Occupational Therapist Jobs in Hawaii
Occupational Therapist jobs in Hawaii are consistently active, with demand concentrated in hospital systems, school-based programs, and long-term care facilities serving both the general population and Hawaii's large veteran and aging communities. Most hiring is in Honolulu, Hilo, and Kailua-Kona, where established employers such as The Queen's Health System, Hawaii Pacific Health, and Adventist Health Castle maintain ongoing occupational therapist needs. The most in-demand specialties include pediatric and school-based therapy, geriatric rehabilitation, and hand therapy. Find a role that fits below and apply directly.
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Showing 5 of 38+ Occupational Therapist jobs
Schedule: Flexible, 20- 29 hours per week
Setting: Nursing Home, Rehabilitation Center, Skilled Nursing Facility, Long-term Care
Location: Daniel K. Akaka State Veterans Home - Kapolei, HI
Pay: state range $40 to $48 per hour
Aegis Therapies, one of the nation’s leading providers of rehabilitation and wellness services, is hiring anOccupational Therapist to join our supportive team and reap the benefits of some of the best career advantages in the industry.
Why Aegis Therapies:
- Career Growth Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
- Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
- Impactful Work: Make a meaningful difference in the lives of our patients.
- Supportive Environment: Collaborate with teams that value your expertise and dedication.
- Support, local clinical mentorship, clinical education andunlimited CEUs
- Create your own career path: clinically, management, etc.
- Flexible schedule, paid time off,plus one paid CEU day
- Licensure and professional membership reimbursement
- Interdisciplinary collaboration for providing the best patient care
- Medical, dental, vision within 30 days or less
- National opportunity to transfer while maintaining employment status
- Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health
- New Grads Welcomed!
- And much more
- Current license as an Occupational Therapist or ability to obtain in the state of practice.
Let us help find the career of your dreams! Apply Today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here ORhttps://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.
Schedule: Flexible, 20- 29 hours per week
Setting: Nursing Home, Rehabilitation Center, Skilled Nursing Facility, Long-term Care
Location: Daniel K. Akaka State Veterans Home - Kapolei, HI
Pay: state range $40 to $48 per hour
Aegis Therapies, one of the nation’s leading providers of rehabilitation and wellness services, is hiring anOccupational Therapist to join our supportive team and reap the benefits of some of the best career advantages in the industry.
Why Aegis Therapies:
- Career Growth Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
- Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
- Impactful Work: Make a meaningful difference in the lives of our patients.
- Supportive Environment: Collaborate with teams that value your expertise and dedication.
- Support, local clinical mentorship, clinical education andunlimited CEUs
- Create your own career path: clinically, management, etc.
- Flexible schedule, paid time off,plus one paid CEU day
- Licensure and professional membership reimbursement
- Interdisciplinary collaboration for providing the best patient care
- Medical, dental, vision within 30 days or less
- National opportunity to transfer while maintaining employment status
- Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health
- New Grads Welcomed!
- And much more
- Current license as an Occupational Therapist or ability to obtain in the state of practice.
Let us help find the career of your dreams! Apply Today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here ORhttps://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.
See All 38 Occupational Therapist Jobs in Hawaii
Find roles in Hawaii that match your experience and apply in just a few clicks.
Find Occupational Therapist JobsOccupational Therapist Jobs by City in Hawaii
Where Hawaii roles are concentrated, by current openings.
Occupational Therapist Job Market in Hawaii
A snapshot from current Hawaii openings, updated as new roles post.
Who's Hiring
- Voyage Health7V
- Aegis Therapies4
- Reliant Rehabilitation2
- BAYADA Home Health Care2
- Talented Medical Solutions2
Top Industries Hiring
- Healthcare & Medical Services6
- Technology & Software1
- Government & Public Sector1
- Consulting & Professional Services1
What Hawaii Employers Look For
The qualifications that appear most often in occupational therapist jobs across Hawaii.
- Active occupational therapist license issued or recognized by the Hawaii Department of Commerce and Consumer Affairs
- Master's or doctoral degree in occupational therapy from an accredited program
- Current NBCOT certification as an Occupational Therapist Registered (OTR)
- Experience with pediatric, geriatric, or acute care populations preferred by most Hawaii employers
- Valid CPR and Basic Life Support certification required for most clinical settings
- Familiarity with electronic health records systems such as Epic or Cerner
Occupational Therapist Jobs in Hawaii: Frequently Asked Questions
How do you become a occupational therapist in Hawaii?
To become an occupational therapist in Hawaii, you must hold a master's or doctoral degree from an accredited occupational therapy program, pass the NBCOT certification exam to earn OTR credentials, and obtain a Hawaii state license through the Department of Commerce and Consumer Affairs Professional and Vocational Licensing division. Applications are submitted to the OT licensing board under that division, which reviews your transcripts, NBCOT results, and any supervised fieldwork documentation before issuing a license.
How much do occupational therapists make in Hawaii?
Occupational therapists in Hawaii earn a median of about $102,870 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $78,670 for the lowest 10% to over $118,240 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Hawaii?
Companies currently hiring occupational therapists in Hawaii include Voyage Health, Aegis Therapies, and Reliant Rehabilitation, per current listings on Migrate Mate as of July 2026. Hawaii's major health systems, state-run facilities, and Department of Education schools are among the most consistent sources of full-time openings across the islands.
Which Hawaii cities have the most occupational therapist jobs?
Honolulu, Hilo, and Waimea have the most occupational therapist openings in Hawaii. Honolulu dominates due to the concentration of major hospital systems, rehabilitation centers, and the state's largest school districts, while Hilo and Kailua-Kona reflect growing demand on the Big Island driven by expanding community health infrastructure and an aging local population.
Are there remote occupational therapist jobs in Hawaii?
Yes, but they're rare. Occupational therapy is a hands-on clinical field, so the large majority of roles require in-person patient contact. About 13% of occupational therapist openings tied to Hawaii are remote or hybrid as of July 2026. The portions of the role most likely to be performed remotely include telehealth consultations, documentation, care-plan coordination, and supervision of assistants in some settings.
How can I get hired as a occupational therapist in Hawaii with little or no experience?
The most realistic entry path is applying for new-graduate or Level II fieldwork-to-hire positions at large Hawaii health systems such as The Queen's Health System or Hawaii Pacific Health, both of which periodically bring on new OTs through structured onboarding programs. Hawaii's Department of Education also hires school-based occupational therapists at the entry level and provides mentorship support. Candidates without clinical experience strengthen their applications by completing Hawaii-based fieldwork rotations, earning NBCOT certification promptly after graduation, and applying for occupational therapy assistant roles to build supervised clinical hours before transitioning to full OT positions.
Where can I find and apply to occupational therapist jobs in Hawaii?
You can find and apply to occupational therapist jobs in Hawaii on Migrate Mate, which lists current openings tied to Hawaii employers. Search the listings to find roles that match your specialty, experience level, and preferred island, then apply directly to the ones that fit.
See All 38 Occupational Therapist Jobs in Hawaii
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