Occupational Therapist Jobs in Michigan
Occupational Therapist jobs in Michigan are actively in demand, with strong hiring concentrated in hospital systems, pediatric clinics, inpatient rehabilitation, and school-based settings serving communities from entry-level practitioners through senior clinicians. Detroit, Grand Rapids, and Lansing are the busiest markets, where established employers like Beaumont Health, Spectrum Health, and Michigan Medicine regularly recruit across specialties. Pediatric OT, hand therapy, and neurorehabilitation consistently see the most consistent openings across the state. Find a role that fits below and apply directly.
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Showing 5 of 114+ Occupational Therapist jobs
Certified Occupational Therapy Assistant (COTA) - Home Health
Schedule: Full-time Monday–Friday + occasional weekends (as needed)
Location: Field-based
Who We Are
Adaptive Home Health is building a higher-acuity, patient-centered home health model across Detroit. Our ultimate mission is to dramatically improve patient access to home health care.
The COTA role is the front line of that mission: you deliver high-quality functional visits in the home under the OT plan of care, helping patients stay safe and independent.
We build technology to better support our field clinicians faster and more supported. Ultimately, our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.
What you will do
Deliver skilled COTA visits in the home under the supervising OT’s plan of care.
Execute functional treatment plans: ADLs/IADLs, safety/fall prevention, energy conservation, UE function, adaptive equipment training.
Track objective functional progress and communicate updates/concerns to the supervising OT.
Coordinate with nursing and the broader care team: escalate changes in condition and safety concerns.
Document promptly and thoroughly — defensible, efficient, and consistent.
Why Adaptive
Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
Clear productivity model with upside: You are paid per productivity point with clear expectations (market-specific).
Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.
Cutting-edge tech built for clinicians: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.
Mission-driven work: We are here to expand access to high-quality home health care, and we want therapists who take pride in raising the standard.
Must-haves
Active Michigan COTA license (in good standing)
Strong clinical judgment and comfort working independently in the field (within COTA scope and under OT supervision)
Strong communication and documentation
Current driver’s license and comfort with daily travel across assigned territory
Nice-to-haves
Prior home health experience
Certified Occupational Therapy Assistant (COTA) - Home Health
Schedule: Full-time Monday–Friday + occasional weekends (as needed)
Location: Field-based
Who We Are
Adaptive Home Health is building a higher-acuity, patient-centered home health model across Detroit. Our ultimate mission is to dramatically improve patient access to home health care.
The COTA role is the front line of that mission: you deliver high-quality functional visits in the home under the OT plan of care, helping patients stay safe and independent.
We build technology to better support our field clinicians faster and more supported. Ultimately, our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.
What you will do
Deliver skilled COTA visits in the home under the supervising OT’s plan of care.
Execute functional treatment plans: ADLs/IADLs, safety/fall prevention, energy conservation, UE function, adaptive equipment training.
Track objective functional progress and communicate updates/concerns to the supervising OT.
Coordinate with nursing and the broader care team: escalate changes in condition and safety concerns.
Document promptly and thoroughly — defensible, efficient, and consistent.
Why Adaptive
Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
Clear productivity model with upside: You are paid per productivity point with clear expectations (market-specific).
Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.
Cutting-edge tech built for clinicians: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.
Mission-driven work: We are here to expand access to high-quality home health care, and we want therapists who take pride in raising the standard.
Must-haves
Active Michigan COTA license (in good standing)
Strong clinical judgment and comfort working independently in the field (within COTA scope and under OT supervision)
Strong communication and documentation
Current driver’s license and comfort with daily travel across assigned territory
Nice-to-haves
Prior home health experience
See All 114+ Occupational Therapist Jobs in Michigan
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Find Occupational Therapist JobsOccupational Therapist Jobs by City in Michigan
Where Michigan roles are concentrated, by current openings.
Occupational Therapist Job Market in Michigan
A snapshot from current Michigan openings, updated as new roles post.
Who's Hiring
- Henry Ford Health11
- Voyage Health5V
- HealthPRO Heritage5
- Concept Rehab5
- Renewal Rehab4
Top Industries Hiring
- Healthcare & Medical Services
What Michigan Employers Look For
The qualifications that appear most often in occupational therapist jobs across Michigan.
- Active Michigan occupational therapist license issued by the Michigan Department of Licensing and Regulatory Affairs
- Master's or doctoral degree in occupational therapy from an accredited program
- Passed the NBCOT certification examination for occupational therapists
- Experience with electronic health records platforms used in clinical settings
- Strong documentation skills and adherence to Medicare and Medicaid billing requirements
- Ability to collaborate with interdisciplinary care teams in hospital or outpatient settings
Occupational Therapist Jobs in Michigan: Frequently Asked Questions
How do you become a occupational therapist in Michigan?
To become a licensed occupational therapist in Michigan, you must earn a master's or doctoral degree in occupational therapy from an accredited program, pass the NBCOT certification exam, and apply for licensure through the Michigan Department of Licensing and Regulatory Affairs. LARA oversees OT licensing in the state. Once licensed, you must complete continuing education requirements to renew your license on a biennial cycle.
How much do occupational therapists make in Michigan?
Occupational therapists in Michigan earn a median of about $89,910 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $66,580 for the lowest 10% to over $105,720 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Michigan?
Employers hiring occupational therapists in Michigan right now include Henry Ford Health, Voyage Health, and HealthPRO Heritage, based on current listings on Migrate Mate as of August 2026. Michigan's large integrated health systems and rehabilitation networks drive consistent demand, particularly for clinicians with pediatric, neurological, or hand therapy experience.
Which Michigan cities have the most occupational therapist jobs?
Detroit, Lansing, and Troy have the most occupational therapist openings in Michigan. Detroit anchors demand through its dense concentration of hospital systems and rehabilitation centers, while Grand Rapids draws volume from Spectrum Health and a growing network of outpatient clinics, and Lansing reflects steady hiring tied to its academic medical institutions and state-affiliated care programs.
Are there remote occupational therapist jobs in Michigan?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so the large majority of roles require in-person patient contact. About 27% of occupational therapist openings tied to Michigan are remote or hybrid as of August 2026, and those positions tend to involve telehealth consultations, care coordination, or utilization review rather than direct treatment.
How can I get hired as a occupational therapist in Michigan with little or no experience?
The most realistic entry path is applying to new-graduate rotations and clinical residency programs at Michigan's larger health systems, including those affiliated with Michigan Medicine and Beaumont Health, which regularly onboard new OT graduates. Roles titled OT aide, rehabilitation technician, or therapy assistant can provide a foot in the door and direct patient exposure while you complete licensure. A completed NBCOT exam and an active Michigan LARA license, even without years of experience, significantly strengthens any application.
Where can I find and apply to occupational therapist jobs in Michigan?
You can find and apply to occupational therapist jobs in Michigan on Migrate Mate, which lists current Michigan openings across hospital systems, outpatient clinics, school districts, and rehabilitation facilities. Find roles that fit your specialty and experience level and apply directly to the employer.
See All 114+ Occupational Therapist Jobs in Michigan
Find roles in Michigan that match your experience and apply in just a few clicks.
Find Occupational Therapist Jobs