non-clinical jobs for occupational therapists

Non-Clinical Occupational Therapy (OT) Jobs

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There was time—not so long ago—when the idea of pursuing non-clinical occupational therapy (OT) jobs was perplexing to most. OT was considered one of the best careers out there for so long…why would anyone want to leave? Well, with debt skyrocketing, reimbursement cuts, PPE shortages, and the slog of working with ungrateful managers during COVID, something snapped. OTs want out. And it’s OK.

You’re not a bad person if you feel drained by patient care. And you’re not a sellout or greedy if you want a job with actual upward mobility.

Whatever your reason(s) for exploring non-clinical OT jobs, you’ll be pleased to know that there ARE options. This article was designed to be your starting guide to the wonderful world of non-traditional, alternative, and non-clinical OT jobs.

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Why OT/As make a great fit for non-clinical careers

I want to start by saying that occupational therapy professionals are some of the kindest, most truly good people I have ever known. The holistic framework and user-focused lens that they use means that OT practitioners are the ultimate problem-solvers. And they’re also the ultimate collaborators—the glue that holds the healthcare disciplines together.

This natural tendency to collaborate and problem solve is part of why OTs excel so much in non-clinical occupational therapy jobs.

OTs are also incredibly tenacious; difficult patients and challenging productivity rules lead to extremely creative and efficient use of time, resources, and overall brainpower. And that’s why—whether we’re talking about case management, innovation and technology, process improvement, leadership, or any other important aspect of healthcare—OTs most certainly can excel and grow in non-clinical roles.

Think about it this way: without OT, patients are simply climbing stairs to climb stairs. With OT, that patient is climbing stairs to read his child a bedtime story.

Put an OT in a clinical informatics role, and she won’t just say, “How do we move this data over there?” She will ask:

  • “Why are we moving this data?”
  • “Who needs this data next?
  • “How is that person used to seeing data presented?”
  • “What can we do to present the data in that way?”

I’m sure you see what I mean 🙂

And that’s really why I wrote this article. To create a resource for OTs who want to do more to be able to do exactly that. So that when they crave change, they can embrace their OT roots and find fulfilling, meaningful work that blends their many talents with healthcare’s biggest needs.

Whew, I was on a soapbox there!

OT Month graphic promoting non-clinical occupational therapy jobs
I love that people can see this graphic year-round here 🙂

Let’s look at some of the reasons why OTs might opt to seek non-clinical work.

Why occupational therapy professionals look for non-clinical jobs

Career growth

Many OTs are looking to stretch their wings, learn more, and grow more. Perhaps you’re seeking more recognition, more respect, or more opportunities when you consider unconventional occupational therapy jobs. All of these abound in the non-clinical world.

Financial opportunity

Many traditional clinical roles have glass ceilings, as far as income is concerned. You can only “see more patients to get more money” to a certain point. If you’re looking to increase your earning potential, non-clinical OT jobs can be the answer.

Feeling bored with clinical work

Patient care can be a bit repetitive, especially for variety-seekers. Some OT professionals want to leave patient care simply because they crave a new challenge.

Dealing with OT burnout (emotional or physical)

The whole “see more patients to get more money” mindset in clinical care often leads to burnout—which, in turn, leads to OTs seeking non-clinical occupational therapy jobs.


Some people are just plain curious to learn more about what’s out there! OTs tend to be a curious and motivated bunch, and the repetitive nature of patient care can lead them to seek greener pastures!

Without further ado, let’s dive into the top non-clinical jobs for OTs.

The top non-clinical occupational therapy jobs of 2022

I’m going to share the most popular (and easiest to land) jobs for OTs in this list. I do frequently revisit articles, and will add and adapt as the professional climate evolves 🙂

1) Clinical/rehab liaison

A clinical liaison (or rehab liaison) is responsible for helping to fill up an inpatient rehab facility (IRF)/acute rehab unit (ARU) with appropriate patients for short-term rehab. It’s a role that blends relationship-building, marketing, sales, and clinical expertise.

Your days will vary significantly when you’re a clinical liaison. You might spend one day primarily evaluating (in a non-physical way) new patients, or you might spend another day working on insurance paperwork. Some other days might be spent in the field or in the community, trying to build referral sources.

In order to qualify for these non-clinical occupational therapy jobs, you typically need a few years of experience in acute and/or inpatient rehab settings.

