Occupational Therapist - PRN

Nexus Children’s Hospital – Dallas, TX

Nexus Children’s Hospital is dedicated to bridging medical and behavioral care to ensure that no child falls through the cracks. We specialize in supporting children recovering from complex medical challenges, including brain injuries, acute illnesses, developmental delays, psychiatric diagnoses, and other life-altering events, fostering recovery within a nurturing environment.

As a leader in pediatric medical services and rehabilitation, we are committed to meeting the needs of our community and helping children return to lives of productivity and meaning.

Campus Highlights:

• 60 private rooms
• ICU step-down, neurobehavioral, and rehabilitation units for a full continuum of care
• State-of-the-art rehabilitation gym
• Indoor and outdoor activity spaces designed for structured therapeutic play

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

• Conduct comprehensive evaluations using standardized assessments
• Develop and implement individualized treatment plans
• Deliver evidence-based interventions including sensory integration, behavioral strategies, and trauma-informed care
• Address motor, sensory, cognitive, and adaptive functioning
• Monitor progress and adjust treatment plans based on outcomes
• Utilize assistive technology and adaptive equipment to improve independence
• Manage complex patient populations with co-occurring medical and behavioral conditions

• Partner with physicians, psychologists, nursing, and behavioral health teams
• Participate in treatment planning and care conferences
• Ensure continuity of care across all service areas

• Educate caregivers on therapeutic techniques and home programs
• Foster a therapeutic environment focused on dignity, autonomy, and growth
• Advocate for patient needs and access to resources

• Maintain accurate and timely documentation
• Adhere to AOTA standards and regulatory requirements
• Participate in quality improvement initiatives and audits
• Supervise COTAs as appropriate

Education:

• Bachelor’s degree in Occupational Therapy required
• Master’s or Doctorate (OTD) preferred

Experience:

• Minimum 2 years of clinical experience
• Pediatric and/or neurodevelopmental experience preferred

Skills:

• Strong clinical reasoning and therapeutic communication
• Experience with sensory processing, behavioral interventions, and trauma-informed care
• Ability to manage complex behaviors and de-escalate crisis situations
• Strong collaboration and documentation skills

• Current Texas OT license (required)
• NBCOT certification
• BLS (American Heart Association or Red Cross)
• De-escalation training (within 30 days of hire)