Careers
Occupational therapist (OT)
Big Minds, Tiny Hands is looking for a caring, motivated occupational therapist to provide home-based Early Intervention services to children from birth to age 3 with developmental delays.
You work directly with children and families in their natural environment, on a flexible schedule. You give individualized, family-centered services that build functional skills and support each child's development, in line with their Individualized Family Service Plan (IFSP).
Home-basedFee-for-service
Apply in your borough · Opens our application on Sprockets
- Manhattan: apply for Occupational therapist (OT) in Manhattan on Sprockets
- Brooklyn: apply for Occupational therapist (OT) in Brooklyn on Sprockets
- Queens: apply for Occupational therapist (OT) in Queens on Sprockets
- Bronx: apply for Occupational therapist (OT) in Bronx on Sprockets
- Staten Island: apply for Occupational therapist (OT) in Staten Island on Sprockets
Prefer email? Send your resume to info@bigmindstinyhands.com
What you will do
Direct service delivery
- Provide occupational therapy in the child's home or community setting
- Carry out individualized treatment plans based on IFSP goals
- Work on fine motor skills, sensory processing, self-help skills, and play skills
- Use play-based, routine-based, and evidence-based strategies
- Coach caregivers so skills carry over into daily life
Assessment and documentation
- Do evaluations and re-evaluations as assigned
- Complete session notes daily, as Early Intervention requires
- Prepare and submit progress reports on time
- Monitor each child's progress and adjust the plan as needed
Family collaboration
- Teach families strategies that support development in daily routines
- Keep caregivers informed about goals and progress
- Give hands-on guidance that supports independence and participation
Coordination and compliance
- Work with service coordinators and the multidisciplinary team
- Follow all New York State Early Intervention Program guidelines
- Submit documentation and required forms on time and accurately
- Meet billing and service delivery standards
What you need
- Master's degree in occupational therapy
- Active New York State OT license
- Experience with the pediatric population (birth to age 3 preferred)
- Strong organizational and communication skills
Nice to have
- Experience in Early Intervention or home-based services
- Knowledge of sensory integration and developmental milestones
- Bilingual in Spanish or another language
- Familiarity with EI documentation systems, such as ProviderSoft
Position details
- Type: fee-for-service (1099 or W-2, based on agency structure)
- Setting: home-based and community-based
- Schedule: flexible, based on your availability
- Caseload: assigned by location and availability
Why join us
- A flexible schedule and autonomy
- Close work with families in natural environments
- A supportive, collaborative team
- Meaningful work that supports early childhood development
Big Minds, Tiny Hands is an Equal Opportunity Employer. It is our policy to make all personnel decisions without discriminating on the basis of race, color, creed, religion, sex, physical disability, mental disability, age, marital status, sexual orientation, citizenship status, national or ethnic origin, and any other protected status.
Have a question about working with us?
Call or email us. We can tell you more about the roles, caseloads, and schedules.