A clinical/rehab liaison role is ideal for someone who is goal-oriented, outgoing, builds relationships easily, organized, and able to work both independently, and in a team.


  • You’re still educating patients and working with people, but you’re not in direct patient care or doing anything physical.
  • You’re still directly using your license, and you can’t do this role without experience and education as a therapist.
  • The pay can be on par with, or higher than, a standard therapist’s salary.
  • Hours tend to be pretty flexible.


  • Sometimes, these roles are only available to therapists, not assistants. There are many exceptions to this, though.
  • You need to be a self-starter to thrive in these non-clinical occupational therapy jobs, and you often have quotas to meet.
  • There’s limited direct upward mobility from these roles (though you can go into sales or marketing).
  • You occasionally need to stay late or work on weekends in these roles.

Here are some spotlights on clinical/rehab liaisons (or similar roles)!

Clinical Rehab Liaison Crash Course

2) Clinical educator/trainer

A clinical educator (sometimes called a sales trainer or clinical trainer or hospital educator) is responsible for training individuals or groups on the use of a software, service, or device. Clinical educators teach medical professionals how to operate equipment, use software (EMRs, etc.), and deliver services in specific ways. This is slightly different from roles like orthotic fitters/consultants, where the primary focus is more on selling vs. training. However, both types of roles do tend to have a sales component.

Occupational therapists will frequently work as clinical educators in hospital settings, as well as in field trainer roles, where they cover territories and teach patients or clinicians (or both) how to operate medical devices or assistive devices.

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In order to qualify for these roles, you need to have some experience with teaching (being a CI or adjunct instructor counts), and you often need to have worked with the device, software, or service to some extent during your career

A clinical/hospital educator role is perfect for the OT or OTA who loves giving in-services and presentations, enjoys educating others, is organized, and doesn’t mind travel (many roles do require it).


  • This is often considered a very fun and fulfilling role.
  • These roles generally pays better than clinical roles, as there is often a performance bonus.
  • Clinical educator roles are often very flexible.


  • These roles can sometimes require quite a bit of travel.
  • Many clinical educator roles go to nurses (think “nurse educator”) unless we push for them.
  • Some of these roles require evening or weekend work (or evening/weekend travel).

Here is a spotlight on a clinical trainer!

Clinical Trainer Crash Course

3) Educator/professor

This one probably doesn’t surprise you as much, because most non-clinical OTs wind up in the education or management space. But some students actually want to become occupational therapists because they want to become educators from day one!

While most people think of OT professors when they think of educators, those in academia can work in numerous capacities. There’s higher education, working at an OTA program (as a program director or OT professor), and there are tons of options like teaching con-ed courses, working as an academic fieldwork coordinator, and more.

OTs and OTAs can work in the education space, provided they know which roles they are qualified to fill.

An education role is perfect for the OT or OTA who has niched down in his or her career, truly enjoys teaching others and watching them succeed, and has (or is OK with getting) the required degrees to qualify for the roles desired.


  • Educators tend to garner quite a bit of respect within their professional, and in the general public.
  • There is generally quite a bit of flexibility and time off awarded in the academic world.
  • Education can be extremely fulfilling, especially for someone who enjoys nurturing others’ growth.


  • You generally won’t have a normal 9-5 schedule usually. You might be grading papers at night or on weekends.
  • The pay varies wildly. You might make a lot of money as a tenured professor or program director, but you won’t make much if you’re trying to rely solely on teaching con-ed courses and that’s it.
  • The world of academia can be political.

Here are some spotlights on OT educators:

Academia/Education crash course

4) Clinical informatics specialist

A health informatics specialist or clinical informatics specialist role blends the worlds of IT and healthcare. OTs are already user-focused professionals who are excellent at problem solving and communicating. These non-clinical occupational therapy jobs are often a perfect match for the career-minded OT professional.

Clinical informatics professionals are tasked with all sorts of health information problems, such as improving processes, decreasing workflow in consideration to technology (yay, right??), and fixing the broken pile of unrealized dreams we call “electronic documentation” in hospital systems.

Clinical informatics is perfect for occupational therapists and assistants who are comfortable with technology,  crave streamlining processes, and generally just enjoy solving problems.


