Lead Pediatric Occupational Therapist

Little Land Pediatric Therapy & Play Gym • Cedar Park, TX

10d • $72,000 - $78,000 • Onsite

About The Position

Little Land Pediatric Therapy & Play Gym is hiring a Lead Pediatric Occupational Therapist for its Cedar Park, Texas clinic. The role is an in-person, salaried, full-time position working Monday through Friday, 9:00 a.m. to 6:00 p.m., with a one-hour lunch. The Lead OT treats children from infancy through adolescence, supervises COTAs, mentors newer occupational therapists, and serves as a clinical resource for the OT team. The position reports to the Executive Clinical Director and works closely with the Administrative Director on patient scheduling.

The Lead OT collaborates with physical therapy, speech therapy, and ABA colleagues on shared clients, supports families with practical home programs, and ensures clinical documentation meets payer requirements. The role requires a background check and the ability to work at floor level and lift and move children and equipment while keeping up with active children. Little Land describes itself as an equal opportunity employer and welcomes applicants of all backgrounds.

Requirements

• Master's or Doctorate in Occupational Therapy from an ACOTE-accredited program.
• Active Texas OT license or eligibility for licensure, and NBCOT certification.
• At least 3 years of pediatric occupational therapy experience; outpatient clinic experience is preferred.
• Demonstrated leadership ability, such as supervising COTAs, mentoring therapists, or leading a clinical program.
• Strong skills in sensory processing, fine motor skills, self-care, and developmental play.
• Ability to complete a background check.
• Ability to work at floor level, lift and move children and equipment, and keep up with active children.

Nice To Haves

• Outpatient clinic pediatric OT experience.
• Training in feeding, handwriting, or sensory integration.

Responsibilities

• Evaluate and treat children from infancy through adolescence.
• Supervise COTAs in accordance with Texas occupational therapy rules, including co-treats, documentation review, and plan-of-care oversight.
• Mentor newer occupational therapists through case consultations, modeled sessions, and feedback.
• Write timely evaluations, plans of care, and progress notes that meet payer requirements.
• Coach families on practical home programs that support therapy in daily life.
• Collaborate with speech, physical therapy, and ABA teams on shared clients.
• Set a clinical example for the OT team through caseload management, documentation, and patient engagement.
• Develop and coach the COTAs and therapists the role supports, address conflict directly, and receive feedback constructively.

Benefits

• Base salary of $72,000–$78,000 based on experience, plus an uncapped quarterly productivity bonus.
• Salary is not reduced for administrative time, documentation, patient cancellations, or no-shows.
• Health, dental, and vision insurance, with Little Land covering 50% of premiums.
• Two weeks of paid time off.
• Nine paid holidays.
• CEU reimbursement paid by Little Land.
• A path toward clinical leadership as the OT department grows.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior