Locations: Jefferson Beach & Eastside (Part-Time or Full-Time)​

​

We’re looking for a passionate and licensed Occupational Therapist (OTR/L) or Certified Occupational Therapy Assistant (COTA/L) to join our growing team. In this role, you’ll provide child-led, nature-immersed OT services to pediatric clients in a variety of settings — including our forest school programs, in the community, and in family homes. This is a rare opportunity to bring your clinical skills outdoors and make a meaningful impact in the lives of neurodivergent children and their families.

​

What You’ll Do

• Deliver individual and small-group OT sessions in outdoor, community, and home settings

• Collaborate with forest school teachers and program staff to support children during nature-based programming

• Conduct evaluations, develop treatment plans, and track progress toward individualized goals

• Support sensory regulation, motor development, adaptive thinking, and self-directed play

• Communicate regularly with families to share progress and provide home strategies

• Maintain accurate documentation and billing in accordance with insurance and private pay requirements

• Participate in team meetings and contribute to a collaborative, neurodiversity-affirming, trauma-informed team culture centered on mutual respect, consent-based interactions, and child-led practice

 

What We’re Looking For

• Active Washington State OTR/L or COTA/L license (required)

• Experience in pediatric OT, especially with neurodivergent populations (ASD, ADHD, SPD, PDA, developmental delays)

• Comfort working outdoors in all weather conditions — we’re outside rain or shine!

• Passion for nature-based, child-led, and play-based approaches to therapy

• Strong communication skills with both children and families

• Ability to work independently and collaboratively in a small, close-knit team

• CPR/First Aid certification (or willingness to obtain)

• Up-to-date vaccines

• Experience with insurance billing (Premera, Apple Health/Medicaid, Cigna, etc.) is a plus

• Commitment to neurodiversity-affirming, strengths-based, and identity-affirming care for children and families of all backgrounds

• Comfort working within a relationship-centered, collaborative team where educators, therapists, and families learn from each other

 

What We Offer

• A truly unique work environment — treat kids in forests, not clinics

• Flexible scheduling to fit your life

• A collaborative, supportive team of OTs, educators, and outdoor specialists

• Work with a caseload of engaged, curious kids who thrive in nature

• Insurance credentialing support (Premera, Apple Health, Cigna, Molina, TRICARE, Regence, First Choice Health)

• Private pay clients also available

• Competitive compensation — $35–$55/hour depending on experience and license type

• Sick time in accordance with Washington State law

• CEU reimbursement (amount based on hours worked), plus access to a shared CEU library for all staff

• Mentorship from experienced pediatric OTs

• Cedarsong Way Foundations Program training and additional advanced Cedarsong Way training as needed

 

How to Apply

We’d love to hear from you! Send your resume and a brief note about why you’re drawn to nature-based OT to:

admin@littlefernforest.com

​

Little Fern Forest is an equal opportunity employer committed to building a team that reflects the diversity of the children and families we serve.

​

We strongly encourage applications from LGBTQ+ clinicians, neurodivergent clinicians, disabled clinicians, new graduates, parents, and people from historically underrepresented communities in healthcare and outdoor education.

​

​

​

​