Occupational Therapist Jobs in Sacramento, CA
Occupational Therapist jobs in Sacramento are in strong demand, concentrated in Midtown, East Sacramento, and the Arden-Arcade corridor across hospital systems, skilled nursing facilities, school districts, and outpatient rehabilitation clinics. Specialties in pediatrics, hand therapy, and geriatric care are particularly active right now. Employers hiring right now include Advanced Health Care, HiredFirst, and Ernest Health. Scan the live roles below and apply to whichever ones fit.
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The Certified Occupational Therapy Assistant will play a crucial role in assisting Occupational Therapists in providing high-quality rehabilitative services to residents, helping them regain independence in activities of daily living and improve their overall quality of life.
Schedule: Part-Time, PRN, Weekdays, Weekends, Days
Primary Responsibilities and Duties:
- Assist Occupational Therapists in conducting assessments to evaluate residents’ physical, cognitive, and psychosocial functioning, including their ability to perform activities of daily living and instrumental activities of daily living.
- Implement individualized treatment plans developed by Occupational Therapists, including therapeutic exercises, activities, and interventions aimed at improving residents’ functional abilities and achieving treatment goals.
- Provide hands-on assistance and guidance to residents during therapy sessions, ensuring safety, proper technique, and optimal therapeutic outcomes.
- Utilize adaptive equipment, assistive devices, and environment modifications to facilitate residents’ participation in therapy activities and enhance their independence in daily tasks.
- Document resident progress, treatment interventions, and outcomes accurately and timely in accordance with facility policies and regulatory requirements.
- Communicate effectively with Occupational Therapists, nursing staff, and other team members to coordinate care, share information, and promote continuity of services.
- Collaborate with residents and their families to establish realistic goals, educate them on therapeutic techniques and strategies, and provide support and encouragement throughout the rehabilitation process.
- Participate in team meetings, case conferences, and discharge planning discussions to contribute to resident care planning and goal setting.
- Stay current on best practices, evidence-based interventions, and regulatory changes in the field of occupational therapy, participating in continuing education and professional development activities as needed.
- Maintain professional licensure and adhere to ethical standards set forth by relevant professional organizations.
- Perform all other duties assigned.
Job Qualifications:
- Current certification as a Certified Occupational Therapy Assistant (COTA).
- Current CPR Certification
- State licensure or eligibility for licensure as a COTA in the state where work is performed.
- Minimum of 1 - 2 years of clinical experience in a skilled nursing facility or similar healthcare setting is preferred.
- Strong clinical skills in providing rehabilitative services to individuals with a variety of diagnoses and functional limitations.
- Ability to build rapport with residents through a compassionate and caring demeanor.
- Commitment to providing high-quality, resident-centered care with empathy and compassion.
- Excellent interpersonal and communication skills, with the ability to collaborate effectively with residents, families, and team members.
Physical Requirements:
- Work performed in a medical setting due to the need to work directly with residents, families, and other team members.
- Must be able to sit, stand, bend, reach, talk, hear, stoop, kneel, crouch, stretch, and twist.
- Required vision includes close, vision, distance, peripheral, and the ability to adjust focus.
- Capability to assist residents with mobility tasks, including transferring them from beds to wheelchairs, assisting with standing or walking, and positioning them for therapy activities.
- May need to lift or maneuver equipment such as therapy mats, adaptive devices or weights.
- Maintain regular attendance and timeliness as set forth within the work schedule designated by the department supervisor/manager.
- The job requires accepting criticism and dealing calmly and effectively with high-stress situations.
- Capacity to stand for extended periods during therapy sessions and walk or move around the facility to access residents’ rooms and therapy spaces.
- The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
- Stamina to work full shifts and perform repetitive tasks throughout the day, including providing therapy to multiple residents and documenting training sessions.
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Who's Hiring
- Advanced Health Care61

- HiredFirst31H
- Ernest Health31

- Sutter Health31

- AgeRight Therapy31
Occupational Therapist Jobs in Sacramento: Frequently Asked Questions
How do I get a occupational therapist job in Sacramento?
Focus your search on Sacramento's hospital networks, county health programs, and the dense cluster of outpatient rehab clinics in Arden-Arcade and Roseville. School districts and early intervention programs in the greater Sacramento region also post consistently. Candidates who hold a specialty certification, such as a hand therapy or pediatric credential, and who have experience with electronic documentation systems tend to move faster through the hiring process in this market.
Which companies hire occupational therapists in Sacramento?
Sacramento occupational therapist roles are posted by Advanced Health Care, HiredFirst, and Ernest Health and others right now, based on current listings on Migrate Mate as of October 2026. The local market is anchored by large health systems, county-operated clinics, and a network of contract therapy staffing agencies that serve Sacramento-area schools and long-term care facilities.
Are there remote occupational therapist jobs in Sacramento?
Yes, though options are limited given the hands-on nature of most occupational therapist roles. About 0% of occupational therapist openings tied to Sacramento are remote or hybrid as of October 2026, skewing toward telehealth consultations, care coordination, and occupational health case management rather than direct clinical treatment.
How can I get a occupational therapist job in Sacramento with little or no experience?
The most realistic entry path in Sacramento is through fieldwork placement or a post-graduate residency at one of the area's rehabilitation hospitals or acute care facilities, several of which actively hire new graduates. School district programs and early intervention services through Sacramento County also tend to be more open to entry-level candidates. Volunteering with programs like Dignity Health's community clinics or county mental health services can open doors before your first formal hire.
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