Occupational Therapy Assistant/Executive Functioning Coach - Contract/1099

Blackbird Health; Pennsylvania; Hybrid; USD 41,000 - 48,000; Full time

Job summary

Blackbird Health is seeking an Occupational Therapy Assistant/Executive Functioning Coach on a contract/1099 basis. The role focuses on executive functioning, organization, planning, time management, and daily living skills for children and families, delivered through a hybrid model with at least 1 day per week in a PA office.

The ideal candidate has an OTA degree and active OTA licensure, plus 2+ years in pediatric settings; telehealth or behavioral health experience is a plus.

Qualifications

• Associate degree from an accredited OTA program and active OTA license.
• At least two years of pediatric OT experience; telehealth or behavioral health experience is a plus.
• Experience in a multidisciplinary team setting and collaboration with professionals.

Responsibilities

• Deliver 6–10 weekly coaching sessions targeting executive functioning skills (45 min + 15 min notes).
• Complete timely documentation for each session.
• Create and provide family resources, handouts, strategies, and guides to reinforce skills.
• Participate in weekly team meetings (about 60 minutes).
• Maintain a clinical schedule with weekday evenings and occasional weekend availability.
• Deliver services in a hybrid model, with PA office presence at least 1 day per week.

Skills

Communication

Team collaboration

EMR navigation

Evidence-based practice

HIPAA compliance

Adaptability

Growth mindset

Clinical translation

Executive functioning coaching

Education

OTA degree

OTA licensure

Tools

EMR systems

Job description

Occupational Therapy Assistant/Executive Functioning Coach - Contract/1099

About Blackbird Health

Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, and New Jersey—and we’re growing into new markets in 2026.

At Blackbird, we take a whole-child approach, looking at how the brain, body, and behavior interact to address the root causes of challenges, not just the symptoms. Every role matters here, and you’ll join a collaborative, supportive, and innovative team that’s shaping the future of pediatric mental health care. If you’re passionate about helping children and families while growing your career, Blackbird is the place to make an impact.

Join us and help change mental health care for children for the better!

Position Summary

Under the direction of the Senior Director of Specialty Services, the Occupational Therapist Assistant/Executive Functioning Coach provides evidence-based interventions to support executive functioning, emotional regulation, and real-world participation for children, adolescents, and their families. This role goes beyond traditional occupational therapy by focusing on helping individuals build practical, day-to-day skills such as organization, planning, time management, and independence across home, school, and social environments. Through close collaboration with an interdisciplinary team, you will develop and implement individualized, skills-based care plans that drive meaningful functional outcomes for new and existing Blackbird patients.

As part of a fast-growing, innovative startup, you’ll have the opportunity to contribute to the development of cutting-edge, interdisciplinary care models and help shape the future of behavioral and developmental healthcare.

Enjoy the hybrid environment, working in one of our PA offices for a minimum of 1 day a week.

What makes you, you:

• Strong communication, interpersonal, and organizational skills.
• Demonstrate ability to work effectively in a collaborative, interdisciplinary environment.
• Proficient in navigating electronic medical record systems and related technology.
• Commitment to evidence-based practice and continued professional development.
• Ability to maintain confidentiality according to HIPAA regulations.
• Flexibility and initiative to adapt in a dynamic, innovative work environment.
• Receptive to clinical feedback and committed to professional growth.
• Ability to translate clinical insights into practical, real-life strategies for patient and families
• Interest in or experience providing executive functioning coaching, supporting skills such as organization, time management, planning, and follow-through

How you’ll make an impact:

• Deliver a set number (6-10) of weekly coaching sessions targeting executive functioning skills (45 min + 15 min documentation)
• Complete timely documentation
• Create and provide family support resources, including handouts, strategies, and guides to reinforce skills between sessions
• Participate in weekly team meetings (approximately 60 minutes per week).
• Maintain a clinical schedule that includes a combination of weekday evening session times (3–7 pm) and weekend availability, as needed

The basics you’ll need:

• Education: Associate degree from an accredited Occupational Therapy Assistant (OTA) program.
• Licensure: Current, active Occupational Therapy Assistant (OTA) license any state (or eligibility for licensure).
• Experience: At least two years of experience providing occupational therapy services in a pediatric or multidisciplinary setting preferred; experience with telehealth, behavioral health, or executive functioning support is a plus.

Salary Range

$30 - $35 USD

To raise the standard of pediatric mental health care through accurate understanding and precise treatment that reflect how each child’s brain, body, and behavior work together.

“It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.”

Fostering an inclusive environment:

Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type. If you need a reasonable accommodation during the application or interview process, please contact us at [e-mail] so we can support you.

Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.

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