Occupational Therapist (Supervisor)

Aspire Therapy & Development Services; Madison (WI); On-site; USD 78,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Long-term disability

Job summary

Aspire Therapy & Development Services in Madison, WI seeks an experienced Occupational Therapist (OTR/L) to lead a small COTA team, perform evaluations, develop plans of care, and supervise clinical practice. You will delegate appropriately, mentor staff, and ensure regulatory compliance.

Ideal candidates bring pediatric OT expertise, strong communication, and a commitment to professional growth within a collaborative, family-centered clinic.

Qualifications

• Current Wisconsin Occupational Therapy license or eligibility for license.
• Experience in a pediatric setting preferred but not required.
• Demonstrated experience supervising or mentoring COTAs or OTs.
• Willingness to grow in your skills.

Responsibilities

• Evaluations & Plans of Care: Conduct comprehensive initial evaluations for children and establish POC with goals for COTA delegation.
• COTA Supervision & Leadership: Provide direct/indirect supervision and clinical guidance to 2–3 COTAs in compliance with licensure.
• Delegation & Caseload Management: Assign patient caseloads and treatment interventions based on competencies.
• Documentation Review & Compliance: Audit and co-sign COTA notes and reports for medical necessity and insurance compliance.
• Re-Evaluations & Goal Adjustments: Perform periodic re-evaluations and adjust goals with COTAs.
• Multidisciplinary Collaboration: Coordinate holistic care with families and external providers.
• Clinical Expertise & Education: Provide pediatric OT expertise and ongoing education to staff.
• Quality & Staff Development: Conduct competency evaluations and ensure adherence to standards.

Skills

Pediatric OT supervision

Clinical leadership

Documentation review

Mentorship

Education

Wisconsin OT license

Job description

Aspire Therapy & Development Services, a leading multidisciplinary pediatric therapy clinic, is seeking a skilled and collaborative Occupational Therapist (OTR/L) to serve in a key clinical leadership role, combining targeted patient care with direct supervisory oversight of a dedicated team of 2–3 Certified Occupational Therapy Assistants (COTAs). In this position, you will lead client evaluations, establish individualized plans of care, and manage clinical delegation while providing structured mentorship, documentation oversight, and ongoing professional development to your COTA team. The ideal candidate blends clinical excellence with strong communication skills, ensuring full regulatory compliance and empowering team members to deliver exceptional, patient-centered outcomes.

At Aspire, we work as a team, supporting one another in providing the best evidence-based treatment approaches for our clients. We are an organization committed to professionalism, growth, and fun!

• We are a therapist- and family-owned private practice with a stellar reputation in the community.
• Mentorship is a priority as we match experienced clinicians who collaborate and supervise new clinicians!
• We look for professional clinicians with a collaborative and mentoring attitude!
• Growth and leadership opportunities available!
• We support you in reaching your professional goals and in exploring your passion areas within the field.

Primary Responsibilities

• Evaluations & Plans of Care: Conduct comprehensive initial evaluations for children with physical and/or developmental delays, establishing individualized Plans of Care (POC) and identifying appropriate goals for COTA delegation.
• COTA Supervision & Leadership: Provide direct and indirect supervisory oversight, mentorship, and clinical guidance to 2–3 Certified Occupational Therapy Assistants (COTAs) in compliance with state licensure and practice acts.
• Delegation & Caseload Management: Assign patient caseloads and specific treatment interventions to COTAs based on their demonstrated clinical competencies, patient needs, and facility workflows.
• Documentation Review & Compliance: Audit, review, and co-sign COTA session notes, progress reports, and treatment updates to maintain high documentation standards, medical necessity, and insurance compliance.
• Re-Evaluations & Goal Adjustments: Perform required periodic re-evaluations and collaborate closely with assigned COTAs to modify treatment strategies, adapt clinical goals, or plan for discharge.
• Multidisciplinary Collaboration: Partner with the Aspire team, families, and external providers to coordinate holistic, family-centered care, referring patients to other internal disciplines for consultation and evaluation as indicated.
• Clinical Expertise & Education: Provide specialized pediatric OT expertise, case consultations, and ongoing clinical education to the COTA team and the broader multidisciplinary staff.
• Quality & Staff Development: Conduct clinical competency evaluations for supervised COTAs, support their professional growth, and ensure all care meets regulatory standards and clinic quality benchmarks.

Requirements

• Current Wisconsin Occupational Therapy license or eligibility for license.
• Experience in a pediatric setting or in a clinical rotation is preferred but not required.
• Demonstrated successful experience supervising or mentoring COTA(s) or OTs.
• Willingness to grow in your skills.

Benefits

• 100% company-paid health, dental, vision, life, and long-term disability insurance.
• 401k retirement plan with company match.
• Immediate paid vacation and sick time.
• Annual continuing education.
• No night or weekend hours.
• Reasonable case loads with high support, mentorship, and collaborative environment.

We offer a competitive salary, commensurate with experience.

About Aspire Therapy And Development Services

Aspire Therapy’s mission is to help children develop the skills needed to thrive and reach their highest potential. Aspire delivers child-specific and family-focused pediatric therapy services that focus on improving skills for communication, daily living, social interaction, sensory and emotional regulation, physical coordination, strength, movement, and more. As a family-owned, multi-clinic company with 20+ licensed pediatric speech-language, occupational, physical, behavioral, and mental health therapists, Aspire serves hundreds of children each year. Madison is the vibrant center of education, business, and government in south-central Wisconsin. Known for its beautiful lakes, trails, parks, and restaurants, residents embrace the numerous opportunities for recreation and community.