Occupational Therapist Jobs in California
Occupational Therapist jobs in California represent one of the most active markets in the country, with strong demand across pediatric clinics, acute care hospitals, skilled nursing facilities, and school districts at every level from new graduate to senior clinician. Los Angeles, San Francisco, and San Diego are the largest hiring metros, home to major employers such as Kaiser Permanente, Dignity Health, and UCLA Health. The specialties seeing the steadiest openings are pediatrics, hand therapy, and geriatric rehabilitation. Find a role that fits below and apply directly.
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Showing 5 of 366+ Occupational Therapist jobs






Full Time
We are currently seeking a caring and dynamic Certified Occupational Therapist Assistant who is looking for an opportunity to share your skills and experience with the best rehabilitation team! You will work in a skilled nursing environment, making a tremendous difference in the lives of your patients and helping them regain a quality of life. If you have a true passion for providing seniors with unparalleled short- and long-term care, and if you meet our qualifications, we want to talk with you! Apply Today!
Why join our team?
We believe our team is the foundation of exceptional care. We are proud to foster a workplace culture built on compassion, respect, and professional growth. Whether you're providing direct care or supporting our operations, your contributions are deeply valued and make a lasting impact on the lives of our residents and their families.
What We Offer:
Competitive Salaries that recognize your skills and dedication
Medical, Dental, and Vision Insurance to support your health and well-being
Paid Time Off (PTO) so you can recharge and take care of what matters most
Ongoing Training & Career Development to help you grow professionally
A collaborative and inclusive team environment where your voice matters
Required Qualifications
The Occupational Therapy Assistant must possess:
A valid, unrestricted license in his/her therapy discipline in the state.
Meet educational requirements of his/her licensure requirements.
Valid driver’s license in the state of employment.
Knowledgeable of skilled nursing home regulations, procedures, laws, regulations and guidelines pertaining to long-term care.
Major Duties and Responsibilities
Assists in the practice of occupational therapy and activities requiring an understanding of occupational therapy but not requiring professional or advanced training in the anatomical, biological, and physical sciences involved in the practice of occupational therapy.
Practices only under the direction of a registered occupational therapist.
Implements the occupational therapy treatment plan as established by the occupational therapist in accordance with the American Occupational Therapy Association (AOTA) in accordance with guidelines issued by the governing body and its respective affiliate state chapter, current state and federal laws and regulations; and respective practice act(s) in the state.
Records the resident's progress and can request a reexamination if/when needed.
Offers suggestions, provides feedback, carries-out agreed upon activities, and voices constructive concerns in a collaborative manner with the occupational therapist.
Interviews new and returning residents to assist the occupational therapist in determining their health and rate of recovery.
Documents occupational therapy services by charting in the resident medical record.
Complies with facility policies and procedures for appropriately documenting for residents receiving occupational therapy.
Schedules and coordinates with facility nursing staff therapy sessions for residents as instructed by the occupational therapist or rehabilitation director.
Prepares required documentation according to facility policy for billing purposes, discharge planning, etc. and as instructed by the occupational therapist or rehabilitation director.
Helps residents perform their planned therapeutic procedures by administering manual exercises such as simply instructing and encouraging a resident through his/her exercises to physically helping him/her complete a difficult routine.
Treats residents who demonstrate disorders of musculoskeletal deficiencies, neurological conditions, etc. Treatment will only be conducted after a written order is received from the physician.
Is familiar with assistive devices that might be used during treatment, like adaptive utensils, adaptive plates and silverware, nosey cups, reachers and grabbers, grab bars, sock pullers, shoe horns, dressing sticks, trays, wheelchair accessories, etc. that some residents may require.
Monitors the resident’s environment in order to identify any needs or barriers that might negatively impact the resident’s therapy and recovery.
Observes and makes recommendations for the necessary accommodations to the occupational therapist and enacts those recommendations.
Provides resident information needed for the resident assessment instrument according to facility policy such as functional abilities, functional status, range of motion, self-care activities, occupational therapy minutes and distinct calendar days, etc. during the defined observation period(s) as assigned by the occupational therapist or rehabilitation director.
Ensures occupational therapy equipment is stored, used and sanitized, disinfected and/or cleaned properly and safely in the facility.
Participates in daily, weekly, and/or monthly rehabilitative and interdisciplinary team meetings to discuss residents’ therapy progression in relation to discharge planning for residents receiving occupational therapy services as designated by the occupational therapist or rehabilitation director.
Adheres to the state practice guidelines in his/her discipline as defined by the State of California Occupational Therapy Practice Act.
Maintains appropriate conduct and follows practice guidelines as defined by the professional association.
Knows how to access the occupational therapy state practice act and professional association standards.
Develops and maintains positive relationships with residents, employees, and family members through scheduled, deliberate positive interactions with them using face to face, phone, or other means of communication.
Facilitates, serves, attends or participates in various committees of the facility as necessary.
Knows and understands the purpose and requirements for the scope of work requirements as defined by the occupational therapy practice act in each state.
Delivers compassionate quality care and occupational therapy services across the spectrum as evidenced by professional competence, general cleanliness of therapy gyms/offices, and optimal resident functioning and satisfaction with occupational therapy services provided.
Knows occupational therapy employees and employees of the interdisciplinary team in order to effectively communicate and provide optimal care for as well as any miscellaneous related needs.
Promotes teamwork, mutual respect, and effective communication. Promotes positivity and active daily problem solving.
Makes written and oral reports/recommendations to the occupational therapist concerning occupational therapy.
Follows facility policy related to readiness for health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity or requirement.
Reads and stays informed regarding regulatory, scope of work requirements as defined by the occupational therapy practice act, business practices and other changes influencing occupational therapy outcomes.
Promotes safe work practices, safety rules, and accident prevention procedures to prevent resident/employee injury and illness.
Additional Tasks
Treats all residents with dignity and respect. Promotes and protects all residents’ rights.
Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines, and relevant practice act(s).
Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse, and cooperates with all investigations.
Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan.
Reports work-related injuries and illnesses immediately to designated staff member.
Follows established infection control policies and procedures.
As a condition of employment, completes all assigned training and skills competency.
Personal Skills and Traits Desired/ Physical Requirements/Working Conditions
Ability to read, write, speak and understand the English language.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must have patience, tact, and willingness to deal with difficult residents, family and staff.
Must not pose a threat to the health and safety of other individuals in the workplace.
Must be able to move intermittently throughout the workday.
Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
Ability to work beyond normal working hours and on weekends and holidays when necessary.
Ability to assist in evacuation of residents during emergency situations.
Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
May be subject to falls, burns from equipment, and/or odors throughout the day; encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants.
Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis.
May be subject to hostile or emotional residents, family members, visitors or personnel.
Contributes to and exemplifies team work.
Makes independent decisions when circumstances warrant such action.
Possesses leadership, supervisory skills and willingness to work harmoniously with and supervise other personnel.
Successfully follows oral and written instructions.
Successfully relays information concerning residents, employees or any given subject matter.
Willing to move intermittently throughout the workday.
Willing to cope with the mental and emotional stress of the position.
Communicates with medical, nursing staff, and all departments.
Accepts call-backs during emergency conditions.
Works in office and throughout the facility.
Willing to work to task completion in spite of frequent interruptions.
See All 366+ Occupational Therapist Jobs in California
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Find Occupational Therapist JobsOccupational Therapist Jobs by City in California
Where California roles are concentrated, by current openings.
Occupational Therapist Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Kaiser Permanente18

