Overview:
Opportunities Abound at SOUND
Sound Behavioral Health is growing, and we are hiring an occupational therapist in Seattle, WA! Sound is one of King County’s most comprehensive providers of quality mental health and addiction treatment services, supporting our area’s most vulnerable populations. A central tenet of our work is Reaching Recovery, an evidence-based clinical care model.
The occupational therapist (OT) provides medically necessary client-centered, evidence-informed occupational therapy services to individuals with behavioral health conditions within a team-based, integrated care model. Services are designed to support recovery, independence, and meaningful participation in daily life by supporting occupational performance and engagement across daily life roles and activities. Occupation (engagement in everyday activity) serves as both the therapeutic medium and the desired outcome of occupational therapy intervention.
Working as part of an interdisciplinary care team, the OT collaborates closely with behavioral health, medical, and social service providers to deliver whole-person care. Services are aligned with Washington State Medicaid benefits and the Certified Community Behavioral Health Clinic (CCBHC) model, emphasizing access, coordination, and measurable clinical outcomes. This position supports adults who are 21 years old or older.
Schedule: 40 hours per week, Monday-Friday, with flexible scheduling.
Location: Split between Lake City Way and Fremont neighborhoods in Seattle. Frequent driving is required.
Accepting applications until September 21.
Responsibilities:
ESSENTIAL FUNCTIONS AND DUTIES
Clinical Care (Integrated & Team-Based)
- Conduct comprehensive occupational therapy evaluations, including an occupational
profile to identify the client’s occupational history, roles, values, interests, and
priorities, using standardized, valid, and reliable assessment tools to evaluate
performance skills, performance patterns, client factors, and contextual and
environmental influences on occupational performance, identifying functional deficits
and treatment needs - Develop individualized plans of care in collaboration with the client, with measurable
goals tied to functional outcomes - Analyze activity demands and grade or adapt tasks, materials, and environments to
match the client’s current level of function, providing the appropriate level of challenge
to support skill acquisition and engagement - Deliver skilled therapeutic interventions to improve or restore functioning, including:
o Activities of daily living (ADLs)
o Instrumental activities of daily living (IADLs)
o Sensory modulation and sensory processing strategies to support emotional
regulation, self-management, and de-escalation
o Rest and sleep participation
o Leisure exploration and participation
o Work, volunteer, and productive role participation
o Executive functioning, organization, and routines
o Health management and wellness
o Social participation and community integration - Reassess progress and adjust interventions to ensure ongoing effectiveness of
services - Plan and facilitate individual and group occupation-based interventions grounded in
evidence-based practice - Recommend environmental modifications, adaptive equipment, and compensatory
strategies to support safety, independence, and occupational performance - Recognize signs of escalation, decompensation, or risk to safety, and participate in
safety planning and crisis response within the scope of OT practice - Maintain an assigned clinical caseload and deliver direct, billable occupational therapy
services in accordance with agency productivity and clinical standards
Team-Based Care & Care Integration
- Actively participate in team-based care, contributing OT expertise to shared
intervention planning and care decisions - Collaborate with behavioral health clinicians, medical practitioners, and care
coordinators to ensure services are clinically appropriate within the overall care plan. - Participate in case conferences, multidisciplinary team meetings, and care huddles
- Support integrated care planning that aligns occupation-based OT interventions with
the team’s broader treatment goals - Facilitate care coordination and transitions across levels of care and community
settings
Documentation & Compliance
- Complete timely, accurate documentation that clearly establishes and supports
medical necessity, skilled need, and functional outcomes - Ensure documentation meets Medicaid, CCBHC, and agency standards for
reimbursement and audit readiness - Utilize standardized outcome measures and functional assessments to demonstrate
clinical progress and continued need for services
Client & Caregiver Support
- Educate clients and caregivers on strategies that support functional improvement, and
whole health and total wellness - Promote the development of sustainable habits and routines that support health, wellbeing,
and occupational engagement - Reinforce skills across settings, including home, clinic, and community
Clinical Supervision and Professional Development
- Serve as fieldwork educator and clinical resource for Level I and Level II occupational
therapy students and provide clinical oversight for Certified Occupational Therapy
Assistants (COTAs), as assigned, in accordance with AOTA, ACOTE, and the
Washington State Occupational Therapy Practice Act. - Maintain current evidence-based practice knowledge and continuing competence
consistent with NBCOT and Washington State OT licensure requirements - Other duties as assigned
KEY WORK RELATIONSHIPS
Develops and maintains collaborative working relationships across departments, engaging
with clients, team members, management, and leadership in a manner that values diverse
perspectives and lived experiences. Contributes to a respectful and inclusive work
environment by practicing cultural humility, promoting equity in services and decision-making,
and supporting efforts that foster a sense of belonging for all.
