Lead Occupational Therapist - Pediatrics & Young Adults

Home of the Innocents; Louisville (KY); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) with employer match

Training & certification opportunities

Leadership role with clinical impact

Job summary

Home of the Innocents in Louisville, KY seeks a Lead Occupational Therapist to oversee OT services at the Kosair for Kids Complex Care Center. You will lead the OT team, mentor staff, and partner with the VP of Therapy to drive high-quality, resident-centered care.

The role requires a master's/doctorate in OT, KY license, and a minimum year of OT experience; CPR/BLS; you’ll perform evaluations, develop treatment plans, and ensure compliant documentation and billing.

Qualifications

• Master's or Doctoral degree in Occupational Therapy is required.
• Board-certified OT license in Kentucky required or eligible.
• Minimum 1 year of clinical OT experience.
• National Child Passenger Safety Certification or ability to obtain within first year.

Responsibilities

• Lead and supervise OT team (OTs and COTAs) to achieve resident-centered goals.
• Conduct comprehensive OT evaluations and develop evidence-based treatment plans.
• Document progress in the EMR and support billing and care planning.
• Collaborate with interdisciplinary team to optimize functional outcomes for residents.

Skills

Board-certified OT

Leadership & mentoring

EHR proficiency

Education

Master's or Doctoral degree in Occupational Therapy

Tools

KY OT license

Job description

Are you an experienced Occupational Therapist ready to step into a leadership role where your clinical skill and collaborative instincts shape not just individual care plans - but an entire therapy team? Home of the Innocents is seeking a Lead Occupational Therapist to oversee and deliver high-quality occupational therapy services at the Kosair for Kids Complex Care Center, our pediatric skilled nursing facility for medically complex children and young adults.

In this role, you'll carry a caseload and lead the OT team - mentoring therapists and COTAs, partnering with the VP of Therapy, and driving the clinical and operational outcomes that improve the lives of our residents every day.

A Day in the Life

Your days are split between the residents and your team. You'll conduct evaluations, implement evidence-based treatment plans, and document progress, while also supervising OTs and COTAs, coordinating with the interdisciplinary team, and contributing to care planning and billing. You might be working through a transportation assessment with one resident, troubleshooting a splint fit with a COTA, and collaborating with nursing on a change-in-condition case within the same day! This is hands-on leadership at its best.

Schedule:

Full-time, 30 hours per week. Core hours are Monday - Friday, 7:00 AM - 5:00 PM with flexible scheduling to meet departmental needs. Friday availability is required

How This Position Contributes to Our Mission

• Deliver evidence-based occupational therapy services - fine motor development, sensory processing, ADL training, aquatic therapy, assistive technology, and orthotics/splinting - to residents with complex medical needs including enteral feedings, tracheostomies, and ventilator dependency
• Conduct comprehensive OT evaluations at admission, following significant changes in condition, upon return from hospitalization, and annually
• Supervise Occupational Therapists and COTAs in accordance with licensure requirements, mentoring and supporting them to achieve resident-centered goals
• Document OT services in the EMR - progress notes, certifications, MDS assessments, Care Plan contributions, and discharge summaries - and ensure accurate, timely billing
• Conduct Resident Transportation Assessments and establish resident-specific transportation plans; train caregivers and guardians on transportation safety
• Collaborate with PT, ST, Nursing, and the broader interdisciplinary team to optimize functional outcomes for each resident

Skills and Qualifications

Required:

• Master's or Doctoral degree in Occupational Therapy, OR 10 years of experience in the field
• Board-certified, unencumbered Occupational Therapist (OT) license in Kentucky
• Minimum 1 year of clinical OT experience
• National Child Passenger Safety Certification, or ability to obtain within first year of employment
• Current CPR/Basic Life Support (BLS) - provided by employer if not current
• Strong interpersonal, analytical, and clinical assessment skills
• Proficiency with EHR documentation and clinical communication workflows

What You'll Receive as a Valued Member of Home of the Innocents

• Comprehensive benefits package (Medical, Dental, Vision, AD&D, and Life)
• Generous leave time to ensure work-life balance
• 401(k) with employer match
• Training and certification opportunities
• A leadership role with real clinical impact - shaping the care team that serves Kentucky's most medically complex children

Who We Are

Home of the Innocents is one of Louisville's longest-serving non-profit organizations, approaching 150 years of service to children and families. Our mission is simple and clear: to enrich lives with hope, health, and happiness.

We are a trauma-informed organization, prioritizing safety, recovery, and strong relationships in everything we do. Our leadership is committed to building a workforce grounded in compassion, excellence, empowerment, and wellness.

We are an organization growing to meet the needs of children and young adults in our community - expanding our programs and investing in our campus, including the addition of a new wing at the Kosair for Kids Complex Care Center that will double our capacity to serve medically complex individuals.

Our Impact

• 3,976 children and families served in 2025
• 22-acre campus located near downtown Louisville
• Second largest Residential Treatment Program in Kentucky
• Only dedicated emergency shelter for children in the city
• 10 programs supporting children and families across a range of needs, including: Therapeutic and residential treatment, emergency shelter, foster care and adoption support, and community-based behavioral health services
• Kosair for Kids Complex Care Center: Kentucky's only pediatric skilled nursing facility providing residential and respite care for children and young adults with complex medical needs.