Occupational therapist; OT

Position: Occupational therapist (OT)

Big Minds, Tiny Hands is looking for a caring, motivated occupational therapist to provide home-based Early Intervention services to children from birth to age 3 with developmental delays.

You work directly with children and families in their natural environment, on a flexible schedule. You give individualized, family-centered services that build functional skills and support each child's development, in line with their Individualized Family Service Plan (IFSP).

What you will do Direct service delivery

• Provide occupational therapy in the child's home or community setting
• Carry out individualized treatment plans based on IFSP goals
• Work on fine motor skills, sensory processing, self-help skills, and play skills
• Use play-based, routine-based, and evidence-based strategies
• Coach caregivers so skills carry over into daily life

Assessment and documentation

• Do evaluations and re-evaluations as assigned
• Complete session notes daily, as Early Intervention requires
• Prepare and submit progress reports on time
• Monitor each child's progress and adjust the plan as needed

Family collaboration

• Teach families strategies that support development in daily routines
• Keep caregivers informed about goals and progress
• Give hands-on guidance that supports independence and participation

Coordination and compliance

• Work with service coordinators and the multidisciplinary team
• Follow all New York State Early Intervention Program guidelines
• Submit documentation and required forms on time and accurately
• Meet billing and service delivery standards

What you need

• Master's degree in occupational therapy
• Active New York State OT license
• Experience with the pediatric population (birth to age 3 preferred)
• Strong organizational and communication skills

Nice to have

• Experience in Early Intervention or home-based services
• Knowledge of sensory integration and developmental milestones
• Bilingual in Spanish or another language
• Familiarity with EI documentation systems, such as Provider Soft

Position details

• Type: fee-for-service (1099 or W-2, based on agency structure)
• Setting: home-based and community-based
• Schedule:
  
  flexible, based on your availability
• Caseload: assigned by location and availability

Why join us

• A flexible schedule and autonomy
• Close work with families in natural environments
• A supportive, collaborative team
• Meaningful work that supports early childhood development