Occupational Therapist (OT) – Skilled Nursing Facility (SNF) San Mateo CA

Position Title: Occupational Therapist (OT) – Skilled Nursing Facility (SNF)
Reports To: Director of Rehabilitation (DOR) / Rehab Manager
Employment Type: Full-Time, Part-Time, Per Diem, or Contract

Position Summary

Teamwork Therapies is seeking a compassionate, motivated, and licensed Occupational Therapist (OT) to provide high-quality rehabilitation services in a Skilled Nursing Facility (SNF). The Occupational Therapist will evaluate residents, develop individualized treatment plans, provide evidence-based interventions, collaborate with interdisciplinary teams, and help residents achieve the highest possible level of independence, safety, and quality of life.

Essential Duties and Responsibilities

Patient Evaluation & Assessment

• Perform comprehensive occupational therapy evaluations for residents with orthopedic, neurological, cardiopulmonary, and medically complex conditions.
• Assess functional mobility, activities of daily living (ADLs), instrumental activities of daily living (IADLs), cognition, upper extremity function, visual-perceptual skills, balance, coordination, and safety awareness.
• Identify adaptive equipment and environmental modification needs.

Treatment Planning

• Develop individualized treatment plans based on physician orders, resident goals, and interdisciplinary recommendations.
• Establish measurable short-term and long-term functional goals.
• Update treatment plans based on resident progress and changing medical status.

Direct Patient Care

Provide evidence-based occupational therapy interventions including:

• ADL retraining
• Upper extremity strengthening and ROM
• Fine motor coordination
• Balance and postural control
• Functional mobility training
• Wheelchair positioning
• Transfer training
• Splinting and orthotic management
• Cognitive rehabilitation
• Visual-perceptual training
• Energy conservation techniques
• Home safety education
• Fall prevention strategies
• Adaptive equipment training
• Pain management techniques

Documentation

• Complete evaluations, progress notes, daily treatment notes, discharge summaries, and recertifications accurately and within required timelines.
• Maintain documentation that meets Medicare Part A, Medicare Part B, Managed Care, Medicaid, and payer requirements.
• Utilize the facility’s electronic medical record (EMR) system.

Interdisciplinary Collaboration

• Participate in care plan meetings.
• Collaborate with physicians, nurses, speech-language pathologists, physical therapists, social workers, dietitians, and nursing staff.
• Communicate resident progress and discharge recommendations.

Patient & Family Education

• Educate residents and caregivers regarding:
  • Home exercise programs
  • Adaptive equipment
  • Fall prevention
  • Safe transfer techniques
  • Joint protection
  • Energy conservation
  • Home safety recommendations

Compliance

• Maintain compliance with:
  • Medicare and Medicaid regulations
  • CMS requirements
  • State and federal regulations
  • Facility policies
  • HIPAA requirements
  • Infection prevention procedures

Quality Improvement

• Participate in quality assurance and performance improvement initiatives.
• Assist with outcome tracking and clinical quality measures.
• Maintain productivity standards established by the facility.

Qualifications

Required

• Graduate of an accredited Occupational Therapy program.
• Current California Occupational Therapist license in good standing.
• Current CPR/BLS certification.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively within an interdisciplinary team.

Preferred

• Minimum of one year of Skilled Nursing Facility or adult rehabilitation experience.
• Experience with Medicare Part A, Part B, Managed Care, and PDPM.
• Experience using Net Health, Rehab Optima, Casamba, PointClickCare, or similar EMR systems.

Knowledge & Skills

• Strong clinical reasoning and problem-solving abilities.
• Knowledge of geriatric rehabilitation principles.
• Familiarity with PDPM reimbursement guidelines.
• Excellent time management and organizational skills.
• Ability to prioritize caseloads efficiently.
• Strong interpersonal and customer service skills.

Physical Requirements

• Ability to lift, transfer, position, and assist residents safely.
• Frequent standing, walking, bending, reaching, kneeling, and lifting up to 50 pounds with or without reasonable accommodation.
• Ability to demonstrate therapeutic activities and exercises.

Benefits (if applicable)

• Competitive compensation
• Flexible scheduling
• Health, dental, and vision insurance
• Paid Time Off (PTO)
• Paid holidays
• Continuing education reimbursement
• 401(k) with employer match
• Professional development opportunities
• Clinical mentorship and support

Why Join Teamwork Therapies?

At Teamwork Therapies, we are committed to delivering exceptional, patient-centered rehabilitation services while fostering a collaborative and supportive work environment. Our therapists are empowered to provide evidence-based care, build meaningful relationships with residents, and make a lasting impact on functional outcomes and quality of life. We value clinical excellence, teamwork, integrity, compassion, and continuous professional growth.