Clinical Director - Pediatric Outpatient & School Contracts
About the role
The Clinical Director is the senior clinical leader of Mighty Minds and Muscles, responsible for the quality, consistency, and development of all occupational therapy services and collaborative leaders for speech and PT. This role carries both direct clinical responsibilities and leadership duties: you will carry a caseload, supervise and mentor OT staff, lead clinical programming, and serve as the primary clinical partner to the Owner/Founder and Operations Manager.
Key Responsibilities
Oversee the quality and consistency of all OT services delivered by the practice
Conduct regular case reviews with OT staff; provide clinical consultation on complex cases
Review and co-sign evaluation reports as appropriate; ensure documentation meets clinical and regulatory standards
Establish and maintain evidence-based clinical protocols and treatment frameworks across the team
Lead the implementation and refinement of MMM's neurodevelopmental, sensory integration-informed clinical model, including thorough evaluations (using our newly developed ai-supported evaluation process)
Provide clinical supervision to OT and academic support providers, supervisees and early-career therapists
Conduct or co-lead clinical onboarding for new hires
Lead bi-weekly or monthly clinical team meetings and case consultation sessions
Identify professional development needs; recommend and coordinate CEU opportunities for the OT team
Consult on curriculum design and clinical framework development for the Toddler Preschool Alternative Program (launching soon)
Provide supportive role in further development of and formal implementation of the Collaborative Multidisciplinary Evaluation package (OT + PT + SLP) including pricing, report format, and referral workflow
Contribute to clinical content for educational social media and family resources
Advise the Owner on clinical hiring needs, service line expansion, and clinical best practices
Partner with the Clinical Programs Coordinator on scheduling, productivity expectations, and documentation compliance
Participate in school partner meetings where clinical expertise is needed
Advise on EHR/documentation system configuration as it relates to clinical workflow
Required Qualifications
Master's or Doctoral degree in Occupational Therapy from an accredited program
Current NYS OTR/L licensure in good standing (or eligibility to obtain prior to start date)
NBCOT certification (OTR)
Minimum 5 years of clinical experience in pediatric occupational therapy
Demonstrated expertise in sensory integration and neurodevelopmental treatment approaches
Experience conducting comprehensive pediatric OT evaluations (preschool and school-age)
Prior experience providing clinical supervision or mentorship to OT staff or students
Preferred Qualifications
SIPT (Sensory Integration and Praxis Tests) certification or SICT (Ayres Sensory Integration® Certification) in progress or completed
Experience working in NYC DOE-funded environments (Related Services, SEIT, IHO cases)
Familiarity with NYC DOE billing systems and IEP documentation
Experience with infant/toddler developmental assessment and intervention
Background in MNRI (Masgutova Neurosensorimotor Reflex Integration), DIR/Floortime, or other integrative modalities
Prior experience leading a clinical team or serving in a senior/lead therapist capacity
Doctoral degree (OTD) or advanced post-professional training in sensory integration
Compensation & Benefits (W-2 Full-Time)
Salary: $90,000–$110,000 annually, commensurate with experience and caseload
Health insurance contribution
Paid Time Off
CEU/professional development stipend
Support for SIPT, MNRI or advanced certification completion (where applicable)
NBCOT and NYS/NJ licensure renewal support
Compensation (1099 Contract)
Clinical treatment rate: $80–$120/hour (based on experience and case type)
Clinical/admin leadership rate: $50–$60/hour (for supervision, case review, program development, team meetings, and non-billable leadership time)
Sample blended effective rate for a 65/35 clinical-to-admin split at full hours: approximately $80–$100/hour all-in
1099 candidates are responsible for self-employment taxes; no benefits provided
Future potential for equity ownership or profit sharing for the right candidate