Occupational Therapist (OT)

The Avenues Transitional Care Center; San Francisco (CA); On-site; USD 58,000 - 96,000; Part time

Job summary

The Avenues Transitional Care Center is seeking a licensed Occupational Therapist for a PRN role in San Francisco, CA. You will evaluate, plan, and deliver OT services to residents in a skilled nursing setting, with control over your schedule and premium per-diem compensation.

Responsibilities include comprehensive evaluations, treatment planning, and discharge coordination, addressing ADLs/IADLs, cognition, and upper-extremity rehab. CA licensure, NBCOT, and BLS/CPR are required or in progress.

Qualifications

• Active California OT license required; license pending considered.
• OT degree from an accredited program (Bachelors, Masters or Doctorate).
• NBCOT certification completed and current.
• CPR/BLS certification, or willingness to obtain per policy.
• Ongoing continuing education compliance with CA OT Board.
• Experience in SNF/post-acute or related medical setting preferred.
• Strong verbal and written communication with sound clinical judgment.

Responsibilities

• Conduct comprehensive OT evaluations and re-evaluations per physician orders and CA standards.
• Develop, implement, and modify individualized plans of care with measurable goals.
• Deliver interventions addressing ADLs, IADLs, cognition, and upper-extremity rehab.
• Assess and recommend adaptive equipment, splints, orthotics, and environmental mods.
• Fabricate and train patients on splints or adaptive devices when indicated.
• Monitor progress and adjust treatment plans based on outcomes.
• Lead discharge planning and coordination for home/community reintegration.
• Communicate findings and progress to physicians, team, patients, and families.

Skills

Communication skills

Education

California OT license

OT degree (Bachelor/Master/Doc)

NBCOT certification

CPR/BLS certification

Job description

Occupational Therapist (OT) | PRN | The Avenues Transitional Care Center | San Francisco, CA | $65 to $70/Hour

Make a Real Impact. Elevate Every Resident's Potential. On Your Schedule.

The Avenues Transitional Care Center is hiring a licensed Occupational Therapist on a PRN basis in San Francisco, California. If you are a clinician who wants full control over your schedule, premium per-diem compensation, and a collaborative rehabilitation environment where your clinical expertise genuinely matters, this role was designed for you.

We serve residents in a Skilled Nursing setting in the 94116 neighborhood of San Francisco, and we are committed to the belief that every individual deserves the highest quality of life possible.

Our Mission:

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

Why PRN Clinicians Choose The Avenues Transitional Care Center:

Compensation

• Hourly pay range: $65.00 to $70.00 per hour, commensurate with experience
• Among the most competitive PRN Occupational Therapist rates available in San Francisco and the greater Bay Area market
• A pay ceiling of $70.00 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

• True PRN flexibility with scheduling built entirely around your availability
• Work as much or as little as your life requires
• No long-term schedule commitments required

Culture and Career

• A collaborative, supportive therapy team that genuinely invests in one another
• Clinical leadership opportunity with oversight of OTAs, rehabilitation aides, students, and volunteers
• Meaningful, measurable impact on resident outcomes and quality of life across ADLs, IADLs, cognitive function, and upper extremity rehabilitation
• A stable, professionally managed environment aligned with federal, state, and local care standards
• The professional and personal benefits of working in one of the world's most vibrant and culturally rich cities

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

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

Equal Opportunity and Accommodation

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

The Avenues Transitional Care Center is located in the 94116 zip code of San Francisco, California, in the West of Twin Peaks neighborhood, proudly serving residents throughout the city and greater Bay Area.

At The Avenues 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.