Occupational Therapist Jobs in Iowa
Occupational Therapist jobs in Iowa are consistently active, with steady demand concentrated in hospital systems, long-term care facilities, school districts, and pediatric outpatient clinics. The largest hiring volumes are in Des Moines, Cedar Rapids, and Iowa City, where employers like UnityPoint Health, MercyOne, and the University of Iowa Hospitals and Clinics maintain ongoing occupational therapist needs. Pediatric occupational therapy, school-based practice, and hand therapy are among the most sought-after specialties across Iowa right now. Scan the live roles below and apply to whichever ones fit.
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Occupational Therapist – Des Moines, IA
FOX Rehabilitation is growing in Des Moines, IA and we’re looking for passionate, licensed Occupational Therapists who want to deliver exceptional one-on-one care to older adults right where they live. Whether treating in private residences or within Senior Living Communities, you’ll help patients improve mobility, independence, and quality of life through our signature Geriatric House Calls™ model.
This opportunity is ideal for Occupational Therapists who value autonomy, flexibility, and truly meaningful patient outcomes, while enjoying the freedom to create and manage your own treatment schedule and build strong, lasting patient relationships.
FOX clinicians may also incorporate telehealth and other forms of virtual care into their schedules, allowing for greater flexibility, improved continuity of care, and the ability to support more patients.
If you're searching for a high-impact OT role that allows you to positively impact the lives of the communities we serve, FOX is the right fit for you!
Responsibilities
Provide one-on-one Occupational therapy to older adults wherever they call home (Private residences, Senior Living Communities, Independent Living, Assisted Living, Memory Care)
Perform evaluations, develop individualized plans of care, and deliver evidence-based treatment
Deliver therapy sessions that support patient wellness, longevity, mobility, and functional independence
Document effectively within FOX’s EMR system in accordance with regulatory standards
Collaborate with an interdisciplinary team of PTs, OTs, SLPs, and Fitness Specialists
Educate patients, caregivers, and senior living staff to promote safety, function, and aging in place
Provide telehealth / virtual care when appropriate to extend access and flexibility
Why Join FOX Rehabilitation?
FOX Rehabilitation is a clinician-operated practice rooted in meaningful relationships, evidence-based care, and a mission to abolish ageism. You’ll be supported by leaders who understand clinical work, because they’ve lived it.
Why clinicians love working with FOX:
A one-on-one care model that allows you to truly connect with each patient
Opportunities to practice in both in-home and senior living community settings
Optional telehealth / virtual care components that expand flexibility and access
The ability to create, control, and adjust your own treatment schedule
A collaborative, interdisciplinary environment (PT, OT, SLP, Fitness Specialists)
Work within a community-based practice that supports independence, wellness, and longevity
A culture that invests in your growth and values clinician-driven decision-making
Employment Types Available
FOX offers multiple pathways to match your lifestyle and career goals:
Full-time Occupational Therapist – In-Home & Senior Living Care (salaried with benefits)
Part-time Occupational Therapist – In-Home & Senior Living Care (salaried with benefits eligibility based on minimum hours requirement)
PRN / FOX Flex Occupational Therapist – Home & Community Visits (pay per unit compensation)
New Graduates eligible for FOX’s nationally recognized Emerging Professionals Mentor Program
Ways to Earn More with FOX
Beyond base compensation, our clinicians have real opportunities to develop professionally and increase their income:
Refer a friend — earn employee referral bonuses for growing our clinical team
Refer a patient — wellness referral incentives for connecting patients to continued care with a FOX Fitness Specialist
Teach the next generation — earn more while you shape the future serving as a Clinical Instructor
Mentor rising talent — guide new grads and emerging professionals as they launch their careers
Manage more patients — earn additional pay by supervising PTA/OTAs and expanding the care you're able to provide
Go above and beyond — earn additional pay for patient care above bi-weekly quota
Share your expertise — get compensated for writing blog articles or creating viral social content
Compensation & Benefits
FOX offers competitive compensation based on experience and employment type. Benefits for eligible roles include:
Medical, Dental, and Vision insurance
401(k) with company match
Unlimited continuing education access
Professional certification reimbursement
Clinical and nonclinical career advancement pathways
Access to advanced technology and tools (including virtual care resources)
Supportive, clinician driven culture
Qualifications
Valid Occupational Therapy license in the state(s) of practice, or eligibility to obtain
Degree from an accredited Occupational Therapy program
Basic computer and EMR proficiency
Current CPR certification
Physical Requirements
FOX clinicians must be able to meet the physical demands of in-home and community-based care, including:
Exerting medium physical effort, including lifting 25–50 lbs occasionally, 10–25 lbs frequently, and up to 10 lbs constantly
Performing CPR
Providing moderate to maximum assistance with patient transfers and bed mobility
Repositioning patients, standing/walking for extended periods, climbing stairs, and performing therapeutic activities
Driving to patient homes and senior living communities as part of the Geriatric House Calls™ model
Wearing PPE when required
Apply Today
Join FOX Rehabilitation as a Occupational Therapist providing in-home, senior living, and virtual care to older adults across Des Moines, IA and surrounding communities. You’ll help people improve mobility, stay independent, and live stronger, longer lives.