  • These roles truly take what we’re best at (problem solving) and marry it with a booming sector of healthcare. That booming sector happens to be broken, and can desperately use the OT eye!
  • Health informatics typically offers high pay with excellent growth potential.
  • The work is often very flexible, and some jobs offer some remote components.
  • You’re kind of leaving the occupational therapy profession in that you’re not really in rehab—but you’re still working in healthcare and using many of your transferable skills.


  • These non-clinical occupational therapy jobs might require additional education. That often means going through a certification program, rather than a full master’s degree, but it really depends on the role and your existing experience.
  • Given the types of problems you’ll be tackling, some roles might have days with long hours.
  • You can sometimes be caught between two sides and have to act as a peacemaker between clinicians and the IT team.
Learn more about our non-clinical career crash course in clinical informatics

5) Management and operations

Quite a few OTs go into leadership roles, but fewer ascend the ranks into upper management. That is likely because many of the roles that often do go to OTs and OTAs (director of rehab, etc.) often set rehab professionals up for failure, by requiring them to step in and treat patients when needed. Because “when needed” often translates into “every day,” it’s tough to accomplish the real tasks of the role, and OTs, PTs, and SLPs (and assistants) in these roles frequently find themselves facing a glass ceiling.

That said, we are very qualified to do what managers do: manage people. Do not shy away from management roles, because OTs have the brains to excel at upper management.

These non-clinical occupational therapy jobs can be in operations, human resources, and other specialties, or you can set your sights high and aim for CEO! If you enjoy systems, structure, and helping to grow other leaders, you might want to go into healthcare management!


  • By moving into upper management, you have the capacity to create true change in the broken system we call healthcare.
  • OTs in these roles can also elevate other rehab professionals into similar roles (through mentorship, providing informational interviews, etc.).
  • These roles generally offer extremely generous salaries, as well as other perks like flexibility.


  • You will often need additional education to move beyond director of rehab level.
  • It can be lonely at the top.
  • The more impressive your role, the longer hours you MIGHT be expected to work. It depends on the company culture.

Here are spotlights of OTs in leadership:

6) Telehealth

Telehealth occupational therapy refers to diagnosis, interventions, and education about OT being delivered over remote means. It’s a huge trend in the occupational therapy world, and in the greater healthcare world at large.

Telemedicine (including telehealth OT and telehealth PT) is essentially the Wild West, so it’s always best to check with your state regarding whether you can practice, whom you can treat, how you can collect payment, and other considerations.

Telehealth occupational therapy is a great option for those who enjoy patient care, but crave more flexibility and less physical burden.


  • You’re very much still using your degree and education.
  • Telehealth is growing quickly, and if you’re looking to niche down and have your own practice, now is a great time to beat the rush.
  • Hourly rates tend to be quite high if you’re working as a contractor with a company.


  • If you don’t enjoy patient care, you won’t be much happier in telehealth; it’s still patient care, minus the face time and physical components.
  • It’s difficult to find a full-time, benefited role as a telehealth occupational therapist.
  • Teletherapy can be challenging for those who have grown reliant on their hands for achieving therapeutic outcomes.
Telehealth non-clinical crash course

7) Utilization reviewer

Utilization review is a great career for someone looking to reduce waste in healthcare. However, there’s no way to sugar-coat it. Reducing waste is good, but limiting visits can be bad. Utilization review (which is technically part of a broader term, utilization management), does involve finding that balance between awarding medically necessary visits to covered patients, and avoiding wasteful visits when therapeutic gains aren’t being made.

Becoming a utilization reviewer is a perfect solution for the OT who is looking to see things from the other side. You can work at insurance companies, or at companies that contract out with insurance companies or hospitals.

If you’re eager to reduce waste and fraud, and you’re a detail-oriented, decisive person, you’ll likely enjoy a career in utilization management.


  • You still need a clinical license to practice, so you can really feel like you’re still using your degree and experience.
  • The schedule is often very flexible and, in some cases, allows you to work from home.
  • You will usually make around what you did as an OT.


  • Some UR companies don’t hire assistants. Some do, though!
  • These roles can be productivity-based, though most are not. Those that are, USUALLY have very realistic chart reviewing quotas.
  • These roles do involve some calls with frustrated providers who argue over patient benefits.

Here’s a spotlight on an OT utilization reviewer!

