Occupational Therapist - Pediatrics - Home Health (PRN)
- PRN / per diem
- Driver's license
How this pay compares
This posting does not state an hourly rate. Open occupational therapist jobs in Tennessee post a median of $48.60 an hour, the middle half $43.25–$54.63, across 7 jobs that state their pay. Occupational therapists employed in Tennessee earn a median of $46.97 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 Tennessee: pay by town and employer
Medicare rating of Vanderbilt Home Care Services
Medicare gives Vanderbilt Home Care Services 3 of 5 stars for quality of patient care (Sep 2026; Tennessee's agencies average 3.7). 87% of its patients said the team communicated well (the middle US agency: 87%). Patients' ratings of their care, not employees' of the job. Its other agencies · Tennessee agencies by rating.
OSHA inspections here
OSHA inspected Vanderbilt University Medical Center in Nashville, TN on 13 May 2025 and cited 10 violations (7 serious), most under bloodborne pathogens (needlesticks and blood exposure), $5,425 in penalties as they stand. A citation says what OSHA found then, not how the site is now. Workplace injuries and OSHA citations.
Licensed in another state?
Tennessee 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 Tennessee license. (Occupational Therapy Compact Commission, 9 Nov 2026.) Every state's OT Compact status.
Physical, occupational, speech and respiratory therapy jobs in our research
- How long these jobs stay listed: Still listed at 7 days 87.4%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.22x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.7% · Stating an hourly rate 32.4%
From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.
Organization
VHCS Clinical - Pediatrics
Job Summary
JOB SUMMARY
Provides occupational therapy services to patients who have impairments, developmental disabilities, functional limitations, disabilities, or changes in physical function and health status resulting from injury, disease or other causes under occasional guidance. Actively collaborates with the health care/educational team to meet patient care, outcomes and system improvement objectives.
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Occupational Therapist - Pediatrics - Home Health (PRN)
Coverage area: Northern Metro Nashville
Help Children Thrive at Home
Vanderbilt Health is seeking a Pediatric Occupational Therapist to join our Home Health team serving infants, children, and adolescents throughout the Nashville Metro area.
This role is ideal for an OT with an interest in pediatrics, early intervention, infant development, feeding, sensory integration, and medically complex children. You'll provide one-on-one therapy in the home setting, helping children reach developmental milestones and maximize independence while partnering closely with families.
Many referrals originate from Monroe Carell Jr. Children's Hospital at Vanderbilt and include children with:
- Prematurity and NICU histories
- Developmental delays
- Neurological diagnoses
- Cardiac conditions
- Feeding and sensory challenges
- Genetic disorders
- Traumas and Post op orthopedic surgeries
- Medically complex and technology-dependent needs
Schedule & Opportunity
- Monday-Friday daytime hours
- No weekends or holidays
- Flexible scheduling
- This PRN position is anticipated to support a temporary staffing need beginning around May and may provide a consistent caseload of approximately 3-4 days per week, based on patient volume and business needs, as well as, supporting all OTs for backup and PTO coverage before and after the temporary leave.
Why Vanderbilt Home Health?
- Meaningful one-on-one care with children and families
- Typically 4-6 visits per day
- Competitive compensation structure (hourly)
- Mileage reimbursement
- Dedicated onboarding and clinical support
- Experienced pediatric leadership and mentorship
Training & Orientation
To support a successful transition into practice, PRN clinicians should be available for:
- New Hire Orientation (held on Mondays)
- EMR training (held on Mondays and Tuesdays)
- Clinical orientation approximately 3 days per week for 6-8 weeks, depending on experience
- Dedicated preceptor support during onboarding
Support in the Field
- Accessible managers available for clinical consultation and support
- GPS-enabled safety app provided
- Joint visits and co-treatments available when needed
- Experienced clinical leaders available for additional support
Key Responsibilities
- Evaluate and treat pediatric patients in the home setting
- Develop individualized treatment plans
- Provide developmental, sensory, motor, vision, and functional interventions
- Educate and coach parents and caregivers
- Collaborate with physicians, nurses, PTs, SLPs, social workers and case managers
- Complete timely electronic documentation
Qualifications
Required
- Graduate of an accredited Occupational Therapy program
- Minimum of one year of clinical practice with pediatric patients
- Tennessee Occupational Therapist license
- CPR certification
- Valid driver's license and reliable transportation
Preferred
- Pediatric Home Health, Acute Care, Early Intervention, NICU Follow-Up, Developmental Pediatrics, Pediatric Rehabilitation, or related pediatric experience
For more than 40 years, Vanderbilt Home Care Services has helped children and families receive exceptional care where it matters most: at home. If you're passionate about pediatric therapy and want to make a meaningful impact on children and families across Middle Tennessee, we'd love to hear from you.
