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Occupational Therapist

Nexus Children's Hospital - Shenandoah -
Shenandoah, TX

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Job Details

Full-time

Qualifications

BLS Certification
Bachelor's degree
OTR
Bachelor's degree in occupational therapy
Occupational Therapy License

Full Job Description

ob Posting Title

Occupational Therapist

Job Description

Occupational Therapist (OT)

Nexus Children’s Hospital – Shenandoah

Join a Team Where Compassion Meets Clinical Excellence

Nexus Children’s Hospital – Shenandoah is seeking a passionate and skilled Occupational Therapist (OT) to join our interdisciplinary team serving pediatric and adolescent patients with complex medical, behavioral, and neurodevelopmental needs. This is an exciting opportunity to make a meaningful impact in a highly specialized inpatient setting focused on rehabilitation, behavioral health, and neurorecovery.

Located in North Houston, Nexus Children’s Hospital – Shenandoah is a 50-bed inpatient hospital specializing in the treatment of patients with complex medical and behavioral diagnoses, including neurobehavioral disorders, brain and spinal cord injuries, chronic illnesses, and co-occurring psychiatric conditions. Our collaborative care model brings together medical, rehabilitation, nursing, and behavioral health professionals to provide innovative, patient-centered care.

Position Summary

The Occupational Therapist (OT) provides specialized, evidence-based therapeutic services to pediatric and adult patients with neurodevelopmental disorders and complex behavioral and medical conditions. This role requires advanced clinical reasoning, interdisciplinary collaboration, and a commitment to compassionate, person-centered care.

The OT will perform comprehensive evaluations, develop individualized treatment plans, implement evidence-based interventions, and support patients in achieving greater independence, regulation, and participation in daily life activities.

Key Responsibilities

Clinical Care & Treatment

Conduct comprehensive occupational therapy evaluations using standardized assessments tailored to neurodevelopmental and behavioral health populations.
Develop and implement individualized treatment plans based on evaluation findings and patient goals.
Deliver occupational therapy services across care settings for patients with complex medical, neurological, and behavioral diagnoses.
Utilize evidence-based therapeutic interventions including sensory integration therapy, behavioral strategies, cognitive-behavioral approaches, trauma-informed care, and adaptive techniques.
Assess and treat sensory processing, motor, cognitive, adaptive, and functional impairments.
Monitor patient progress, reassess goals, and modify treatment plans as needed.
Incorporate assistive technology, adaptive equipment, and environmental modifications to maximize patient independence and participation.
Maintain proficiency in crisis intervention and de-escalation techniques to support patient safety and therapeutic rapport.

Interdisciplinary Collaboration

Collaborate with physicians, psychiatrists, psychologists, nursing staff, behavior analysts, developmental specialists, and rehabilitation teams to ensure coordinated patient care.
Participate in interdisciplinary treatment planning meetings and contribute to individualized care plans.
Provide caregiver education and staff training regarding therapeutic strategies, sensory regulation, and behavioral supports.

Patient Advocacy & Experience

Foster a therapeutic environment that prioritizes dignity, autonomy, inclusivity, and family engagement.
Educate patients and caregivers on treatment goals, home exercise programs, and adaptive strategies.
Advocate for patient access to services, accommodations, and community resources.

Quality & Compliance

Maintain accurate, timely, and compliant clinical documentation.
Adhere to AOTA standards, hospital policies, payer requirements, and state licensure regulations.
Participate in quality improvement initiatives, peer reviews, audits, and outcome measurement programs.
Provide supervision and support to Certified Occupational Therapy Assistants (COTAs).

Professional Development

Maintain competency through continuing education, workshops, certifications, and professional development activities.
Contribute to clinical education programs and mentor students or new team members.
Support innovation initiatives designed to improve therapeutic outcomes for neurodiverse populations.

Qualifications

Education

Bachelor’s degree in Occupational Therapy from an accredited program required
Master’s or Doctorate in Occupational Therapy preferred

Experience

Minimum of two (2) years of clinical experience required
Experience in pediatric, neurologic, or inpatient rehabilitation settings preferred
Experience working with neurodevelopmental disorders and behavioral health populations preferred

Skills & Competencies

Advanced clinical reasoning and therapeutic use of self
Strong understanding of sensory processing, trauma-informed care, behavioral interventions, and assistive technology
Excellent communication, documentation, organizational, and collaboration skills
Ability to manage behavioral crises using de-escalation techniques
Proficiency with electronic health records and digital documentation systems
Commitment to culturally responsive and inclusive care practices

Licensure & Certifications

Current Texas Occupational Therapist (OT) license required
Board registration in Occupational Therapy required
Current BLS certification through the American Heart Association or American Red Cross required
De-escalation training required within 30 days of hire
All certifications and licensure must remain active and in good standing throughout employment

Why Join Nexus?

Specialized and mission-driven inpatient setting
Collaborative interdisciplinary care environment
Opportunities for growth, innovation, and continuing education
Meaningful work with medically and behaviorally complex populations
Supportive leadership and team culture
Competitive compensation and benefits package

Join a team dedicated to helping patients and families achieve meaningful progress, improved independence, and a higher quality of life.

Quick Apply

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Occupational Therapist (OT)

Nexus Children’s Hospital – Shenandoah

Join a Team Where Compassion Meets Clinical Excellence

Position Summary

Key Responsibilities

Clinical Care & Treatment

Interdisciplinary Collaboration

Patient Advocacy & Experience

Quality & Compliance

Professional Development

Qualifications

Education

Experience

Skills & Competencies

Licensure & Certifications

Why Join Nexus?