Tri-County Therapy (TCT) is a therapist-owned pediatric therapy practice serving children from birth through age 18 across South Carolina. Our Occupational, Speech, and Physical Therapy teams work collaboratively to help children build the skills they need to participate more fully and independently in everyday life.
Pediatric Occupational Therapist (OT)
Full-Time & PRN Opportunities | Charleston, SC Area | Pediatric Therapy
Looking for a pediatric OT position where you can build meaningful relationships with families, grow your clinical skills, and have a multidisciplinary team behind you?
Tri-County Therapy (TCT) is a therapist-owned pediatric therapy practice serving children from birth through age 18 across South Carolina. Our Occupational, Speech, and Physical Therapy teams work collaboratively to help children build the skills they need to participate more fully and independently in everyday life.
We are growing throughout the Charleston area and have multiple opportunities for Pediatric Occupational Therapistsโfrom full-time clinic positions to mixed clinic/community roles and flexible afternoon PRN opportunities.
๐ Current OT Openings
๐ Summerville / North Charleston + Ladson Clinic โ Full-Time OTA mixed position providing pediatric OT services in the Summerville/North Charleston community along with clinic-based treatment at our Ladson office.
๐ West Ashley / Charleston โ Full-Time Clinic OT (December, 2026)Join our West Ashley team with a consistent pediatric caseload in our Charleston-area clinic.
๐ Ladson โ PRN Clinic OT | Afternoons OnlyA great option for an OT looking to add flexible afternoon pediatric clinic hours.
๐ Mount Pleasant โ Full-Time Mixed Clinic + Community OTEnjoy variety throughout your week with a combination of treatment in our Mount Pleasant clinic and community settings, including homes, preschools, and early intervention.
๐ Mount Pleasant โ PRN Clinic OT | Afternoons OnlyProvide pediatric OT services in our Mount Pleasant clinic on a flexible PRN afternoon schedule.
๐ Why OTs Choose Tri-County Therapy
At TCT, we want our therapists to have the clinical support, resources, and flexibility they need to focus on what matters mostโtheir patients.
๐ Collaborative multidisciplinary team of OTs, SLPs, PTs, and therapy assistants
๐ง Dedicated OT clinical leadership and mentorship
๐ Established referral network and consistent patient volume
๐ฐ Bonus compensation opportunities for full-time therapists
๐ฑ Opportunities to develop specialty interests in areas such as sensory processing, feeding, emotional regulation, executive functioning, and early intervention
๐ Continuing education support and CEU scholarship opportunities
๐งธ Therapy materials and equipment provided
๐ฑ iPad provided for documentation
๐ Professional growth opportunities within an established and growing pediatric practice
๐ก Clinic and community-based opportunities depending on the position
๐งธ What You'll Do
As a Pediatric Occupational Therapist at TCT, you'll evaluate and treat children with a wide variety of developmental needs while partnering closely with their families and other members of their care team.
You'll have opportunities to:
Evaluate pediatric patients and develop individualized plans of care
Treat areas including fine motor development, visual-motor and visual-perceptual skills, sensory processing and regulation, feeding, self-care and activities of daily living, executive functioning, and other functional skills
Develop individualized treatment activities and home programs to promote carryover outside of therapy
Educate and collaborate with parents and caregivers regarding treatment strategies and progress
Identify potential needs for adaptive or sensory equipment and assist families with obtaining medically necessary equipment when appropriate
Complete evaluations, daily documentation, progress reports, plans of care, and discharge documentation in a timely manner
Collaborate with SLPs, PTs, educators, physicians, and other professionals involved in the child's care
Build your skills in the areas of pediatric OT that interest you most
๐ What We're Looking For
Degree in Occupational Therapy from an accredited program
Current South Carolina Occupational Therapy license or eligibility for licensure
Pediatric experience through employment or clinical rotation
Knowledge of child development and developmental milestones from birth through adolescence
Strong communication, organization, and collaboration skills
A family-centered approach to pediatric care
Experience with sensory processing and/or pediatric feeding is a plus, but not required
๐ฐ Compensation
Full-Time W-2 Positions
Base compensation includes both direct therapy and administrative responsibilities such as documentation and caregiver communication
Bonus compensation opportunities based on productivity
PRN Positions
Paid per completed visit
Flexible afternoon scheduling based on position and patient availability
๐ Full-Time Benefits
Health and dental insurance
401(k) retirement plan
Paid time off
Paid holidays
Continuing education programs
CEU scholarship opportunities
Professional liability coverage
iPad and therapy materials/equipment provided
Optional vision, life, and short-term disability insurance
๐ Clinical Support That Goes Beyond a Caseload
Our therapists don't have to figure everything out on their own.
TCT's leadership structure provides both operational and clinical support, including:
Your Manager: Helps with scheduling, caseload development, operational needs, and day-to-day support.
Your Lead Occupational Therapist: Provides clinical guidance, training, mentorship, documentation support, and a resource for questions as you grow your pediatric OT skills.
Chief Clinical Officer: Provides ongoing check-ins and helps foster clinical growth and opportunities
You'll also work alongside a multidisciplinary team of pediatric professionals who regularly collaborate to support their patients.
Come Grow With Us!
Tri-County Therapy has been serving South Carolina families since 2013, and we're excited to continue growing our Charleston-area OT team.
Whether you're looking for a full-time pediatric career, a mix of clinic and community treatment, or flexible PRN afternoon hours, we may have an opportunity that fits what you're looking for.
Apply today and come see what it's like to grow your career with Tri-County Therapy!