Utilization Review Crash Course

8) Ergonomic/industrial rehab/driver rehab specialist

Occupational therapists are perfect fits for many ergonomic and industrial rehabilitation roles. These roles vary quite a bit, but they make use of the OT skillset. While they’re still sort of considered patient care, they’re definitely outside the traditional model, so they’re in this article! 🙂 I’m also including driver rehabilitation specialist in this section, because it similarly uses OT training and education, though in a more non-traditional way.

If you enjoy thinking like an OT, and you still want to work with clients, but you want to get out of the traditional clinical setting, these roles might be great for you!


  • These roles are still keeping you in a client-facing position, so they feel familiar vs. jarring when you make the transition.
  • These roles tend to pay well, or around what you’d make as an OT.
  • Once you specialize or niche into these roles, you have a unique skillset that you can take with you to many different locations.


  • Roles can be hard to find. There usually aren’t many driver rehab programs in a given location, and you might need to wait for another OT to retire or move until you can have a shot.
  • Some of these roles are not full-time or benefited, or if they are, you have to do some time in patient care on top of the non-clinical work.
  • In some cases, you need specialized con-ed courses or certifications to stand out and land these roles.

8) Rehab tech/startup employee

There are lots of really cool technology, medical, and general innovation companies out there, and many of them would love to have some experienced OTs and OTAs on staff. Keep an eye out because I have some more content around these types of roles coming out soon! Generally speaking, you’ll find a lot of OTs working for cool startup companies. You might work in UX (user experience), consulting, testing, processes, or other roles in these companies.

OTs who wish to work in fast-paced, analytics-driven environments with collaborative teams would love working in tech startups.

→ Here’s a great article about how to land a role at a rehab tech startup as a PT, OT, or SLP!


  • These jobs are super exciting. You’re not just finally getting to pee during the workday. You’re building something new, and you’re often involved in every part of the process.
  • Startup and tech jobs tend to be very progressive with flexible hours, vacation time, and remote work.
  • If you work for a larger company, the pay can be quite solid!


  • Startup roles often don’t pay well.  You might be offered stocks or equity in exchange, but given that many startups fail to be acquired, those shares could amount to nothing.
  • Lack of benefits and job security are sometimes a concern if you’re working for a smaller startup.
  • Depending on the role, you might work long days.

Here are a few spotlights on rehab professionals who went the rehab technology route!

9) Entrepreneur

If you’re still wondering, “What else can I do with an OT degree?” keep in mind that OTs make fantastic entrepreneurs. Here are some of the best ways that savvy OTs can leverage their skills outside of direct patient care.

→ Occupational therapy consultant

Consulting is a fantastic way to take your professional expertise beyond the clinical setting. You can consult as a side gig or as a main focus, but it does require that you do the following:

  • Identify a niche
  • Understand your target clients
  • Know how to be found (via the internet, word-of-mouth, etc.)
  • Are comfortable setting prices on your services
  • Are willing to sell yourself
  • Are comfortable with wide variations in pay across months

My flagship course, Non-Clinical 101, has a whole bonus lesson about getting started as a consultant!

Here are a few spotlights on OT consultants!

→ Home modifications specialist

Home modifications is a great option for entrepreneurial PTs, OTs, and assistants. There are lots of great courses out there to get you started, but networking an marketing are really key to succeeding in the world of home mods. To learn more, b sure to check out Traci Swartz’s incredibly comprehensive article: Home Modifications Careers for OT and PT Professionals!

home modifications occupational therapy pinterest quote

Here are a few spotlights on home mods professionals!

→ Blogger/Online OT entrepreneur

I can tell you right now that running an online business can be hard, but it pays off. When I initially wrote this article, I barely made anything from this blog. Now, it has replaced my full-time income and continues to grow. I recently teamed up with Chanda Jothen from Pink Oatmeal, and we’ve put together a FREE primer on the fundamentals of a successful blog. You can get that for free here!

If you want a dose of inspiration, check out the spotlights of these inspiring online business owners!

Therapy Blogging 101: Learn online entrepreneurship from the founders of The Non-Clinical PT and Pink Oatmeal!
Learn online entrepreneurship from the founders of Pink Oatmeal and The Non-Clinical PT!

What other non-traditional/non-clinical OT jobs are out there?

There are SO many others you can pursue, but this article is already too long. Here are just a few other ideas:

These are just a few more of the 25 non-clinical career paths we cover in depth in my flagship course, Non-Clinical 101!

How to land non-clinical OT jobs

First of all, you have to look at this as your non-clinical OT career, not just a job.

