Occupational Therapist - PRN

Nexus Health Systems Ltd · Houston, TX Prn
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Job Description

Occupational Therapist (OT) – PRN Nexus Children’s Hospital – Houston Schedule: PRN | 8:00 AM - 4:30 PM About Nexus Children’s Hospital – Houston Nexus Children’s Hospital – Houston provides structured inpatient care for children ages 4 to 18 with Autism Spectrum Disorder (ASD) and other intellectual or developmental disabilities (IDD). Located in Houston’s Westchase District, our bright, home-like environment offers a safe and supportive setting where children can grow, stabilize, and build the skills needed for success. Our program focuses on behavioral stability, communication development, and functional independence. Our interdisciplinary team works closely with patients and families to improve daily living skills, sensory regulation, and overall independence while supporting emotional and behavioral growth — because at Nexus, we’re mending minds. Position Summary The Occupational Therapist (OT) provides therapeutic services to children and adolescents with neurodevelopmental, behavioral, and medically complex conditions. The OT evaluates functional abilities, develops individualized treatment plans, and works closely with the interdisciplinary team to improve daily living skills, sensory processing, coordination, and independence. This role requires strong clinical reasoning, flexibility, and the ability to work with patients who may have developmental, behavioral, or emotional regulation challenges. Key Responsibilities Evaluate patients and develop individualized occupational therapy treatment plans Provide therapeutic interventions to improve daily living skills, sensory processing, and functional independence Work with patients who have developmental disabilities, neurological conditions, or behavioral challenges Collaborate with physicians, nurses, physical therapists, speech therapists, and behavioral teams Educate patients and caregivers on therapeutic techniques and home programs Document evaluations, treatments, and progress in the electronic medical record Use adaptive equipment and sensory-based interventions to support independence Participate in interdisciplinary meetings and care planning Maintain compliance with all regulatory, safety, and documentation standards Promote a safe, structured, and therapeutic environment for all patients Qualifications Current Texas Occupational Therapist license required BLS certification required De-escalation training required within 30 days of hire Degree in Occupational Therapy from an accredited program required Experience with pediatric, neurologic, or developmental populations preferred Experience in inpatient, rehabilitation, or behavioral health settings preferred Ability to work effectively within a multidisciplinary clinical team Compassionate, patient-centered approach to care Comfort working in a structured behavioral environment Our Core Values: GOPTIC At Nexus, GOPTIC is more than a slogan—it’s the foundation of how we care for children and families. Genuine – We act with honesty, integrity, and empathy in all interactions. Ownership – We take responsibility for our actions and celebrate our shared success. Positivity – We create a hopeful and encouraging environment for every child and family. Teamwork – We work together across disciplines to achieve the best outcomes. Innovation – We constantly seek better, more creative ways to support healing and growth. Compassion – We put our patients first, leading with kindness and understanding. Before You Apply Ask yourself: Are you comfortable working with patients who have behavioral or emotional challenges? Are you available to work PRN as needed, including weekdays or weekends? Do you enjoy working as part of an interdisciplinary clinical team? Do you live the GOPTIC values every day? If your answer is YES, we invite you to apply today and join the Nexus team — where we’re mending minds and empowering growth every day.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $10.97/hr ($22,818/yr). The typical range is $10.60 – $13.28/hr (25th–75th percentile).

Entry Level (10th) $20,613/yr
Houston Median $22,818/yr
Experienced (90th) $30,597/yr
vs. National Median -34.6%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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