Contact FOX Now!
Larissa Wiaziwsky,
Clinical Talent Acquisition Specialist
larissa.wiaziwsky@foxrehab.org
856-638-8300
TEXTING ENCOURAGED
You can also text FOX to 609-853-5114 to learn more!
#LI-LW1
FOX Rehabilitation is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
See All 37 Occupational Therapist Jobs in Iowa
Find roles in Iowa that match your experience and apply in just a few clicks.
Find Occupational Therapist JobsOccupational Therapist Jobs by City in Iowa
Where Iowa roles are concentrated, by current openings.
Occupational Therapist Job Market in Iowa
A snapshot from current Iowa openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
What Iowa Employers Look For
The qualifications that appear most often in occupational therapist jobs across Iowa.
- Active occupational therapist license issued by the Iowa Board of Physical and Occupational Therapy
- Master's or doctoral degree in occupational therapy from an accredited program
- Passage of the NBCOT certification examination for occupational therapists
- One or more years of clinical experience in a relevant practice setting
- Familiarity with electronic health record systems such as Epic or Cerner
- Strong documentation skills and ability to develop individualized treatment plans
Occupational Therapist Jobs in Iowa: Frequently Asked Questions
How do you become a occupational therapist in Iowa?
To become a licensed occupational therapist in Iowa, you must complete an accredited master's or doctoral occupational therapy program, pass the NBCOT certification exam, and apply for licensure through the Iowa Board of Physical and Occupational Therapy. The Board reviews your transcripts, exam results, and application before issuing a license. Iowa does not participate in a reciprocity compact for occupational therapists, so out-of-state applicants must apply directly to the Iowa Board for a new license.
How much do occupational therapists make in Iowa?
Occupational therapists in Iowa earn a median of about $89,910 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $64,610 for the lowest 10% to over $109,200 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Iowa?
Iowa occupational therapist roles are posted by Career Links, MercyOne, and Aveanna Healthcare and others right now, based on current listings on Migrate Mate as of August 2026. Iowa's largest health systems and school districts tend to post the most consistently, with both full-time staff and per-diem contract roles available.
Which Iowa cities have the most occupational therapist jobs?
Des Moines, Hawarden, and Davenport have the most occupational therapist openings in Iowa. Des Moines anchors the largest share, driven by its concentration of regional hospital systems and outpatient rehabilitation networks, while Iowa City's openings are shaped heavily by the University of Iowa Hospitals and Clinics, and Cedar Rapids draws volume from its cluster of long-term care and pediatric providers.
Are there remote occupational therapist jobs in Iowa?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so the large majority of roles require an in-person presence with patients. About 0% of occupational therapist openings tied to Iowa are remote or hybrid as of August 2026, and those positions tend to focus on telehealth consultation, care coordination, or administrative program roles rather than direct patient treatment.
How can I get hired as a occupational therapist in Iowa with little or no experience?
The most realistic entry path for new occupational therapists in Iowa is applying to Level II fieldwork rotations and new-graduate residency programs offered through large systems like UnityPoint Health and the University of Iowa Hospitals and Clinics, which regularly onboard new grads into structured clinical mentorship tracks. School districts and pediatric outpatient clinics across the state also hire entry-level occupational therapists under supervision. Holding active NBCOT certification and your Iowa Board license before applying gives you a clear edge, and lateral experience as an occupational therapy assistant strengthens your candidacy.
Where can I find and apply to occupational therapist jobs in Iowa?
You can find and apply to occupational therapist jobs in Iowa on Migrate Mate, which lists current Iowa openings. Search the roles available, find the ones that match your experience and preferred location, and apply directly to the ones that fit.
See All 37 Occupational Therapist Jobs in Iowa
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