ECI Occupational Therapist

Metrocare Services•Hillside, NY

About The Position

Metrocare Services’ Early Childhood Intervention (ECI) program provides developmental therapies and service coordination to eligible children from birth to age 3 who have significant developmental delays or disabilities under IDEA Part C. Services are delivered in natural environments, including homes, daycares, community settings, and through telehealth. The program uses a coaching model that works with primary caregivers rather than providing one-to-one treatment solely with the child and therapist. The Occupational Therapist provides motor development therapy, assessments, education, planning, and support to ECI children and families. The role works with infants, toddlers, routine caregivers, and an interdisciplinary team to support children’s developmental goals and independence.

Requirements

  • Master’s degree in Occupational Therapy from an accredited program.
  • At least 2 years of experience working with infants and/or families in an employment or volunteer capacity.
  • Licensed and registered as an Occupational Therapist by the Texas Board of Occupational Therapy Examiners.
  • Ability to speak in front of unfamiliar people.
  • Ability to develop and manage a daily therapy and evaluation schedule.
  • Basic math skills.
  • Ability to use a computer, printer, and relevant software, including Word, Excel, Outlook, and PowerPoint, and to use the Internet for resources.
  • Ability to apply common-sense understanding to simple one- or two-step instructions and to deal with standardized situations with only occasional or no variables.
  • Conduct job responsibilities in accordance with ethical standards, state contract requirements, applicable professional standards, and state and federal laws.

Nice To Haves

  • Proficiency in Spanish and/or American Sign Language.

Responsibilities

  • Develop, implement, and provide individual motor therapy to infants, toddlers, and routine caregivers in inclusive and natural settings using the Coaching delivery model.
  • Provide consultation and therapy services to caregivers and families as specified in the child’s Individualized Family Service Plan (IFSP) and assigned through internal referral procedures.
  • Organize the caseload and schedule services with assigned families.
  • Evaluate, develop, and provide assistive technology and adaptive equipment to support daily living skills and independence according to children’s developmental goals.
  • Participate in interdisciplinary eligibility determinations for the ECI program using standardized evaluation protocols established by the HHSC ECI State Office.
  • Use discipline-specific assessment tools to determine appropriate occupational therapy services for infants and toddlers.
  • Coordinate with and provide consultation or training to other interdisciplinary team members as needed.
  • Complete accurate and timely service documentation, including progress notes and assessment records, by 11:59 p.m. of the following business day.
  • Deliver services in accordance with ECI principles for natural environments, coaching, and teamwork with other ECI services and providers.
  • Comply with ECI of Metrocare and HHSC ECI State policies and procedures.
  • Support Certified Occupational Therapist Assistants, students, and interns as assigned.
  • Attend regularly scheduled ECI team meetings and OT/PT team meetings.
  • Perform other duties as assigned.

Benefits

  • Competitive salary
  • Medical, dental, and vision benefits
  • Paid time off
  • Paid holidays
  • Employee Assistance Program
  • Retirement plan with employer matching
  • Health Savings Account with employer matching
  • Professional development allowance up to $2,000 per year
  • Bilingual stipend of 6% of base salary
  • Exceptional training
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service