Transitional Management Services Occupational Therapist

Make a Difference in Someone’s Life!

At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch. Here, we care for people, including our team members. We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Job Highlights:

The TMS Occupational Therapist must be considered a Qualified Professional (QP) and have at least 2 years of experience working with adults with a mental health diagnosis and/or substance use disorder.

In accordance with 10A NCAC 27G .0104, a Qualified Professional must meet one of the following educational and experience requirements:

• Bachelor’s degree (non-Human Services) with 4 years full-time or 8 years part-time applicable experience.

• Bachelor’s degree (Human Services) with 2 years full-time or 4 years part-time applicable experience.

• Master’s degree (Human Services) with 1 year full-time or 2 years part-time applicable experience.

Occupational Therapist Qualifications:

In addition to meeting QP requirements, candidates must:

• Hold a current and valid license to practice as an Occupational Therapist in the state of North Carolina.

• Have graduated from an accredited Occupational Therapy program.

• Possess at least 2 years of clinical experience working with adults with mental health and/or substance use disorders (may overlap with QP experience).

• Demonstrate knowledge of occupational therapy principles, person-centered planning, and interdisciplinary collaboration.

• Be eligible to provide services under applicable Medicaid or insurance guidelines, if required.

This Opportunity:

The primary responsibilities of the Transitional Management Services Occupational Therapist are to provide clinically-based supervision and guidance to both staff and the individuals they support, enhancing quality of life through services that enable individuals to achieve their personal dreams and goals. In addition to Qualified Professional duties, this role includes delivering occupational therapy services to support individuals in achieving greater independence and functional ability in their daily lives.

What You'll Do:

• Provide initial and ongoing assessments of individuals’ functional abilities, occupational performance, and therapeutic needs.

• Evaluate the effectiveness of the Person-Centered Plan (PCP) and progress made by individuals receiving services.

• Participate in interdisciplinary team meetings and case reviews, offering clinical input and recommendations for PCP modifications.

• Develop and provide input on goals for the person centered plan based on assessment findings.

• Deliver direct OT interventions to improve skills in areas such as self-care, sensory processing, fine/gross motor coordination, and adaptive functioning.

• Recommend and train individuals and staff on the use of assistive technology and environmental modifications.

• Maintain accurate and timely documentation of therapy sessions and progress in accordance with professional and regulatory standards.

• Identify opportunities for community connections and the development of natural support networks.

• Educate individuals and staff on available community resources and facilitate access to these supports.

• Use a range of communication strategies to build effective relationships with individuals, families, staff, and other stakeholders.

• Collaborate with interdisciplinary teams to ensure coordinated and person-centered service delivery.

• Ensure service requests align with eligibility, continued stay, and discharge criteria.

• Conduct clinical reviews and ensure documentation meets service requirements for authorization and billing.

• Prepare and submit required reports, evaluations, and documentation. Review and sign off on clinical records as needed.

• Provide clinical guidance and expertise to direct support staff in the implementation of Person-Centered Plans (PCPs) and support strategies, ensuring alignment with occupational therapy goals and best practices.

• Collaborate with staff to model and reinforce therapeutic techniques that promote individuals’ independence, functional skills, and engagement in meaningful activities.

• Offer consultative support by observing service delivery, identifying areas for improvement, and recommending evidence-based strategies tailored to individual needs.

• Participate in team meetings to share insights on individuals’ progress and functional abilities, helping staff adjust approaches as needed.

• Assist in developing and delivering training sessions or informal coaching to enhance staff understanding of occupational therapy principles and person-centered practices.

• Serve as a resource for staff questions related to adaptive equipment, sensory supports, and environmental modifications.

• Promote a team-based approach by fostering open communication, mutual respect, and shared problem-solving among all team members.

• Maintain certification in all required agency, state, and federal training.

• Demonstrate knowledge of emergency procedures and participate in on-call coverage.

• Work with supervisors to assess and enhance the quality and effectiveness of services provided.

• Ensure compliance with all agency policies, procedures, and applicable regulations.

• Follow service definition guidelines for all services provided.

• Complete other responsibilities as assigned by the supervisor.

• Driving and travel may be required.

Education We're Looking For:

Bachelors: Occupational Therapy (Required), Masters: Occupational Therapy

Certifications We're Looking For:

Drivers License (Valid) - USA, Occupational Therapist (OTR/OTA-L) - State Board of Occupational Therapy, Qualified Professional (QP) - Monarch-DSM

Experience We're Looking For:

Experience working with adults with a mental health diagnosis and/or substance use disorder | 2 Years | Required

Schedule:

Monday-Friday (9:00am-5:00pm)

Target Weekly Hours:

40

Monarch is an Equal Opportunity Employer

Monarch offers opportunities as diverse as the people we support and the communities we serve. Monarch is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity. 

Monarch does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch.