Occupational Therapist - Full Time - Pediatrics

Pediatric Occupational Therapist

Skills on the Hill — Arlington, VA & Washington, DC

We built this practice for the therapist you actually want to be.

You know the version of yourself that shows up on your best days — the one who has time to think, to plan a session thoughtfully, to actually read that article you bookmarked, to talk through a tricky case with someone who's seen it before. That therapist is who we hire for, and who we protect once you're here.

Skills on the Hill is a pediatric OT, PT, and speech practice with locations on Capitol Hill in DC and in Arlington, VA. We're looking for an Occupational Therapist who wants to do this work well for a long time — not just survive the week.

What's different here:

Lower caseload targets, on purpose. We've done the math on what it costs to give you breathing room, and we pay that cost intentionally. You'll have time to prep, document, collaborate, and grow — not just churn through back-to-back sessions.

Mentorship that's actually built into your week. Not a "we have an open door" line in an ad. Structured mentoring, case consultation, and senior clinicians who treat your development as part of their job.

Professional development we fund and protect time for. Continuing ed, certifications, conference support, and an in-house culture of learning where curiosity is the norm, not the exception.

Benefits that reflect what we believe. Our health, retirement, and PTO benefits are meaningfully richer than what's standard in private pediatric practice. We'd rather invest in your wellbeing than advertise a higher base and hope you don't notice what's missing.

A culture you can feel within a week. Collaborative, kind, accountable, and genuinely fun. Our admin team handles scheduling so you can focus on clinical care. Our clinics are well-stocked, organized, and set up by people who actually use the equipment.

A note on compensation:

We'll be straight with you: our base salaries are not the highest in the DMV. They're competitive and fair, but if you're comparison-shopping on salary alone, some practices will quote you a bigger number.

It's worth reading between the lines on those offers. Higher salaries in this field are almost always funded by something — usually high caseloads, minimal mentoring, thin benefits, high turnover, or a culture that quietly burns people out by year two. We've chosen a different model. We invest in lower caseloads, real mentorship, comprehensive benefits, and a workplace people stay at. Our total package — and the version of your career it makes possible — is where the real value lives.

If that tradeoff resonates, you're probably one of us.

What you'll do

• Evaluate, plan, and deliver individualized treatment for children with a wide range of profiles — feeding and oral motor, sensory processing, motor planning, developmental delays, autism, ADHD, executive function, visual motor, and more
• Use play, creativity, and evidence-based practice to help kids access their potential
• Partner closely with families, caregivers, teachers, and our multidisciplinary team
• Document thoughtfully (we know — but it matters)
• Keep growing, and help the clinicians around you grow too

The practical stuff

• Full-time role, flexible scheduling
• Waitlist of families ready to start, so you're not building from zero
• Accrued PTO, employer-paid professional liability insurance
• Comprehensive health and retirement benefits
• Two beautiful clinic locations with sensory gyms, treatment spaces, and clinical resources you'll actually want to use

Who you are

• A licensed (or license-eligible) Occupational Therapist in Virginia and/or DC
• 2+ years of pediatric experience preferred, though we welcome strong newer clinicians who are hungry to learn — our mentoring model is built for exactly this
• Grounded in evidence-based practice and curious about sensory integration, feeding, motor planning, executive function, and the rest of the beautiful complexity of pediatric OT
• Someone who values collaboration, inclusivity, lifelong learning, accountability, credibility, and adaptability — because we do, and we mean it
• A degree in Occupational Therapy from an accredited institution
• Comfortable with the tech basics (Microsoft Office, iPad, EMR)
• Strong written and verbal communication skills, with sound judgment and discretion around confidential information
• Available for a minimum of 4 hours per scheduling block, mornings or afternoons

Clinical expertise

Our practice specializes in working with children who present with:

• Feeding difficulties and oral motor delays
• Sensory processing and motor planning differences
• Global developmental delays
• Neuromuscular impairments
• Genetic disorders
• Learning disabilities
• Autism
• ADHD and self-regulation challenges
• Executive functioning weaknesses
• Visual motor and perceptual deficits
• Cerebral Palsy
• Down Syndrome

Experience with any of these areas is a plus; genuine curiosity about all of them is what we look for most.

Pre-employment requirements

• Current Virginia and/or DC Board of Occupational Therapy license (or eligibility)
• Valid CPR/first aid certification (or ability to obtain)
• Current TB test
• Ability to pass a standard background check and drug screen

Physical requirements

• Extensive standing and walking throughout the day
• Lifting, positioning, and transferring pediatric patients
• Frequent reaching, stooping, bending, kneeling, and crouching