COTA Jobs in Montana
COTA jobs in Montana are steadily active, concentrated in skilled nursing facilities, inpatient rehabilitation, home health, and school-based settings, with openings at the entry and experienced levels. Billings, Missoula, and Great Falls account for the largest share of postings, where established employers such as Benefis Health System, Billings Clinic, and RiverStone Health maintain ongoing cota staffing needs. Pediatric, geriatric, and school-based occupational therapy are the most consistently recruited specialties across the state. See the openings below and apply to the ones that match your experience.
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Showing 4 of 6+ COTA jobs
We are looking for a Certified Occupational Therapy Assistant to join our outpatient team in a part-time capacity!
Practice with more independence and autonomy than in traditional roles. Utilize a wide range of therapeutic skills to meet diverse therapy needs. Develop deeper relationships providing 1:1 therapeutic care in an outpatient setting; delivering effective, evidenced-based clinical practice with a focus on the geriatric population. This provides our clinicians with the opportunity to have a one-on-one experience with each patient, producing more effective treatment programs and delivering the exceptional care each patient deserves.
Our mission is seen in our quality. Join our team and make a true difference in someone’s life!
What you will need:
- Current active COTA license in good standing with the state of employment
- CPR certification, we will provide if needed
- Valid Drivers License
What we offer:
- $25.00 - $29.00/hour
- Flexible schedule
- 401(k) plan with employer contribution
- Computer and supplies
Offers of employment are contingent upon passing a background check and drug screen
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
We are looking for a Certified Occupational Therapy Assistant to join our outpatient team in a part-time capacity!
Practice with more independence and autonomy than in traditional roles. Utilize a wide range of therapeutic skills to meet diverse therapy needs. Develop deeper relationships providing 1:1 therapeutic care in an outpatient setting; delivering effective, evidenced-based clinical practice with a focus on the geriatric population. This provides our clinicians with the opportunity to have a one-on-one experience with each patient, producing more effective treatment programs and delivering the exceptional care each patient deserves.
Our mission is seen in our quality. Join our team and make a true difference in someone’s life!
What you will need:
- Current active COTA license in good standing with the state of employment
- CPR certification, we will provide if needed
- Valid Drivers License
What we offer:
- $25.00 - $29.00/hour
- Flexible schedule
- 401(k) plan with employer contribution
- Computer and supplies
Offers of employment are contingent upon passing a background check and drug screen
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
See All 6 COTA Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
COTA Job Market in Montana
A snapshot from current Montana openings, updated as new roles post.
Who's Hiring
What Montana Employers Look For
The qualifications that appear most often in COTA jobs across Montana.
- Active Montana COTA license issued by the Montana Department of Labor and Industry
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Valid BLS or CPR certification from an approved provider
- Experience or clinical rotations in skilled nursing, home health, or school settings
- Reliable transportation for home health or rural outreach assignments across Montana
COTA Jobs in Montana: Frequently Asked Questions
How do you become a cota in Montana?
To become a cota in Montana, you complete an accredited occupational therapy assistant program, pass the NBCOT certification exam, and apply for a license through the Montana Department of Labor and Industry's Business Standards Division. Montana requires an active state license before you can practice. Most employers verify both your NBCOT certification status and your Montana license before extending an offer.
Which companies hire cotas in Montana?
Companies currently hiring cotas in Montana include CaringEdge, Career Links, and Eduro Healthcare, per current listings on Migrate Mate as of October 2026. Skilled nursing facilities, critical access hospitals, and school districts across rural Montana also represent a consistent and growing source of cota openings throughout the year.
Which Montana cities have the most cota jobs?
Billings, Butte, and Havre have the most cota openings in Montana, driven by the concentration of regional medical centers, long-term care networks, and school district therapy programs that anchor hiring in those markets, while smaller communities with critical access hospitals and rural health clinics also generate steady demand for cotas willing to work outside the largest metros.
Are there remote cota jobs in Montana?
Yes, but they're rare. Cota work is fundamentally hands-on, requiring direct patient contact, so the vast majority of positions in Montana are on-site. About 0% of cota openings tied to Montana are remote or hybrid as of October 2026, and those roles typically involve documentation, care coordination, or supervision support rather than direct occupational therapy treatment.
How can I get hired as a cota in Montana with little or no experience?
The most realistic entry path is applying to skilled nursing facilities and critical access hospitals, which routinely hire new graduates and provide structured mentorship alongside licensed occupational therapists. Employers such as Benefis Health System and Billings Clinic accept new-grad applicants for entry-level cota roles. Completing your Montana license before applying and highlighting your ACOTE-accredited clinical rotations gives you a clear advantage, and roles like restorative aide or therapy technician in Montana facilities often serve as a bridge into a full cota position.
Where can I find and apply to cota jobs in Montana?
You can find and apply to cota jobs in Montana on Migrate Mate, which lists current openings from employers hiring across the state. Search the listings to find roles that fit your experience, specialty, and preferred location, then apply directly to the ones that match.
See All 6 COTA Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
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