Apply today and help children learn, grow, and thrive at home.
KEY RESPONSIBILITIES
- Analyzes comprehensive information from formal and informal assessment that is pertinent to the patient's care and management to determine a rehabilitation treatment diagnosis.
- Collaborates with stakeholders in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the rehabilitation continuum.
- Applies appropriate, evidence-based interventions to ensure effective outcomes and re-evaluates performance to assess patient's progress towards goals.
- Employs strategies to promote successful return to home, community, and school/vocational environments.
- The responsibilities listed are a general overview of the position and additional duties may be assigned.
TECHNICAL CAPABILITIES
- Rehab Therapist Patient Documentation (Novice): Demonstrates proficiency in documentation practices. Documents in the appropriate templates and utilizes only approved abbreviations within patient documentation. Meets institutional standards for quality and timeliness of documentation.
- Physical/Occupational Therapist Patient Education (Novice): Demonstrates proficiency in communicating functional impact of assessment findings, treatment interventions, treatment planning diagnosis, and disease process. Considers the communication needs/level of understanding of audience and may share appropriate information/literature. May supervise, educate and train students from professional programs of physical therapy, occupational therapy and athletic training.
- Treatment Planning & Goal Setting (Novice): Demonstrates sufficient proficiency in developing a plan of care that incorporates treatment interventions focused on meeting objective goals. Develops and documents patient focused short and long term goals that are functional and measurable. Identifies the need for and referral to other services, as needed.
- Treatment Implementation (Fundamental Awareness): Demonstrates proficiency in providing treatment consistent with physician prescription and established plan of care. Able to modify treatment plan as needed to demonstrate provision of skilled therapy services including progression of treatment throughout course of care, and revision of treatment interventions of goals not met. May supervise and direct certified athletic trainers (PT only), physical therapist / occupational therapist assistants, technicians and volunteers and students. Selects and follows correct protocol for care and utilize evidence based treatments.
- Rehabilitation Therapist Patient Evaluation (Novice): Demonstrates proficiency in evaluating patients with physical deficits including impairments, developmental disabilities, functional limitations, disabilities, or changes in physical function by obtaining information pertinent to the assessment and administering and scoring standardized tests and objective measures of deficit areas. Selects appropriate measures and performs a functional assessment to document patient's status requiring skilled therapy. Interprets the results of the assessment and their significance to the patient, family, referring physician and other members of the health care team.
Allied health is among the fastest growing occupations in healthcare today. This area can be defined as credentialed professionals who perform supportive, diagnostic, and therapeutic health care services to promote health and prevent disease in a variety of settings.
These areas are crucial to Vanderbilt Health’s reputation for excellence in these areas that has made us a major center for patient referrals from throughout the Mid-South.
Each year, people throughout Tennessee and the southeast choose Vanderbilt Health for their health care because of our leadership in medical science and our dedication to treating patients with dignity and compassion.
Core Accountabilities:
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.
Core Capabilities :
Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
Position Qualifications:
Responsibilities
Certifications:
LIC-Occupational Therapy License - Licensure-Others
Work Experience:
Relevant Work Experience
Experience Level :
1 year
Education:
Bachelor's
This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
From Vanderbilt University Medical Center's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Vanderbilt University Medical Center
Vanderbilt University Medical Center is an academic medical center in Nashville, TN, with a workforce of about 43,000 (source: Vanderbilt Health, Facts about Vanderbilt University Medical Center (Impact in Action 2026)), 2,193 (source: Vanderbilt Health, Facts about Vanderbilt University Medical Center (Impact in Action 2026)) licensed hospital beds, and clinics and facilities throughout Middle Tennessee. Source: Vanderbilt Health, Facts about Vanderbilt University Medical Center (Impact in Action 2026)
Based in Nashville, TNHires in TennesseePay on its listings: 3.2% of its open jobs state an hourly rate
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