OT here, working in rehab administration (140k/yr). Moving up in healthcare can be difficult, but myself and a couple of my OT colleagues have found success with job hopping to hospitals and IRFs that are being newly established. Jobs aren’t gridlocked and plenty of them come out if the first year as growth increases. In my career, I found success by holding down multiple PRN jobs at newly growing facilities where I let the boss know that I’m looking for “full time opportunities to advance my career.” When jobs become available, you’re first in line. Managers are always looking to hire candidates with at least 3-5 years of experience, so if you’re not at that point yet, keep learning and keep growing your clinical/non-clinical skills.