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 HiredFirst, CommonSpirit Health, and Ernest Health. Scan the live roles below and apply to whichever ones fit.
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Job Title: Occupational Therapist
Reports To: Clinical Manager
FLSA Status: Exempt
Department: Clinical Services
Required Service Production: Monthly average of 4.5 hours or more per workday.
Summary
This is a mid-level clinical provider within the Clinical Services Department. This role is responsible for delivering essential therapeutic services focused on improving clients’ functional abilities and promoting independence. The Occupational Therapist utilizes a range of treatment modalities—both direct and indirect—to support client recovery and help them achieve individualized goals. This position collaborates with Behavioral Health staff and provides services within both the therapeutic community and field settings.
Responsibilities and Duties
- Provides therapeutic interventions to support clients in developing, recovering, or maintaining daily living and work skills.
- Conducts assessments to identify functional limitations and creates individualized treatment plans.
- Facilitates individual and group sessions focused on improving motor skills, cognitive functioning, and adaptive behaviors.
- Collaborates with interdisciplinary teams to ensure treatment plans align with client goals and program objectives.
- Maintains accurate and timely clinical documentation in accordance with agency, payer, and regulatory requirements.
- Participates in team meetings to review client progress and adjust treatment strategies as needed.
- Educates clients and caregivers on techniques to improve independence and quality of life.
- May provide training and guidance to staff on occupational therapy principles and practices.
- Attends agency and community meetings and trainings as required.
- Completes mandated reports and documentation as needed.
- Conducts clinical assessments; all assessments must be reviewed and signed by the licensed supervisor.
- After hours and weekend work may be required.
- Performs other duties as assigned.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience requirements
- This position requires a minimum of a master’s degree in occupational therapy from an ACOTE-accredited program.
- Valid California Occupational Therapy License issued by the California Board of Occupational Therapy (CBOT).
- Demonstrated experience working with mental health populations and older adults, including assessment, treatment planning, and therapeutic interventions tailored to cognitive, emotional, and physical needs.
Language Skills: Ability to read, analyze and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to write speeches and articles using original innovative techniques or style. Ability to make effective and persuasive speeches and presentations on critical or complex topics that affect the business client care to management, public groups and/or boards of directors.
Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference and fundamentals. Ability to apply concepts such as, determination of reliability and validity to practical situations, analysis of variance, correlation techniques, sampling theory and factor analysis.
Reasoning Skills: Ability to apply principles of logical or clinical thinking to a wide range of individual, family and community problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables to provide clinical interpretation.
Computer Skills: Word processing, spreadsheet, internet, electronic medical record.
Certificates and Licenses:
- First aid training
- Valid Driver’s License - Must meet and maintain insurance underwriting requirements.
- Must be licensed and in good standing with the Board of Behavioral Sciences and provide a copy of the license.
Equipment: Computer, Automobile, Cell Phone
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to toxic or caustic chemicals and outdoor weather conditions. The noise level in the work environment is usually moderate.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must occasionally lift and/or move up to 30 pounds. While performing the duties of this job, the employee is regularly required to stand; use hands and talk or hear. The employee is frequently required to walk; sit and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl and taste or smell.
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only job duties to be performed by the employee occupying this position.
Requirements are representative of minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the incumbent will possess the abilities and aptitude to perform each duty proficiently.
Monday - Friday AM (8:00am - 5:00pm)
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Find Occupational Therapist JobsOccupational Therapist Job Market in Sacramento
Who's Hiring
- HiredFirst24H
- CommonSpirit Health4

- Ernest Health3

- Kaiser Permanente3

- Rehab Without Walls3

Top Industries Hiring
- Healthcare & Medical Services
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 HiredFirst, CommonSpirit Health, and Ernest Health and others right now, based on current listings on Migrate Mate as of July 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 36% of occupational therapist openings tied to Sacramento are remote or hybrid as of July 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.
Which industries hire the most occupational therapists in Sacramento?
Sacramento occupational therapist roles concentrate in Healthcare & Medical Services, based on current listings on Migrate Mate as of July 2026. Sacramento's large state government workforce, aging regional population, and expanding network of community health centers drive sustained hiring across those sectors throughout the year.
Related Jobs in California
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