‑based activities, and leisure interventions. Working collaboratively with the interdisciplinary treatment team, the therapist develops and implements individualized activity therapy treatment plans and applies sound therapeutic recreation theory and methodology in all patient interactions. The role upholds organizational ethics, customer service standards, and a strong commitment to quality and continuous improvement while supporting patient stabilization, engagement, and functional recovery in an acute behavioral health setting.
CURRENT AVAILABILITIES: Per Diem/On-Call (Weekend Availability required).
Hourly Pay Rate: $30.96 - 43.19 (Pay is based on experience)
KEY RESPONSIBILITIES
Activities
- Conducts group and individual sessions for patients, within scope of practice which may draw from mediums such as art therapy, movement therapy, occupational rehabilitation, exercise, games or leisure activities.
- In collaboration with interdisciplinary treatment team, develop and implement activity therapy treatment plans.
- Demonstrates sound application of activity therapy theory and methodology.
- Provide individual activity therapy as order by patient’s physician.
Administrative Assignments
- Evaluate patient progress and document results in patient chart and department records
- Contributes effectively to discharge planning.
- Perform routine and assigned clinical and administrative tasks
- Exhibit a commitment to quality and process improvement
- Performs related duties, as requested.
- Upholds the Organization's ethics and customer service standards.
Requirements
Knowledge and Experience
- Bachelor’s degree in Psychology or related field with a CTRS certification.
- One year experience in a health care field with emphasis in activities and/or recreational therapy.
- Current BLS Certification.
- Current HWC (Handle with Care) or to be completed during initial orientation period.
- Knowledge of psychiatric and addictive disease diagnoses and treatment.
- Demonstrated group process, teaching or training skills.
- Experience in psychiatric care environment preferred.
Skills and Abilities
- Maintains confidentiality of patients at all times.
- Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds.
- Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint.)
- Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
- Strong written and verbal communication skills.
- Ability to work independently and as part of a team.
- Good judgment, problem solving and decision-making skills.
- Demonstrated commitment to working collaboratively as well as possessing the skills to lead, influence, and motivate others.
- Ability to work in a fast-paced, expanding organization.
Physical Requirements
While performing the duties of this job, this position is frequently required to do the following:
- Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
- Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.
- Give and follow verbal and written instructions with attention to detail and accuracy.
- Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.
- Vision: see details of objects at close range.
- Coordinate multiple tasks simultaneously.
- Reach forward, up, down, and to the side.
- Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
- Lift up to five (5) pounds.
Benefits
- Medical
- Dental
- Vision
- PTO
- California Sick Leave
- 401(k)
- $25,000 Life insurance policy is provided at no charge to the employee
(Eligibility varies between Full-Time, Part-Time, and Per Diem statuses)
From Northern California Behavioral Health System's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
Selected agencies hiring now
All agencies and apps →
Pioneer Healthcare ServicesTravel nursing agency
Places travel nurses, therapists, allied health and school-based professionals on contract assignments.
Places: Nurses, CNAs & PCTs, Therapy & rehab, Mental health

Health Carousel Travel NursingTravel nursing agency
Health Carousel's travel network (formerly Next Travel Nursing) places travel nurses and allied professionals at hospitals nationwide.
Places: Nurses, Allied health, Therapy & rehab, Imaging
These agencies and apps pay CareJobs.Now a referral fee when someone we introduce is placed or signs up. It costs you nothing and never changes your pay. Hospital and clinic jobs below keep their own order.
Sponsored jobs from job networks, which pay CareJobs.Now when you click one.
Free tools for this application: check your resume against this job, answer the application's questions or see every free tool.
New physical, occupational, speech and respiratory therapy jobs in California, by email
One email a week with the newest ones, straight from the employers' own careers sites, with the pay each posting states. Free, stop anytime.
About Northern California Behavioral Health System
Northern California Behavioral Health System hires nurses, mental health staff and front-office staff in California.
Hires in CaliforniaPay on its listings: shown on each listing that states it
More open jobs at Northern California Behavioral Health System
- Case Manager (Santa Rosa)$29.50–$37.24/hr
- Case Manager (Sacramento)$27.15–$32.52/hr
- Licensed Inpatient Therapist (Santa Rosa)$60.00–$69.44/hr
- Assistant Director of Nursing (Santa Rosa)
- Financial Counselor (Santa Rosa)$25.00–$31.56/hr
- Director of Nursing (Santa Rosa)$63.00–$75.00/hr
More physical, occupational, speech and respiratory therapy jobs
A licensed therapist?
One profile for every employer here. Hospitals, clinics and care companies ask us for people with a specific license, specialty, language or schedule: add yours once, and when a job fits, we introduce you, only with your yes. Free.
Northern California Behavioral Health System openings, sent to you weekly
Each week we send the newest postings from Northern California Behavioral Health System's own careers site, along with similar openings at other hospitals and care employers. It costs nothing and you can stop anytime.