Qualifications:
EDUCATION AND EXPERIENCE
- Master's or Doctoral degree from an ACOTE-accredited occupational therapy program,
including completion of Level II Fieldwork. - Two (2) or more years of experience providing occupational therapy services in
inpatient mental health, behavioral health, community mental health, integrated care, primary care, or outpatient settings preferred. - Experience serving individuals with serious mental illness (SMI), substance use
disorders, intellectual/developmental disabilities, or complex medical and behavioral
health needs preferred. - Experience working within Medicaid-funded programs, Certified Community Behavioral
Health Clinics (CCBHCs), or integrated healthcare environments preferred.
KNOWLEDGE, ABILITIES, AND SKILLS
- Knowledge of occupational therapy principles, evidence-based practices, behavioral
health, and integrated care models. - Knowledge of the Occupational Therapy Practice Framework (OTPF-4) and its
application to occupational performance, performance skills, performance patterns,
client factors, and contexts and environments. - Knowledge of sensory processing and sensory modulation approaches and their
application to behavioral health and emotional regulation. - Ability to analyze activity demands and grade or adapt tasks, materials, and
environments to match client abilities and support skill development. - Knowledge of ADLs, IADLs, executive functioning, community integration, recovery-oriented
care, and trauma-informed practices. - Ability to conduct evaluations, develop care plans, and provide skilled interventions
that support functional outcomes - Ability to collaborate effectively with multidisciplinary teams to support integrated care
and treatment planning. - Skill in educating clients, caregivers, and team members on therapeutic strategies and
wellness practices. - Ability to maintain accurate, timely documentation that meets Medicaid, CCBHC, and
regulatory requirements. - Strong verbal and written communication, clinical decision-making, organizational, and
problem-solving skills. - Proficiency with electronic health records and other technology required to perform
essential job functions. - Ability to work independently, manage competing priorities, maintain professional
boundaries, and uphold ethical and confidentiality standards. - Ability to select, administer, and interpret standardized, valid, and reliable assessment
tools appropriate to behavioral health populations. - Knowledge of supervision requirements for COTAs and occupational therapy fieldwork
students, and ability to provide clinical supervision in accordance with AOTA, ACOTE,
and Washington State regulations. - Knowledge of and adherence to the AOTA Code of Ethics and the Washington State
Occupational Therapy Practice Act.
CERTIFICATES, LICENSES & REGISTRATIONS
- Current Occupational Therapist (OT) license in the State of Washington, or a current
Washington OT limited permit held in association with a supervising OT licensed in
Washington with a minimum of one year of experience, in accordance with WAC 246-
847-135. - Current certification through the National Board for Certification in Occupational
Therapy (NBCOT), or active NBCOT exam candidacy (e.g., a valid Authorization to
Test) consistent with Washington OT limited permit status. - Valid Washington State driver's license, reliable transportation, and ability to travel
between program sites and community locations, if required. - Ability to pass required background checks and maintain compliance with agency and
funding source requirements. - Knowledge of occupational therapy principles, evidence-based practices, behavioral
health, and integrated care models. - Knowledge of the Occupational Therapy Practice Framework (OTPF-4) and its
application to occupational performance, performance skills, performance patterns,
client factors, and contexts and environments. - Knowledge of sensory processing and sensory modulation approaches and their
application to behavioral health and emotional regulation. - Ability to analyze activity demands and grade or adapt tasks, materials, and
environments to match client abilities and support skill development. - Knowledge of ADLs, IADLs, executive functioning, community integration, recovery-oriented
care, and trauma-informed practices. - Ability to conduct evaluations, develop care plans, and provide skilled interventions
that support functional outcomes - Ability to collaborate effectively with multidisciplinary teams to support integrated care
and treatment planning. - Skill in educating clients, caregivers, and team members on therapeutic strategies and
wellness practices. - Ability to maintain accurate, timely documentation that meets Medicaid, CCBHC, and
regulatory requirements. - Strong verbal and written communication, clinical decision-making, organizational, and
problem-solving skills. - Proficiency with electronic health records and other technology required to perform
essential job functions. - Ability to work independently, manage competing priorities, maintain professional
boundaries, and uphold ethical and confidentiality standards. - Ability to select, administer, and interpret standardized, valid, and reliable assessment
tools appropriate to behavioral health populations. - Knowledge of supervision requirements for COTAs and occupational therapy fieldwork
students, and ability to provide clinical supervision in accordance with AOTA, ACOTE,
and Washington State regulations. - Knowledge of and adherence to the AOTA Code of Ethics and the Washington State
Occupational Therapy Practice Act.
