This placement tends to come into its own where the work is to stand between the world of pain and the world of ordinary life. Psychotherapy, and trauma and addiction work in particular. Palliative medicine and hospice care. Any helping practice that asks you to be beside a person at their darkest point and not come apart yourself. The same sensitivity that makes daily life heavy turns, in this kind of work, into the most useful instrument in the room.
It tends to do well in the arts, too — music, film, poetry, photography especially. Anywhere images come up from the unconscious, where technique matters but instinct leads. I know directors and musicians with similar configurations whose strongest work doesn't come out of an idea at all, but out of the state they happen to be in at the time. The danger is mistaking the flood of feeling for finished craft, so the discipline of actually shaping it stays just as important as the receiving.
Esoteric practice can suit it as well, with one large caveat. Without honest training, supervision and personal therapy, that path tends to collapse into servicing other people's projections and burning oneself out in the process. For this Pluto, the esoteric is best treated as a profession rather than a hobby, with the seriousness you'd bring to medicine — not as a soft place to hide.
It tends to sit badly with office routine on a rigid schedule, with high-pressure sales, with rigidly hierarchical structures. Not because the person can't cope — they usually can. But they tend to pay for it in health and in a slow shutting-down of the very sensitivity that is their main tool, which is a poor bargain over time.
The advice I'd give anyone carrying a strong watery Pluto is the same: choose work where your sensitivity is a resource rather than a liability, and build a regular practice of recovery into that work from the start — therapy, the body, silence. Without it, even an ideal job tends to burn through this kind of person in a few years. Treat the reading as a prompt for reflection and a bit of fun, not a forecast of how your working life will turn out.