- HiredFirst16H
- Sunny Days12

- Sutter Health11

- BioMechanics Physical Therapy11

Top Industries Hiring
- Healthcare & Medical Services
- Insurance
What California Employers Look For
The qualifications that appear most often in occupational therapist jobs across California.
- Active California Occupational Therapy license issued by the California Board of Occupational Therapy
- Master's or doctoral degree in occupational therapy from an accredited program
- Passage of the NBCOT certification examination prior to or upon hire
- Relevant clinical fieldwork experience in a hospital, clinic, or school setting
- Strong documentation skills and familiarity with electronic health record systems
- Current CPR and Basic Life Support certification from an accredited provider
Occupational Therapist Jobs in California: Frequently Asked Questions
How do you become a occupational therapist in California?
You must obtain a California occupational therapy license from the California Board of Occupational Therapy before practicing in the state. This requires completing an accredited master's or doctoral OT program, accumulating the required supervised fieldwork hours, and passing the NBCOT certification exam. Once you have your NBCOT results, you apply to the California Board of Occupational Therapy for licensure. California does not participate in the OT licensure compact, so out-of-state therapists must apply for a California-specific license.
How much do occupational therapists make in California?
Occupational therapists in California earn a median of about $124,510 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $85,550 for the lowest 10% to over $158,560 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in California?
Employers hiring occupational therapists in California right now include Kaiser Permanente, HiredFirst, and Sunny Days, based on current listings on Migrate Mate as of October 2026. California's large integrated health systems, school districts, and rehabilitation networks consistently post the highest volume of openings across the state.
Which California cities have the most occupational therapist jobs?
Los Angeles, Sacramento, and San Jose have the most occupational therapist openings in California. Los Angeles leads due to the sheer concentration of hospital systems, pediatric clinics, and school districts, while San Francisco and San Diego draw demand from major academic medical centers and VA facilities that anchor those metro areas.
Are there remote occupational therapist jobs in California?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so most roles require in-person patient contact. About 21% of occupational therapist openings tied to California are remote or hybrid as of October 2026, and those tend to be in telehealth consultation, care coordination, or utilization review rather than direct patient treatment.
How can I get hired as a occupational therapist in California with little or no experience?
The most realistic entry path is applying for new-graduate positions at large California health systems, which recruit directly from accredited OT programs. Kaiser Permanente, Dignity Health, and many California school districts run structured new-grad onboarding programs designed for therapists completing their first year of practice. Candidates with completed Level II fieldwork in pediatrics, acute care, or skilled nursing have the strongest footing. Obtaining your California Board of Occupational Therapy license before your first interview signals readiness and removes a common hiring barrier for entry-level candidates.
Where can I find and apply to occupational therapist jobs in California?
You can find and apply to occupational therapist jobs in California on Migrate Mate, which lists current California openings updated regularly. Search the available roles, find the ones that fit your specialty and location, and apply directly to the employer.
See All 366+ Occupational Therapist Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
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