Occupational Therapist (OT)

Occupational Therapist (OT) | Full-Time | San Francisco, CA | $55 - $65/Hour

Make a Real Impact. Elevate Every Resident's Potential. Work in San Francisco.

The Avenues Transitional Care Center is hiring a licensed Occupational Therapist to join a high-performing, mission-driven rehabilitation team in San Francisco, California. If you are a clinician who wants full clinical autonomy, a supportive and collaborative environment, and the opportunity to deliver meaningful outcomes for residents in one of the world's most dynamic cities, this is the role you have been looking for.

We serve residents in a Skilled Nursing setting in the 94116 neighborhood of San Francisco, and we are committed to the belief that every individual deserves the highest quality of life possible.

Our Mission: We are professionals committed to serving others, nurturing life, and promoting an individual's ability to thrive.

Why Clinicians Choose The Avenues Transitional Care Center:

Compensation and Financial Security

• Hourly pay range: $55.00 to $65.00 per hour, commensurate with experience
• 401(k) retirement plan with company match
• Company-paid life insurance and disability coverage

Health and Wellness Benefits

• Medical, dental, and vision insurance — the company covers the majority of Medical HMO premiums, with buy-up plan options available
• Employee Assistance Program for personal and professional support
• Identity theft protection and travel insurance coverage

Work-Life Quality

• Paid Time Off encompassing vacation, sick leave, and observed holidays
• Flexible scheduling available across Full-Time, Part-Time, and PRN arrangements
• Bene-Hub employee discount programs
• A central San Francisco location in the 94116 zip code, accessible from neighborhoods throughout the city and the broader Bay Area

Culture and Career

• A collaborative, supportive therapy team that genuinely invests in one another
• Clinical leadership opportunity with oversight of OTAs, rehabilitation aides, students, and volunteers
• Meaningful, measurable impact on resident outcomes and quality of life across ADLs, IADLs, cognitive function, and upper extremity rehabilitation
• A stable, professionally managed environment aligned with federal, state, and local care standards
• The professional and personal benefits of working in one of the world's most vibrant and culturally rich cities

The Role

The Occupational Therapist is a licensed healthcare professional responsible for the evaluation, development, implementation, and oversight of individualized occupational therapy plans of care. This position is classified as Non-Exempt and reports to the Director of Rehabilitation and the Facility Administrator.

Core responsibilities include:

• Conducting comprehensive occupational therapy evaluations and re-evaluations in accordance with physician orders and California standards of practice
• Developing, implementing, and modifying individualized plans of care with measurable, function-based goals
• Delivering skilled therapeutic interventions addressing ADLs, IADLs, neuromuscular re-education, upper extremity rehabilitation, cognitive retraining, sensory integration, visual-perceptual skills, and adaptive strategies
• Assessing and recommending adaptive equipment, assistive devices, splints, orthotics, and environmental modifications to enhance independence and safety
• Fabricating and training patients in the use of splints or adaptive devices as clinically indicated and within scope of practice
• Monitoring patient progress and modifying treatment plans based on clinical response and objective outcomes
• Reviewing patient medical history, conducting patient interviews, and observing functional task performance
• Evaluating patient home or workplace environments and recommending modifications based on health and functional needs
• Leading discharge planning and transition-of-care coordination to promote successful reintegration into home and community environments
• Communicating evaluation findings, progress updates, and discharge outcomes to physicians, interdisciplinary team members, patients, and families
• Educating patients, families, employers, and caregivers on how to accommodate and support the patient's functional needs
• Supervising and directing Occupational Therapist Assistants in accordance with California state law and professional regulations
• Providing appropriate oversight to rehabilitation aides, students, and volunteers as assigned
• Completing timely, accurate, and compliant documentation consistent with federal, state, payer, and organizational requirements
• Participating in care conferences, quality assurance initiatives, and collaborative planning as requested
• Maintaining compliance with HIPAA, patient rights, OSHA, infection control, and all applicable California state practice standards
• Treating all residents with dignity, respect, and compassionate professionalism

Physical requirements include the ability to assist with patient transfers, upper extremity handling and positioning techniques, mobility assistance, repositioning and supporting patients with or without assistive devices, prolonged standing, walking, bending, reaching, kneeling, and stair navigation. The ability to assist in resident evacuation during emergency situations is also required.

What You Bring

• Current, active, and unrestricted Occupational Therapist license in the State of California — required (pending licensure considered)
• Graduate of an accredited Occupational Therapy program (Bachelor's, Master's, or Doctorate) — required
• Successful completion of the National Board for Certification in Occupational Therapy (NBCOT) — required
• Current CPR/BLS certification (or willingness to obtain per facility policy)
• Ongoing compliance with continuing education requirements established by the California Occupational Therapy Board
• Experience in a skilled nursing, post-acute, hospital, or related medical setting — strongly preferred
• Excellent verbal and written communication skills with the ability to exercise sound clinical judgment
• Composure and professionalism in dynamic, fast-paced clinical environments
• Strong organizational skills and the capacity to make independent clinical decisions
• A team-first mindset and a genuine passion for skilled nursing and post-acute care

Equal Opportunity and Accommodation

The Avenues Transitional Care Center is proud to be an Equal Opportunity Employer. We are committed to a workplace free from discrimination based on race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity, or any other characteristic protected under applicable federal, state, or California law.

In accordance with the Americans with Disabilities Act and the California Fair Employment and Housing Act, we provide reasonable accommodations to qualified applicants and employees with disabilities. If an accommodation is needed during the application or hiring process, please contact Human Resources or your facility Administrator.

Employment with The Avenues Transitional Care Center is at-will. Duties, schedule, and work location may be adjusted based on facility needs or any other lawful reason.

Apply Today

Ready to bring your clinical expertise where it truly matters? Submit your application now. Our team reviews candidates promptly and will be in touch to schedule next steps.

The Avenues Transitional Care Center is located in the 94116 zip code of San Francisco, California, in the West of Twin Peaks neighborhood, proudly serving residents throughout the city and greater Bay Area.

At The Avenues Transitional Care Center in San Francisco, CA, we’ve reimagined skilled nursing and rehabilitation by putting people first, both residents and employees. Our nurses, therapists, and support staff are empowered to deliver individualized care plans, advanced therapies, and meaningful outcomes without feeling like just another number in a system. Serving families throughout San Francisco County, we provide short-term rehabilitation and long-term care focused on faster recovery, stronger outcomes, and a truly supportive environment. For our team, that means working in a setting that values clinical excellence, collaboration, and respect. We prioritize manageable workflows, strong leadership support, and a culture where your voice matters. Whether you’re at the bedside, in therapy, or supporting operations, you’ll be part of a group that’s committed to doing things differently—and doing them right. Conveniently located near local hospitals, our community offers not only a great place for residents to heal, but a place where professionals can grow, feel appreciated, and build a career with purpose.