CERTIFICATES, LICENSES & REGISTRATIONS
- Current Occupational Therapist (OT) license in the State of Washington, or a current
Washington OT limited permit held in association with a supervising OT licensed in
Washington with a minimum of one year of experience, in accordance with WAC 246-
847-135. - Current certification through the National Board for Certification in Occupational
Therapy (NBCOT), or active NBCOT exam candidacy (e.g., a valid Authorization to
Test) consistent with Washington OT limited permit status. - Valid Washington State driver's license, reliable transportation, and ability to travel
between program sites and community locations, if required. - Ability to pass required background checks and maintain compliance with agency and
funding source requirements.
SENSORY/PHYSICAL/MENTAL REQUIREMENTS
The requirements described below are representative of those required to successfully
perform the essential functions of this position. Reasonable accommodation may be
made to enable individuals with disabilities to perform the essential functions.
Sensory:
- Speaking, hearing (with or without aid), near vision (with or without aid), far vision
(with or without aid), depth perception, peripheral vision, touch, and balance sufficient
to perform the essential functions of the position. - Ability to observe, assess, and respond appropriately to client behaviors, physical
functioning, and environmental safety concerns.
Physical:
- Ability to sit, stand, walk, bend, reach, stoop, kneel, and move throughout office,
clinic, home, and community-based environments. - Ability to use hands and fingers for keyboarding, writing, handling therapy materials,
and operating standard office equipment. - Ability to lift, carry, push, and pull up to 10-25 pounds occasionally.
- Ability to travel between agency locations and community settings as required.
- Ability to maintain regular and predictable attendance.
Mental:
- Ability to maintain concentration, exercise sound clinical judgment, and make
decisions in a fast-paced healthcare environment. - Ability to manage multiple priorities, adapt to changing circumstances, and meet
deadlines while maintaining attention to detail. - Ability to effectively interact with individuals experiencing behavioral health, cognitive,
emotional, and physical health challenges. - Ability to maintain professional boundaries, handle confidential information, and
respond appropriately in crisis or high-stress situations.
Perks at Sound!:
All Team Members at Sound working 40 hours per week will be eligible for the following benefits:
- Medical, Dental & Vision Insurance: Premium 100% paid by Sound for team member and child coverage to age 26, depending on plan selected. Spouse/Domestic Partner coverage available at team member’s cost.
- Life Insurance (2x annual salary + additional $25,000): paid by Sound
- Long Term Disability Insurance (60% monthly salary): paid by Sound
- Retirement Plan: Sound contributes 3% to team member’s plan; team member is 100% vested.
- Retirement Plan - 401(k) Plan, pre-tax and/or Roth: team membermay contribute to their own plan.
- Health Savings Account: Sound contributes $1,133.33 (individual) or $2,266.67 (family) for eligible team members, pro-rated for new hires in first year.
- Flexible Spending Accounts: for health care and dependent day care costs (pre-tax)
- EAP: Employee Assistance Plan
- Vacation: 18 days per year, increasing with years of service
- Holidays: 9 days per year
- Sick Leave: 12 days per year
- Bereavement Leave: for death in the family
- Parking: Free at all Sound sites
- Training: Free in-house professional training and $400 annually + 3 paid days approved off-site training
- Service Award: at 5, 10, 15, 20, 25, 30, 35 & 40 years of service
Compensation: $40.00-$45.00 per hour.
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