Best Settings for New Grad Travel Therapists

Where to start based on your discipline, comfort level, and career goals.

Settings Ranked for New Grads

1. Skilled Nursing (SNF)

Most Accessible

Highest volume of new-grad positions. Structured caseloads, established documentation systems (usually Medicare/MDS), and most facilities have experience onboarding travelers. Typical caseload: 8-12 patients/day. Productivity expectation: 85-90%.

2. Outpatient Clinic

Moderate Access

Some clinics welcome new grads, especially in underserved areas. Best for PTs who enjoy orthopedic populations. Look for clinics with 2+ therapists on staff — avoid solo positions for your first contract. Caseload: 10-16 patients/day.

3. Home Health

Moderate Access

High autonomy — you treat patients in their homes. Some companies train new therapists. Scheduling is flexible but you need strong clinical judgment working alone. Best for self-starters. Caseload: 5-7 visits/day.

4. Schools (SLP/OT)

Seasonal

Good for new grad SLPs and OTs. Academic-year contracts (longer than 13 weeks). Structured caseloads, school hours, summers off. Large caseloads for SLPs (50-80+ students) with significant IEP paperwork.

5. Acute Care

Experience Preferred

Most hospitals want experienced travelers. High acuity, fast-paced, weekend rotations. If acute care is your goal, consider 6-12 months in a permanent position first, or look for small community hospitals that are more flexible.

6. Inpatient Rehab / Specialty

Experience Required

IRFs, pediatric specialty, hand therapy — almost always require 1-2+ years. Great goals for your second year of travel, not your first contract.

Setting Choice Affects Agency Choice

Large agencies have more total positions but often push travelers toward whatever needs filling. A recruiter who is an actual therapist will understand which facilities are genuinely new-grad-friendly versus which ones just say they are to fill the position.

When evaluating an agency for your first assignment, ask: "How many new grads have you placed at this specific facility?" and "What feedback did they give?" A recruiter who can't answer these questions is guessing.

Key Insight: Smaller, therapist-owned agencies may have fewer total positions, but they tend to know their facilities intimately. They won't send a new grad to a facility that will overwhelm you — their reputation depends on good placements, not just filling slots. This matters enormously for your first contract.

Which Setting Is Right for You?

Connect with professionals who specialize in placing new grad travelers.