If you want to switch gears, you’ve got a bit of work ahead, but it’s all very possible! You’ll want to explore what is right for you, and then be sure to search for the right jobs in the right places. The last thing you need to do is launch another career that you find unfulfilling.

A great place to start is with my flagship course, Non-Clinical 101. For each of the 25 non-clinical career paths we cover, you’ll find numerous job titles and focuses, several non-clinical resume and cover letter templates, interviewing tips, and guidance on which skills and strengths best position you for the work. Plus, you’ll find personalized assessments to help you determine your own superpowers, not to mention interviewing strategies and proven tips to negotiate a higher salary in your new job!

25 career paths, 40+ non-clinical resumes, cover letter templates, LinkedIn tips, networking/interview strategies, and guided insights to help you feel confident you’re making the right moves!

Parting words about alternative occupational therapy jobs

When you explore alternative occupational therapy career options, you’re not abandoning OT as a profession, and you’re not abandoning your patients. You spent a lot of time, energy, and money to get where you are, and just because you don’t clinically practice, you are not any less of an OT.

You *can* use your experience in a new way, without leaving the occupational therapy profession altogether.

In a non-traditional occupational therapy job, you WILL still be using your valuable experience. Maybe you’re sick of googling “I hate being an occupational therapist,” or perhaps you simply want a new challenge. Regardless of your motivation, promise that you will continue to remain vocal and proud as an OT professional, no matter where you go with your career. You’ve earned it! 🙂

37 thoughts on “Non-Clinical Occupational Therapy (OT) Jobs”

  1. I’m a peds OT in Raleigh NC. I have over 29 years of peds and school based expierience. I’ve basicalkh contract myself w schools most of my career yet large companies have taken over these contracts and I can’t seem to get enough work the last couple years. I’m divorced and only have my income. I’m struggling here w how to get something to use my peds and OT expeijece to generate income soon. Can you help?

    1. Hi Donna! Thanks for your comment. I would explore both consulting and utilization review. Lots of UR companies seek out peds therapists because of your specialized experience with a unique type of documentation. You can also work as a freelance content contributor, if you’re comfortable with writing, videos, etc. I hope this helps!

  2. I am a non clinical OT with management experience now working as a lean six sigma black belt, project manager, Baldrige examiner, and design thinker. OTs absolutely are built for flexibility and success in many areas! Thanks for the great article!

  3. Hey Meredith! I’m a peds OT with 4 years experience and am ALREADY burning out!! I’ve been trying to brainstorm non-clinical jobs and have loved your website. I just don’t know what to doooo. It’s daunting, that’s for sure! I need to find some time to really sit down and research career paths. Thank you again for all your work in these articles!

    1. Hi Melanie! Thank you so much for your comment and kind words about the website. I totally get it; I was feeling burned out around three years in! I would explore the spotlight series first, as it’s a great place to get ideas. I also recommend Non-Clinical 101, which you can snag at a discount if you sign up for my email list 🙂 I hope this helps, and thanks again for the comments! Oh, and don’t forget to sign up for my two free facebook groups (listed on the resources page of this site), so you can have support and tons of job listings!n — Meredith 🙂

  4. Hello,

    Thanks for this article!!

    Is speaking another language a marketable skill for UR? I’ve read a few job postings that mentioned a preference for bilingual applicants but wouldn’t all the documentation be in English?

    1. Hi Claudia!
      Thank you for the nice post, and that’s an excellent question. Since most notes are written in English, it’s probably not quite as marketable skill in a UR role as, say, a rehab liaison role. That said, I still think it’s 100% wise to list this skill on your resume. And if you’re looking for a little extra oomph in the cover letter, it can’t hurt! Hope this helps! Meredith

  5. Hi,
    I’m an Occupational Therapy Assistant with 8 years experience, I’m looking for a non clinical position, I have past managerial experience (outside of healthcare) and I tend to be a leader. I would love to review insurance claims or something along those lines. Where can I start looking for non clinical jobs while using some OT skills??

    Thanks, Amber

    1. Hi Amber! Thanks for your comment. With existing managerial experience, you’re in good shape for all sorts of non-clinical roles. I have a course you can explore to get an overview of what’s out there (and how to get there), or you can start with my general non-clinical job seeker starter pack, which comes with a list of 70 or so most common non-clinical job titles. You can plug those titles into sites like Glassdoor, Indeed, LinkedIn, and Google. Best of luck, and please keep me posted on your journey!

