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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Responsibilities:
1. Assess and evaluate the functional abilities and limitations of residents through comprehensive evaluations, observations, and interviews.
2. Develop personalized treatment plans tailored to individual resident needs, goals, and abilities, aiming to enhance independence and quality of life.
Requirements:
See All 78 Occupational Therapist Jobs in Missouri
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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


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 Continuum Rehab, Innovate Rehab and Wellness, and SSM Health Physical Therapy, per current listings on Migrate Mate as of October 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, Kansas City, and Springfield 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 13% of occupational therapist openings tied to Missouri are remote or hybrid as of October 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 78 Occupational Therapist Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
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