Provide direct therapeutic services and consultative support to infants and toddlers with developmental delays using a coaching model for families. Conduct evaluations, determine eligibility, and develop Individualized Family Service Plans (IFSP) as part of an interdisciplinary team.
Requirements summary
Requires a graduate degree and current Texas licensure in occupational therapy, along with proficiency in Microsoft Office and Adobe. Bilingualism in Spanish and prior experience in Early Childhood Intervention (ECI) or special education are preferred.
Category: Health Care Pediatric Occupational Therapist (Treatment) GENERAL DESCRIPTION OF POSITION This position is responsible for providing direct and consultative therapeutic services to infants, toddlers, and families so that the child will progress in the acquisition and mastery of functional skills in order to reduce or overcome limitations resulting from disabilities or developmental delays. Requirements of early intervention service provision come under the authority of the Individuals with Disabilities Education Act and are regulated by the Health and Human Services Commission (HHSC). This position serves as a member of an interdisciplinary team to evaluate, assess, determine eligibility, develop, and carry out treatment plans, document progress and required processes, educate families and community partners, and collaborate with physicians and other care providers. Services are provided in the setting where the child lives, learns, and plays and as such performance of job duties requires independent navigation and travel to locations across Bexar County and provision of services in a variety of locations under a variety of conditions. Pediatric Occupational Therapists also provide developmental training for program staff. ESSENTIAL FUNCTIONS This position requires face to face interactions with staff, board, vendors, and the general public on a daily basis to accomplish all essential functions of the position.
SERVICE DELIVERY (70%) o Provide direct therapy services in accordance with the Individual Family Service Plan (IFSP), to children with disabilities or developmental delays. Services will be provided within 28 days from the enrollment date. o Therapy is provided using the coaching model to include providing parents and/or caregivers with appropriate strategies which help the child participate in their natural environment in compliance with HHSC/Early Childhood Intervention (ECI) rules, regulations and program standards. o Provide educational material and support to families, so the child can learn throughout the day in a variety of typical activities, and to support the attachment between the parent or primary caregiver and child.
Documents all services within the required timelines, to include collaborative documentation, in compliance with the standards set by the agency, HHSC/ECI program, Medicaid and private insurance rules and regulations.
Service delivery will take place within Brighton ECI’s service area, however, in accordance with the Bexar County Consortium plan as well as the needs of the program, travel may be required across teams or zip codes.
EVALUATIONS and IFSP (25%) o Serve on an interdisciplinary assessment team to correctly administer the Developmental Assessment of Young Children, Second Edition (DAYC-2) to determine annual eligibility for development delay or discipline specific evaluation tool with clinical judgement if child has a qualifying diagnosis. Determine eligibility in accordance and within timelines defined by HHSC/ECI rules and regulations and program policies and procedures. o Accurately score protocol, establishes eligibility, and share results with the parent/caregiver appropriately. o Submit all evaluation documentation including evaluation tool and eligibility calculator to the appropriate personnel in accordance with program deadlines. o Participate in the development of Individualized Family Service Plan (IFSP) by assisting the family in developing outcomes for their child and identifying needs within their daily routines in compliance with HHSC/ECI rules, regulations, and program standards. o Documents all services within the required timelines and in compliance with documentation OTHER FUNCTIONS
Participate in monthly team meetings, discipline, agency, and staffing meetings to ensure family and child outcomes are met and required information is secured. (3%)
Other duties to support the delivery and quality of services that are provided to Brighton families, including but limited to participating in obtaining all TRFs, initial enrollments or serving a service coordinator when needed. (2%)
Qualifications
Required: Degreed and current Texas Licensure in occupational therapy. Proficiency in Microsoft Office including Word, Excel, Outlook and Access as well as Adobe.
Preferred
Prior experience in ECI, Special Education, Early Childhood Education, or a family-centered service organization. Bilingual in Spanish. NECESSARY SKILLS
Ability to demonstrate, understanding and apply our Core Values which are at the heart of our organization and are embedded in all roles.
High quality of work, organization and planning skills, problem solving and decision-making skills, self- improvement and initiative, adaptability and flexibility, excellent communication skills (written and verbal), ability to work well with others and independently.
Comprehensive knowledge of typical and atypical development in children birth to three years old
Comprehensive knowledge of childhood conditions that relate to the provision of early intervention services
Comprehensive knowledge of and understanding of team and family dynamics.
Ability to contribute as a leader and facilitator on teams which include parents, caregivers, and other professional staff.
Ability to comprehend and adhere to family-centered, activity-based early intervention practices.
Ability to work sensitively with families from a variety of cultural orientations.
Ability to learn, interpret, and apply rules and regulations.
Ability to maintain data quality/integrity.
Ability to communicate effectively (written and verbal) with families, staff, and community members.
Ability to professionally represent the agency and provide overview of all agency services to clients in an effective and persuasive manner.
Ability to work with others in a supportive, professional and collaborative manner.
Ability to maintain a good working relationship with all co-workers and the general public and to use good judgment in recognizing scope of authority.
Fosters teamwork and proactively addresses conflict seeking timely resolution.
Demonstrates behavior that is professional, ethical and responsible.
Ability to align with Brighton Center Core Values.
Ability to perform under minimal supervision with considerable requirements for initiative, discretion, independent thought, judgment and self-motivation in matters of significance to families as well as the agency.
Ability to make effective presentations on behalf of the organization both internally and externally. MENTAL & PHYSICAL DEMANDS
Ability to maintain emotional control under stress and empathize with staff, supervisors and families we serve.
Ability to effectively prioritize tasks and calendar according to impending deadlines.
Ability to use critical thinking and problem-solving skills.
Ability to ensure personal accountability.
Ability to compute and compile reports and perform calculations.
Ability to use reasoning and analytical skills.
Ability to meet the physical demand of working with young children, such as bending, climbing, crawling, grasping kneeling, reaching, squatting, standing, stooping, twisting and sitting on the floor.
Ability to lift and/or move up to 40 lbs.
Ability to work flexible hours.
Ability to drive personal vehicle and have/maintain personal auto liability insurance.
Ability to stand for extended periods.
Ability to remain seated for extended periods of time.
Ability to monitor a computer screen for extended periods of time.
Some weekend hours may be required for outreach purposes. TOP COMPETENCIES
Interpersonal Skills
Written Communications / Presentation Skills
Customer Focus
Decision Quality and Problem Solving
Managing and Measuring Work
Time Management
Action Oriented / Drives for Results
Managing through
Processes and
Systems
Qualifications
Required: Degreed and current Texas Licensure in occupational therapy. Proficiency in Microsoft Office including Word, Excel, Outlook and Access as well as Adobe. Bilingual in Spanish.
Preferred
Prior experience in ECI, Special Education, Early Childhood Education, or a family-centered service organization.
Texas bilingual pediatric OT demand remains steady
In Texas, bilingual pediatric occupational therapists are often sought in school-based and early intervention settings, especially where Spanish-speaking families need access to care. This role is competitive because employers typically want a graduate degree, current Texas OT licensure, and experience with ECI or special education, while bilingual Spanish skills can strengthen your fit. Review the AI-summarized requirements and benefits on this platform to quickly compare the original posting, then tailor your application to highlight pediatric caseloads, documentation tools like Microsoft Office and Adobe, and any family-centered communication experience.
