Clinical Director - Pediatric Outpatient & School Contracts

Benefits:

• Health insurance
• Paid time off
• Profit sharing
• Training & development
• Bonus based on performance
• Competitive salary
• Flexible schedule

Job Title: Clinical Director of Occupational Therapy

Organization: Mighty Minds and Muscles

Location: 40 Worth Street, Suite 800A, New York, NY 10013 (Tribeca) | School-based and community visits as assigned

Employment Type: W-2 Full-Time (preferred) | 1099 Contract (considered)

Compensation:

• W-2 Full-Time: $90,000–$110,000/year + benefits
• 1099
  
  Contract:
  
  $95–$130/hour (blended clinical + admin rate structure; see below)

Clinical/Admin Split: 65% direct clinical service | 35% clinical leadership, supervision, and program development (Ratio adjusts as team and caseload grow; leadership hours are compensated at a dedicated admin rate for 1099 candidates)

Mighty Minds and Muscles (MMM) is a pediatric multidisciplinary therapy and learning center in Tribeca, Manhattan, serving children from infancy through adolescence since 2011. Our team of occupational therapists, educators, and collaborative therapy partners for speech therapy and physical therapy. We deliver services in our outpatient clinic, in schools across lower Manhattan, Brooklyn and Jersey City, and in community and home settings.

Our clinical model is grounded in sensory integration theory, neurodevelopmental principles, and a bottom‑up approach to child development. We are an approved NYC DOE Related Services agency and serve a diverse caseload including private pay, Impartial Hearing Order (IHO), SEIT, SETSS, and school‑contracted cases. We are a small, mission‑driven practice with a strong reputation among lower Manhattan families, pediatricians, and private schools — and we are growing.

The Clinical Director is the senior clinical leader of Mighty Minds and Muscles, responsible for the quality, consistency, and development of all occupational therapy services and collaborative leaders for speech and PT. This role carries both direct clinical responsibilities and leadership duties: you will carry a caseload, supervise and mentor OT staff, lead clinical programming, and serve as the primary clinical partner to the Owner/Founder and Operations Manager.

This is the right role for a highly skilled, experienced pediatric OT who is ready to step into a leadership position without leaving clinical work behind — someone who is as energized by building systems and mentoring emerging clinicians as they are by treating children.

• Oversee the quality and consistency of all OT services delivered by the practice
• Conduct regular case reviews with OT staff; provide clinical consultation on complex cases
• Review and co‑sign evaluation reports as appropriate; ensure documentation meets clinical and regulatory standards
• Establish and maintain evidence‑based clinical protocols and treatment frameworks across the team
• Lead the implementation and refinement of MMM's neurodevelopmental, sensory integration‑informed clinical model, including thorough evaluations (using our newly developed ai‑supported evaluation process).

• Provide clinical supervision to OT and academic support providers, supervises and early‑career therapists
• Conduct or co‑lead clinical onboarding for new hires
• Lead bi‑weekly or monthly clinical team meetings and case consultation sessions
• Identify professional development needs; recommend and coordinate CEU opportunities for the OT team

• Carry an active pediatric OT caseload across outpatient, school‑based, and/or community settings
• Conduct and complete comprehensive OT evaluations —…