Occupational Therapist

Carolina School Services (CSS) is hiring a Pediatric Occupational Therapist (OT) to join our growing Wake Forest clinic team. This role is a great fit for an OT who loves functional, engaging pediatric therapy and wants flexibility now with the opportunity to build into a consistent, full-time caseload over time. 

• Clinic-based pediatric OT (birth–21; caseload tailored to your strengths) 
• Focus areas may include fine/visual motor skills, sensory processing, self-regulation, ADLs, executive functioning, and school readiness 
• Opportunities for 1:1 sessions and potential small groups as the program grows 
• Part-time to start, with room to grow into full-time as referrals build 
• Flexible schedule — choose your consistent days/times (after-school and daytime options) 
• Supportive team culture + strong administrative systems 

Compensation & Pay Structure 

• $55–$65/hour (based on certifications, experience, and licensure) 
• 1099 independent contractor 
• Option to transition to W-2 as hours increase / schedule becomes more consistent

Responsibilities 

• Provide pediatric OT evaluations and treatment in an outpatient clinic setting 
• Develop individualized plans of care with measurable, functional goals 
• Provide interventions targeting fine motor/handwriting, visual-motor integration, sensory processing, regulation, coordination, and ADLs (as appropriate) 
• Educate caregivers and provide practical home-program strategies for carryover 
• Document evaluations, daily notes, progress updates, and discharge summaries in a timely manner 
• Collaborate with clinic team members (SLP, mental health clinicians, learning specialists) to support whole-child goals 

Qualifications (Required) 

• NC OT license (active or eligible) 
• Pediatric experience preferred (clinic, school, EI, daycare, etc.) or strong interest in pediatrics