PRN Occupational Therapist

Home of the Innocents•Louisville, KY
•Onsite

About The Position

Home of the Innocents is seeking a PRN Occupational Therapist to join the therapy team at the Kosair for Kids Complex Care Center, a specialized pediatric skilled nursing facility for medically complex children and young adults. The role delivers occupational therapy services, conducts evaluations, implements evidence-based treatment plans, documents progress, and collaborates with residents’ interdisciplinary care teams and families. Clinical activities may include fine motor skill development, sensory processing, upper-extremity range of motion, activities of daily living training, aquatic therapy, assistive technology, orthotics and splinting, and transportation assessments. The position is PRN and on-site, with flexible scheduling based on resident and staffing needs. Shifts may include days, evenings, nights, weekends, and holidays. The Occupational Therapist also supervises COTAs, contributes to care plans, and builds relationships with children and families in a trauma-informed environment.

Requirements

  • Master's or doctoral degree in Occupational Therapy, or 10 years of experience in the field of Occupational Therapy.
  • Board-certified Occupational Therapist with an unencumbered Kentucky OT license.
  • National Child Passenger Safety Certification, or ability to obtain it within the first year of employment.
  • Current CPR/Basic Life Support (BLS) certification; the employer will provide it if not current.
  • Strong interpersonal and motivational skills to build trauma-informed relationships.
  • Proficiency with EHR documentation and clinical communication workflows.
  • Strong analytical, clinical assessment, and critical-thinking skills.
  • Effective time management, prioritization, and teamwork in a fast-paced, 24/7 care environment.

Nice To Haves

  • At least 6 months of experience working with pediatric or young adult populations with developmental and intellectual disabilities and/or complex medical needs.
  • Experience in long-term care or complex care settings.
  • Experience with aquatic therapy, upper-extremity orthotics, assistive technology, and sensory processing treatment modalities.

Responsibilities

  • Provide occupational therapy using evidence-based interventions, including fine motor skill development, sensory processing, upper-extremity range of motion, ADL training and retraining, aquatic therapy, assistive technology, and orthotics or splinting.
  • Conduct comprehensive OT evaluations at admission, after significant changes in condition, upon return from hospitalization, and annually.
  • Document OT services in the EMR, including progress notes, certifications, recertifications, MDS assessments, care plan contributions, and discharge summaries.
  • Conduct Resident Transportation Assessments, establish resident-specific transportation plans, and train caregivers and guardians on transportation safety.
  • Clinically supervise COTAs in accordance with licensure requirements and support them in achieving resident-centered goals.
  • Collaborate with Physical Therapy, Speech Therapy, Nursing, and the broader interdisciplinary team to optimize functional outcomes.
  • Communicate effectively with legal guardians regarding resident progress and treatment plans.

Benefits

  • Competitive PRN hourly rate.
  • Flexible scheduling to work around existing commitments.
  • 401(k) available for eligible team members.
  • Training and certification opportunities.
  • Mission-driven, trauma-informed culture.
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