Occupational Therapist (OT)

Pacific Heights Transitional Care Center; San Francisco (CA); On-site; USD 91,000 - 105,000; Full time

Benefits offered by this job

Competitive pay (66–76 USD/hr)

PRN with flexible schedule

Premier SF location 94115

Job summary

Pacific Heights Transitional Care Center in San Francisco, CA seeks a licensed Occupational Therapist on a PRN basis. The role offers premium hourly compensation, flexible scheduling, and a meaningful position in a premier SNF rehabilitation team.

Provide evaluations, develop and manage care plans, and coordinate with physicians and families to optimize resident function and independence.

Qualifications

• Current, active California OT license required.
• Graduate from an accredited OT program (Bachelor/Master/Doctorate).
• NBCOT certification required.
• CPR/BLS certification current or willingness to obtain.
• Continued CE compliance with CA OT Board.
• Experience in skilled nursing or post‑acute care preferred.
• Strong verbal and written communication; professional judgment.

Responsibilities

• Conduct comprehensive OT evaluations and re-evaluations per physician orders.
• Develop and modify individualized plans of care with measurable goals.
• Deliver therapeutic interventions addressing ADLs/IADLs and related skills.
• Recommend adaptive equipment and environmental modifications.
• Supervise OTAs per CA law and facility policy.
• Lead discharge planning and transition of care coordination.

Skills

CPR/BLS certification

Communication skills

Clinical judgment

Team player

Education

Licensure CA Occupational Therapist

Accredited OT program (Bachelors/Masters/Doctorate)

NBCOT certification

Job description

Occupational Therapist (OT) | PRN | San Francisco, CA | $66 - $76/Hour

Lead the Clinical Vision. Work in One of San Francisco's Most Iconic Neighborhoods.

Pacific Heights Transitional Care Center is hiring a licensed Occupational Therapist on a PRN basis in San Francisco, California. If you are a clinician who wants premium hourly compensation, schedule flexibility, and meaningful work in one of the most desirable clinical locations in Northern California, this is the role for you.

Bring your full evaluation and clinical leadership expertise to an established Skilled Nursing rehabilitation team dedicated to restoring function, independence, and confidence for every resident they serve.

Our Mission:

We are professionals committed to serving others, nurturing life, and promoting an individual's ability to thrive.

Why Clinicians Choose Pacific Heights Transitional Care Center:

Compensation

• Hourly pay range: $66.00 to $76.00 per hour, commensurate with experience
• Among the most competitive PRN Occupational Therapist rates in the San Francisco market
• A pay ceiling of $76.00 per hour that reflects the clinical complexity, cost of living, and market demand of one of California's most competitive healthcare labor markets

Schedule and Flexibility

• PRN arrangement for clinicians who want maximum flexibility
• Work as much or as little as your life requires
• No long‑term schedule commitments required for PRN arrangements

Clinical Environment

• A collaborative, mission-driven rehabilitation team that takes pride in resident outcomes
• Full clinical autonomy to evaluate, direct, and manage individualized plans of care
• Oversight of COTAs and support staff in accordance with California state law and professional standards
• A well-supported Skilled Nursing setting with the leadership and resources to help you do your best work
• Meaningful, direct impact on resident function, independence, and quality of life
• A premier Pacific Heights location in San Francisco's 94115 zip code, one of the city's most sought‑after neighborhoods

The Role

The Occupational Therapist is a licensed healthcare professional responsible for the evaluation, development, implementation, and oversight of individualized occupational therapy plans of care. This position is classified as Non-Exempt and reports to the Director of Rehabilitation and the Facility Administrator.

