Occupational Therapist Jobs in Missouri
Occupational Therapist jobs in Missouri are concentrated in hospital systems, inpatient rehabilitation, pediatric clinics, and school-based settings, with steady demand at both entry and experienced levels. The heaviest hiring is in St. Louis, Kansas City, and Springfield, where large employers like BJC HealthCare, Mercy Health, and Children's Mercy Hospital maintain ongoing openings. The most in-demand specialties in Missouri include pediatric OT, hand therapy, and acute care rehabilitation. See the openings below and apply to the ones that match your experience.
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The COTA Certified Occupational Therapist Assistant provides direct rehab care in occupational therapy to patients upon physician referral under the supervision of a licensed Occupational Therapist (OT) in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements:
- NBCOT certified upon hire, but renewal is optional going forward
- Graduate of an accredited program in occupational therapy (ASOT)
- Currently registered/licensed in applicable State. Must maintain an active license in good standing throughout employment.
- One (1) year experience preferred; new grads welcome to apply
- CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.
- Participates in community health matters/projects as appropriate
- Proficient in Microsoft Word, Excel, and e mail
- Liaisons with patients, families, support departments, etc., to adequately plan for patient needs
- Demonstrate good body mechanics at all times
- Make independent decisions when circumstances warrant such action
- Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
- Implement and interpret the programs, goals, objectives, policies, and procedures of the department
- Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
- Maintains professional working relationships with all associates, vendors, etc.
- Maintains confidentiality of all proprietary and/or confidential information
- Understand and follow company policies including harassment and compliance procedures
- Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
- Follow occupational treatment plans for patients under the direction of the supervising OT
- Chart appropriately and timely
- Utilize therapy software appropriately and accurately
- Exhibit excellent customer service and a positive attitude towards patients
- Assist in the evacuation of patients
- Demonstrate dependable, regular attendance
- Concentrate and use reasoning skills and good judgment
- Communicate and function productively on an interdisciplinary team
- Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
- Read, write, speak, and understand the English language
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Find Occupational Therapist JobsOccupational Therapist Jobs by City in Missouri
Where Missouri roles are concentrated, by current openings.
Occupational Therapist Job Market in Missouri
A snapshot from current Missouri openings, updated as new roles post.
Who's Hiring
- Voyage Health13V
- Phoenix Home Care4

- CoxHealth3

- Lifepoint Health3

- American Traveler3

Top Industries Hiring
- Healthcare & Medical Services
What Missouri Employers Look For
The qualifications that appear most often in occupational therapist jobs across Missouri.
- Active Missouri occupational therapist license issued by the Missouri State Board of 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
- Strong documentation skills and familiarity with electronic health record systems
- Ability to collaborate with interdisciplinary care teams across patient populations
Occupational Therapist Jobs in Missouri: Frequently Asked Questions
How do you become a occupational therapist in Missouri?
To practice as an occupational therapist in Missouri, you must hold an active license from the Missouri State Board of Occupational Therapy. Licensing requires completing an accredited master's or doctoral OT program, passing the NBCOT certification exam, and submitting an application to the Board. Missouri does not participate in the OT Licensure Compact, so out-of-state applicants must apply for licensure by endorsement directly through the Board.
How much do occupational therapists make in Missouri?
Occupational therapists in Missouri earn a median of about $97,290 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $71,880 for the lowest 10% to over $120,130 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Missouri?
Companies currently hiring occupational therapists in Missouri include Voyage Health, Phoenix Home Care, and CoxHealth, per current listings on Migrate Mate as of August 2026. Missouri's large integrated health systems, rehabilitation networks, and school districts consistently represent some of the most active sources of OT openings across the state.
Which Missouri cities have the most occupational therapist jobs?
St. Louis, Springfield, and Kansas City have the most occupational therapist openings in Missouri. St. Louis leads due to the concentration of major hospital systems and academic medical centers anchored by institutions like BJC HealthCare and Mercy Health, while Kansas City's growth in outpatient rehabilitation and pediatric care drives strong demand there, and Springfield serves as a regional healthcare hub for southwest Missouri.
Are there remote occupational therapist jobs in Missouri?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so most positions require in-person patient care. About 20% of occupational therapist openings tied to Missouri are remote or hybrid as of August 2026, and the roles most likely to offer remote work involve telehealth evaluations, care coordination, or program supervision rather than direct treatment.
How can I get hired as a occupational therapist in Missouri with little or no experience?
The most realistic entry path is applying for new-graduate positions at large Missouri health systems such as BJC HealthCare or Mercy Health, both of which hire new grads into structured orientation programs in acute care and rehabilitation. School districts across Missouri, including Kansas City Public Schools and Springfield Public Schools, regularly hire entry-level OTs through state-supported programs. Completing a Level II fieldwork rotation at a Missouri facility strengthens local ties, and holding an active Missouri OT license before applying gives you a clear advantage over candidates still awaiting credentials.
Where can I find and apply to occupational therapist jobs in Missouri?
You can find and apply to occupational therapist jobs in Missouri on Migrate Mate, which lists current openings across the state. Search the listings to find roles that match your experience and specialty area, then apply directly to the ones that fit.
See All 75 Occupational Therapist Jobs in Missouri
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