  6. Hello,
    I’m a COTA with 15 years experience and in my 60s. I work in Home Health and am looking for a non clinical position. I don’t know if it’s possible at my age, but do you know of anyone in my situation. I’m working PRN visits and need a more steady income, even if it’s part time. Thank you for your article.

    Thanks, Jennifer

  7. Hi I’m curious about nonclinical it work . I’m currently trying to transfer to a university so I may earn my bachelors/ master degree. I am normally quiet and shy but I do like to be around people. I do like to demonstrate and show people how to use tools/technology. What non clinical or career would be best for me? I’m also trying to break my shy habits.

    1. Hi Shay! This is a great question. If you enjoy showing people tools/technology, you might enjoy a role as a clinical trainer/clinical educator. You can demonstrate how to use rehab technology, EMRs, etc. If you’re shy, and don’t enjoy presenting, consider joining a local chapter of Toastmasters. It’s a great way to get out of your shell and learn how to confidently present materials! Cheers 🙂 – Meredith

  8. Can I be put on your mailing list? I am interested in non clinical 101. I am a long time OT and massage therapist. Thanks! Lisa m

  9. Hi Meredith,
    I am a COTA in Texas with 26 years experience. I would love to transition into something new. I’ve worked in rehab, outpatient, nursing facilities, home health and currently in the school setting. I’ve also been a facility rehab director. My experience in the military created a drive to always do more. I would love to pursue a different direction. I love assistive technology, working with people, brainstorming/ problem solving, teaching and starting new projects. I’d appreciate any feedback to get me started.

    1. Hi Layna!
      Thanks for your note. The best thing you can do is explore your values, strengths, interests, and “hard stops.” I’d recommend taking my free course (found on the homepage of this website) and exploring my spotlight series to see what types of roles are out there. That will help you get a good idea of what to pursue, which is the hard part! The easier part is taking steps to make it happen 🙂 Keep me posted on your journey! – Meredith

    2. Hi Meredith
      I’m a Mom of 2, a wife, and a pediatric OT with over 10 years experience mostly in EI, preschool, home care setting and elementary school in NYC. Recently, I was diagnosed with an autoimmune disorder that has been making it difficult to stay active and productive with hands on therapy. Now with a global pandemic wreaking havoc, I am trying to transition into telehealth. But I do not think this type of therapy is a growing field in my state long term (if so how do I find out?). Although I kind of like the whole idea of this, once kids get back to school I will be limited in peds telehealth cases. Moving forward, I do not plan on revisiting home care and putting myself in jeopardy health wise. Any suggestions on how to revamp my career while maintaining my love of peds and still be able to sustain my health?

      1. Hey Dora! Peds has the easiest transition of all of the telehealth niches! Don’t rule it out quite yet. Especially in NYC, where schools will be closed for awhile, this could be a great opportunity for you to get involved. Check out the companies hiring in the article and you can see if any appeal to you. Stay safe and healthy! – Meredith

  10. Hello. I’ve been an OT 20 plus years. The last 2 years I’ve been a treatment director at a therapeutic foster care agency. I have experience in many areas but the last half of my career has mostly been with peds. Having spent so much time in foster care, there is a huge need for OT‘s in the world of trauma informed care. So many kids could benefit from OT services who are in the foster care system and who have been adopted. However, OT seems to be a dying breed in the mental health field. I find this sad since this is where our roots come from. I really would like to market myself and go out on my own. However, it seems a little overwhelming and I’m not sure where to start. Any advice is appreciated. I would like to be added to your email list if possible. Thank you.

    1. Hi Jolene! Thank you for your comment. I absolutely agree with you; OTs have a HUGE role in the mental health space. Have you visited OT Potential? Sarah runs an online journal club for OTs, and much of what she covers involves mental health considerations. Worth checking out. I also see a lot of jobs that would be very appropriate for an OT with a mental health background, yet OT is not included on the list. I will add you to my email list. Keep an eye out for the jobs at the bottom of the weekly emails!

  11. Hi Meredith,
    I’m a newer OT practitioner and have been in the field for about a year and a half now. I took my first job as a traveler in a school-based position and quickly transferred to providing teletherapy sessions to my students when COVID shutdown schools. Following that position I took a job in my hometown as a PRN in a SNF while continuing to look for a new travel contract. I have never been driven to a full time 9-5 job as it lacks flexibility and am worried that I’d easily become burnt out. I have thought about becoming an independent contractor and either opening my own telehealth company and/or home modification company however I have NO IDEA where to start and seems overwhelming.

