Full-Time

Occupational Therapist

Updated on 9/11/2026

Monarch

Monarch

1,001-5,000 employees

Behavioral health and substance use treatment

Compensation Overview

$85k/yr

Asheboro, NC, USA

In Person

Driving and travel may be required.

Bachelor's, Master's

Category
Medical, Clinical & Veterinary (1)
Required Skills
Electronic Health Records (EHR)

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Requirements
  • A Bachelor's degree in Occupational Therapy is required.
  • Completion of an accredited occupational therapy educational curriculum is required.
  • Current Occupational Therapist (OTR/L) certification from a State Board of Occupational Therapy is required.
  • Experience working with children, youth, or adolescents in a crisis setting is required.
  • Experience working with children, adolescents, or transition-aged youth with a mental health diagnosis, an intellectual/developmental disability, or a substance use disorder is required.
  • At least two years of mental health experience is required.
  • Maintain certification and licensure in accordance with agency, state, and federal requirements.
  • Demonstrate knowledge of and comply with agency policies, procedures, and program-specific service definitions.
  • Driving and travel may be required.
Responsibilities
  • Complete occupational therapy screens and comprehensive occupational therapy evaluations using standardized assessments and the occupational therapy process.
  • Provide one-to-one and group occupational therapy treatment, specialized occupational therapy consultative services, and community occupational therapy outreach services.
  • Help individuals, groups, and populations maximize occupational participation in meaningful daily activities, including self-care, instrumental activities of daily living, work and educational occupations, and social participation.
  • Assess and interpret individual and group assessment and evaluation results and determine appropriate treatment.
  • Develop plans of care and group protocols using person- and occupation-centered interventions to address barriers to occupational participation.
  • Define activities and specific goals for inclusion in each individual's person-centered plan.
  • Document goals, interventions, and progress in accordance with reimbursement and practice act standards.
  • Collaborate with the treatment team on care coordination and incorporation of occupational therapy services into each individual's person-centered plan.
  • Select and use appropriate screens, assessments, and interventions based on occupational profiles and desired functional outcomes.
  • Address mental and physical impairments and contextual barriers affecting occupational performance, and recommend compensatory strategies, assistive technology, adaptive equipment, and durable medical equipment.
  • Complete home safety evaluations and provide workplace accommodation consultations.
  • Educate individuals' families and employers about accommodating and supporting occupational engagement.
  • Design and instruct individuals, families, and caregivers in occupation-centered interventions after discharge; recommend or provide assistive equipment and additional services as needed.
  • Assess and document individual and group progress for billing, reporting to physicians and other healthcare providers, and communicating with team members.
  • Plan, organize, and conduct group sessions at least three times weekly.
  • Attend and actively participate in required meetings and trainings.
  • Maintain timely documentation and records, including use of an electronic health record system.
  • Perform other relevant responsibilities assigned by the supervisor.

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify Jobs

Simplify's Take

What believers are saying

  • North Carolina backed Monarch with a $32.5 million Cabarrus grant and $500,000 Nash allocation.
  • Monarch opened Pittsboro's Chatham Opportunities Center in summer 2026, broadening I/DD capacity.
  • Cabarrus expects Monarch's new behavioral health center to serve 200 youth in 2027.

What critics are saying

  • August 2022 ransomware settlement still exposes Monarch to trust and compliance damage in 2026.
  • Monarch's Concord expansion requires staffing about 150 jobs before mid-2026 opening.
  • North Carolina funding dependence ties Nash County and Cabarrus growth to state appropriations.

What makes Monarch unique

  • Monarch's June 2026 Concord center bundles urgent care, crisis, and residential youth services.
  • Monarch's mobile clinics reach six northeastern counties with on-site and telehealth treatment.
  • Monarch's I/DD and substance-use curriculum uniquely targets underserved patients with developmental disabilities.

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Benefits

Health Insurance

Paid Vacation

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

14%

1 year growth

14%

2 year growth

14%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.