Recreation Therapist - Nexus Children's Hospital - Houston, TX


The Certified Recreation Therapist is responsible for the development, implementation, management and delivery of the recreational program. Recreational therapy is skilled work, provided as an aspect of active treatment, involving individualized assessment, treatment planning, treatment implementation and evaluation to restore, remediate or rehabilitate specific aspects of physical, cognitive, emotional or social functioning to assist patients/clients who have medical, psychiatric, developmental disabilities, substance abuse, sensory impairments or other disabling conditions to improve functioning and independence in life activities.


  • Selects appropriate instruments/batteries and uses systematic assessment procedures including structured interview, direct observation, performance testing, information from others, and/or record review to generate age, diagnostic and culturally appropriate baseline data that identifies the patient’s/client’s strengths and limitations in physical, cognitive, social, emotional functioning as well as behavioral functioning and interests in leisure/play.
  • Involves patient/client, family and/or significant others as appropriate and conducts the assessment in a timely manner, in accordance with standards of regulatory agencies and/or treatment protocols and policies.
  • Reports and documents a summary of the assessment results that contains information relative to the patient’s/client’s strengths, limitations, and summary of functional status.
  • Based upon the analysis of assessment data, the recreational therapist formulates clinical impressions and recommendations for treatment, referral for other services, or no service at all.
  • Interprets assessment findings, collaborates/consults with the patient/client family, significant others, referring physician and team members as needed, and develops the individualized recreational therapy treatment plan that includes patient/client preferences, short term, long term and/or discharge related functional outcome goals and the treatment interventions to be used to achieve treatment goals and outcomes.
  • Prepares the patient for treatment and implements the individualized treatment plan using appropriate treatment interventions and counseling/helping/facilitation techniques to restore, remediate or rehabilitate physical, cognitive, emotional or social functioning to improve independence in life activities.
  • Implementation of the treatment plan is consistent with the overall multi or interdisciplinary patient/client treatment program.
  • Evaluates patient/client progress and satisfaction resulting from the treatment interventions provided and modifies or discontinues the treatment interventions as needed and based upon patient/client progress, achievement of functional outcome goals, lack of progress or change in condition.
  • Reports and documents patient/client progress, achievement and changes in the treatment plan.
  • Develops a recreational therapy discharge plan, in collaboration with the patient/client, family, significant others, supervising physician and team members, when maximum improvement in recreational therapy treatment interventions is reached, additional treatment or aftercare is needed.
  • Reports and documents discharge summary in a timely manner, according to policy and procedure.
  • Communicates with local health and health care agencies and community programs for assisting patients/clients to seek appropriate treatment facilities or programs for continued recreational therapy treatment or aftercare and reintegrate into community life after discharge.
  • Establishes and Maintains an active Volunteer Program
  • Trains recreational therapists and assigns duties and job tasks to recreational therapy assistants, recreational therapy aides, interns or field work students and volunteers and serves as a resource to other treatment areas such as physicians and nurses, physical and occupational therapy.
  • Provides clinical supervision for recreational therapy assistants, recreational therapy aides, student interns and field placement students who are completing field placements and internships as a degree and credentials requirement and assures that National Council for Therapeutic Recreation Certification (NCTRC) requirements for field placements are met. Participates in safety, risk management and quality improvement activities and conducts program evaluation and applied research to assure safe and effective recreational therapy services.
  • Serves as a resource in areas of activity coordination
  • Offers positive suggestions/solutions to improve service delivery and unit operations.
  • Utilizes resources appropriately and uses/maintains equipment to prolong working life.
  • Participates in discharge planning.
  • Documents and charges daily therapeutic units timely and accurately.
  • Communicates with the Director of Rehabilitation Services regarding department programs, goals, objectives, problems and successes.
  • Accesses and checks email each shift when working to keep informed of current events.
  • Performs other duties as assigned.



  • A minimum graduate of a bachelor’s degree in Recreational Therapy from an accredited college or university


  • Minimum of one-year experience working in recreation therapy program, preferably with adolescent age range infant to early adulthood
  • Experience working with individuals with cognitive or developmental disabilities, physical health impairments, rehabilitative needs, and neurological/orthopedic conditions.


  • Certified Therapeutic Recreation Specialist (CTRS) as recognized by the National Council for Therapeutic Recreation Certification (NCTRC)
  • Must be certified in CPR
  • Must be certified in Nonviolent Crisis Intervention-Crisis Prevention Intervention (CPI training) or obtain following employment
  • Must maintain current certification in good standing during employment with this facility
  • Maintains certifications and licenses as current to avoid voluntary resignation.
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