    1. Hi Olivia! A great place to start is my flagship course, We cover home mods, telehealth, and 23 other non-clinical career paths, including the pros/cons of each, and how to get there. But, more importantly, the entire first step of the course is geared toward examining yourself, your motivations, and your unique strengths. By taking a series of assessments and self-reflective exercises, you can better understand which of the non-clinical OT career paths would suit you best. Let me know if you have questions!

  12. Hello Meredith,
    I LOVE this blog! I am a new OT grad (as of February 2021) doing a career change. I am in my 40’s with a wife and four kiddos. Trying to find a clinical job in today’s market with the pandemic being what it has has been challenging to say the least. My previous career was in music which is not helpful on the resume for a clinical OT. However, I have management, sales, leadership, public speaking, and media experience from my former career and I was thinking of possibly starting my own non-clinical business. The problem is, I do not have any clinical experience other than Fieldwork experience through my education. Should I take the plunge in to clinical work and just do a few years to gain experience, or since I have half a life of experience already, do you see an area of non-clinical work I could explore right away? Thanks for this most amazing resource!!!

    1. Hey Josh! Woohoo, fellow 40-something here 🙂 Thanks for your nice comment. I’m so sorry you’re graduating into such a tough job market. What a time, huh? Sounds like you have a lot of great experience from your past career. It really depends on what you want to do re: whether you’ll want to get clinical experience first. You can take either route, so it will depend on what you want to do. We cover the 25 most common non-clinical career paths in Non-Clinical 101. ( I also think you would get some great replies from people in my free networking group:
      Cheers, and best of luck on your journey!

  13. Hello,

    I just wanted to thank you for the kind words and encouragement sprinkled throughout this article, especially the part about wanting a career change into non-clinical doesn’t make us any less of OTs. :’-) It’s so important for me to remember that everytime I feel guilty for wanting to leave. So thank you!

  14. Thank you for this article, Truly appreciate the gems provided!

    I recently discovered it researching non-traditional OT roles, I am a newly qualified OT from the UK. I have previous experience working with children and young people in special needs schools, also my placements have been varied, and have found an interest in acute adult mental health. I volunteered at a psychiatric hospital in Ghana(West Africa), which I thoroughly enjoyed. Since then I have been thinking of what I can do – as far as OT humanitarian work. Do you have any advice on this or know of anyone I can speak to for further information?


    1. Hi Abigail! I’m so glad you enjoyed the article. I would reach out to the OT association in your country to find out some contacts. You can also look on LinkedIn to see OTs who have worked for various humanitarian orgs. Good luck! You are great for doing what you do <3

  15. Stephanie Trainor

    I have a degree in OT but I was never able to pass the board exam I took it six times and I’m waiting on my results for the six try. also exploring other options that I can do with this degree without a license. this article is helpful. I’m just not sure what is the just right challenge for me. I really need to work and not have to go back to school for something else. thanks for all of your help.

    1. Hi Stephanie! I am so sorry about the frustrating experience with OT boards. I worked with a tech once who was trained as a DPT and had a similar experience. It’s so maddening that one test can be such a barrier after all the work and time and money you have invested in school. You are definitely in a good position to do something else, though, if you’re open to it. You could work in sales, content creation (writing), marketing, public health, recruiting, and many other spaces without a formal OT license. I hope you get good news after your latest try on the boards exam, but if you wind up needing a plan B, it could honestly be a major opportunity for you to reinvent yourself without being pigeonholed as “just a clinician.” You have SO many options!! I am sending you lots of good energy and I know you will go far!

  16. Hi!
    Thank you for posting this article. I’ve been an OT for seven years and I am interested in transitioning into non-clinical role for many reasons however I’m not sure which direction I should go. I have worked in lots of settings, have a passion for mental health (also have a non-profit), looking for flexibility (I have a husband and children that I want to spend more time with), good pay and possibly remote but I am open. Any insight would be great!

    1. Hi there! Thanks for the comment. I recommend starting with the free mini course you can find on the homepage of this website. It gives a great overview of how to approach the process of deciding which direction to pursue 🙂 Good luck!

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