Occupational Therapist - Community Behavioral Health

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 deficitsand 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: Activities of daily living (ADLs) Instrumental activities of daily living (IADLs) Sensory modulation and sensory processing strategies to support emotional regulation, self-management, and de-escalation Rest and sleep participation Leisure exploration and participation Work, volunteer, and productive role participation Executive functioning, organization, and routines Health management and wellness 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 support