
WHY THRIVE THERAPIES
School-based OTs are fundamental to inclusive education, yet many practice in isolation, with insufficient time for collaboration and consultation. You're often pulled between direct service demands and the systems work that actually prevents deficits.
Thrive partners with districts that view occupational therapy as integral to school-wide accessibility. You'll work in environments where your expertise in fine motor, sensory integration, self-care, and environment adaptation is valued at the planning level — not just for individual IEPs. You'll have time for classroom consultation, collaborative activities design, and peer mentoring.
As a School-Based Occupational Therapist, you assess and treat students K–12 with physical, developmental, sensory, and learning challenges that impact educational function and independence. You design individualized interventions targeting fine motor skills, sensory processing, self-care routines, and learning environment modifications to support academic engagement and social participation.
KEY RESPONSIBILITIES
Conduct comprehensive OT evaluations including fine and gross motor assessment, sensory processing screening, self-care functional capacity, and learning readiness
Develop and implement individualized IEP goals focused on school function: handwriting, self-feeding, self-care routines, classroom participation, and independence
Deliver direct and consultative occupational therapy services including fine motor skill development, sensory integration activities, and environmental modifications
Design classroom-wide and school-wide sensory breaks, movement activities, and accommodations to support learning and self-regulation
Collaborate with special education, physical therapists, and classroom teachers on positioning, adaptive equipment, and accessibility solutions
Assess and recommend adaptive equipment, assistive technology, and learning environment modifications
Participate in IEP/ARD meetings and contribute to transition planning for secondary students
REQUIRED QUALIFICATIONS
Master's degree in Occupational Therapy from an ACOTE-accredited program
NBCOT certification (OTR) required; Occupational Therapy License (OTL) in assigned state
Valid, unrestricted state licensure/certification as an Occupational Therapist
Proof of immunization status and background check clearance per school district requirements
PREFERRED QUALIFICATIONS
2+ years of school-based OT experience (new graduates welcome with structured mentorship)
Training in sensory integration and processing (Ayres Sensory Integration preferred)
Experience with adaptive equipment, assistive technology, and accessibility assessment
Experience with autism spectrum disorder and complex physical disabilities
Bilingual capability a meaningful plus — premium compensation applies

Thrive is on a mission to revolutionize the care of children with disabilities. We provide results-driven services and intelligent tools to support children’s development, well-being, and health.
At the heart of this mission are the people who change the trajectories of children’s lives. We work for them.