Core responsibilities include:

• Conducting comprehensive occupational therapy evaluations and re-evaluations in accordance with physician orders and California standards of practice
• Developing, implementing, and modifying individualized plans of care with measurable, function-based goals
• Delivering skilled therapeutic interventions addressing ADLs, IADLs, neuromuscular re-education, upper extremity rehabilitation, cognitive retraining, sensory integration, visual-perceptual skills, and adaptive strategies
• Assessing and recommending adaptive equipment, assistive devices, splints, orthotics, and environmental modifications to enhance independence and safety
• Fabricating and training patients in the use of splints or adaptive devices as clinically indicated and within scope of practice
• Monitoring patient progress and modifying treatment plans based on clinical response and objective outcomes
• Reviewing patient medical history, conducting patient interviews, and observing functional task performance
• Evaluating patient home or workplace environments and recommending modifications based on health and functional needs
• Leading discharge planning and transition‑of‑care coordination to promote successful reintegration into home and community environments
• Communicating evaluation findings, progress updates, and discharge outcomes to physicians, interdisciplinary team members, patients, and families
• Educating patients, families, employers, and caregivers on how to accommodate and support the patient's functional needs
• Supervising and directing Occupational Therapist Assistants in accordance with California state law and professional regulations
• Providing appropriate oversight to rehabilitation aides, students, and volunteers as assigned
• Completing timely, accurate, and compliant documentation consistent with federal, state, payer, and organizational requirements
• Participating in care conferences, quality assurance initiatives, and collaborative planning as requested
• Maintaining compliance with HIPAA, patient rights, OSHA, infection control, and all applicable California state practice standards
• Treating all residents with dignity, respect, and compassionate professionalism

Physical requirements include the ability to assist with patient transfers, upper extremity handling and positioning techniques, mobility assistance, repositioning and supporting patients with or without assistive devices, prolonged standing, walking, bending, reaching, kneeling, and stair navigation. The ability to assist in resident evacuation during emergency situations is also required.

What You Bring

• Current, active, and unrestricted Occupational Therapist license in the State of California — required (pending licensure considered)
• Graduate of an accredited Occupational Therapy program (Bachelor's, Master's, or Doctorate) — required
• Successful completion of the National Board for Certification in Occupational Therapy (NBCOT) — required
• Current CPR/BLS certification (or willingness to obtain per facility policy)
• Ongoing compliance with continuing education requirements established by the California Occupational Therapy Board
• Experience in a skilled nursing, post-acute, hospital, or related medical setting — strongly preferred
• Excellent verbal and written communication skills with the ability to exercise sound clinical judgment
• Composure and professionalism in dynamic, fast-paced clinical environments
• Strong organizational skills and the capacity to make independent clinical decisions
• A team-first mindset and a genuine passion for skilled nursing and post-acute care

Equal Opportunity and Accommodation

Pacific Heights Transitional Care Center is proud to be an Equal Opportunity Employer. We are committed to a workplace free from discrimination based on race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity, or any other characteristic protected under applicable federal, state, or California law.

In accordance with the Americans with Disabilities Act and the California Fair Employment and Housing Act, we provide reasonable accommodations to qualified applicants and employees with disabilities. If an accommodation is needed during the application or hiring process, please contact Human Resources or your facility Administrator.

Employment with Pacific Heights Transitional Care Center is at-will. Duties, schedule, and work location may be adjusted based on facility needs or any other lawful reason.

Pacific Heights Transitional Care Center is located in the 94115 zip code of San Francisco, California, in the Pacific Heights neighborhood, proudly serving the greater San Francisco community.

At Pacific Heights Transitional Care Center in San Francisco, CA, we’ve reimagined skilled nursing and rehabilitation by putting people first, both residents and employees. Our nurses, therapists, and support staff are empowered to deliver individualized care plans, advanced therapies, and meaningful outcomes without feeling like just another number in a system. Serving families throughout San Francisco County, we provide short‑term rehabilitation and long‑term care focused on faster recovery, stronger outcomes, and a truly supportive environment. For our team, that means working in a setting that values clinical excellence, collaboration, and respect. We prioritize manageable workflows, strong leadership support, and a culture where your voice matters. Whether you’re at the bedside, in therapy, or supporting operations, you’ll be part of a group that’s committed to doing things differently—and doing them right. Conveniently located near local hospitals, our community offers not only a great place for residents to heal, but a place where professionals can grow, feel appreciated, and build a career with purpose.