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Legacy Health

Occupational Therapist - Acute Care

Company : Legacy Health

Location : Portland, OR, 97227-1623

Job Type : Full Time

Date Posted : 12 January 2026

Overview

Your greatest reward is helping patients return to the work and life they enjoy. As an Occupational Therapist, you will assess, plan, and implement personalized treatment programs designed to achieve the best possible outcomes for each patient. If you share this passion and enjoy working within a multidisciplinary team while supervising support personnel, we invite you to explore this rewarding opportunity.

Responsibilities

  • Evaluate patients’ abilities and limitations.
  • Establish treatment goals based on evaluation findings and referral reasons, considering neuromuscular movement and stability, sensation, activities of daily living (ADLs), perception, cognition, vocational and prevocational abilities, developmental status, dysphagia, manual muscle testing, range of motion, body mechanics, and other relevant assessments.

  • Assess home and work environments, recommending physical barrier modifications or ergonomic adaptations as needed.

  • Administer therapy according to established plans, utilizing appropriate procedures, equipment, and techniques within the scope of Occupational Therapy practice.

  • Recommend adaptive equipment, complete justification documentation, and coordinate delivery.

  • Re-evaluate patients regularly to assess progress and provide discharge recommendations when appropriate.

  • Collaborate and co-treat with therapists from other disciplines.

  • Fabricate splints as required.

  • Maintain timely and accurate documentation of patient care in accordance with established standards.

  • Educate patients and caregivers on therapy goals, treatment methods, home program execution, and injury prevention strategies.

  • Supervise patient care activities performed by aides, assistants, attendants, and volunteers.

Qualifications

Education:

  • Bachelor’s degree from an accredited Occupational Therapy program approved by the Occupational Therapy Association.

Skills:

  • Provide patient services and supervise Certified Occupational Therapy Assistants (OTA/COTA), Therapy Aides, and students.

  • Demonstrate excellent organizational skills to facilitate program development and implementation.

  • Competent in assessing and interpreting patient needs based on age-appropriate knowledge of normal growth, development, and required treatment plans.

  • Skilled in developing home programs and conducting family training to support patient progress.

  • Knowledgeable in the selection and use of Durable Medical Equipment (DME) and adaptive devices.

  • Proficient in relevant computer applications to enhance therapy documentation and communication.

Licensure

  • Occupational Therapist License required.
  • BLS for Provider certification from the American Heart Association required.

Pay Range

USD $47.74 - USD $68.28 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

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Frequently asked questions

Occupational Therapists in acute care at Legacy Health focus on rapid assessment and personalized rehabilitation to help patients regain independence quickly after serious health events, differing from outpatient roles by working closely with multidisciplinary teams in fast-paced hospital environments.

Mastery of neuromuscular assessments, cognitive evaluation, and adaptive equipment recommendations are crucial. Additionally, proficiency in fabricating splints and collaborating across departments enhances care quality specific to acute care settings in Portland’s healthcare landscape.

Portland’s healthcare sector actively seeks occupational therapists skilled in acute care due to an aging population and increased hospital admissions. Competition exists but is balanced by steady openings at institutions like Legacy Health, reflecting strong regional demand.

Besides the mandatory Occupational Therapist license and BLS certification, Oregon employers value continuing education in acute neurological rehabilitation and ergonomic adaptations, which can set candidates apart in Portland's competitive occupational therapy market.

Legacy Health fosters growth through interdisciplinary collaborations, ongoing training, and opportunities to lead therapy program development. Acute care therapists gain exposure to complex cases, enhancing expertise while contributing to patient-centered innovations.

Legacy Health emphasizes inclusive team dynamics and comprehensive patient care, integrating advanced equipment training and supervisory roles for therapists. Their commitment to equity and professional development distinguishes their acute care OT roles locally.

Hourly wages for acute care Occupational Therapists at Legacy Health in Portland generally span from $47.74 to $68.28, reflecting competitive compensation aligned with specialized skills and the demands of hospital-based rehabilitation.

Therapists often navigate complex patient conditions requiring swift adaptability, coordinate with multiple healthcare professionals, and balance supervision duties—all within a dynamic clinical environment demanding precise documentation and tailored therapeutic interventions.

Occupational Therapists lead evaluations, treatment planning, and complex interventions, while Occupational Therapy Assistants support therapy implementation and patient monitoring under OT supervision, making the therapist role more focused on clinical decision-making in acute care.

Legacy Health empowers OTs to oversee aides and assistants, ensuring therapy activities align with individualized plans. This supervision fosters teamwork and maintains high-quality care standards in acute settings, enhancing patient outcomes effectively.

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