Occupational Therapist Jobs in Montana

Occupational Therapist jobs in Montana are concentrated in Billings, Missoula, and Great Falls, where hospital systems like Billings Clinic, Providence St. Patrick Hospital, and SCL Health operate rehabilitation and outpatient programs that hire at every level from new graduate to senior clinician. Pediatric OT, hand therapy, and geriatric rehabilitation are among the most consistently in-demand specialties, driven by Montana's aging rural population and growing school-based therapy programs. Scan the live roles below and apply to whichever ones fit.

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Overview

Open roles48
Top employerVoyage Health
Top cityBillings, MT
Cities hiring21
Work type92% On-site
Top industryHealthcare

Showing 5 of 48+ Occupational Therapist jobs

American Traveler
Travel Occupational Therapist - Outpatient
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American Traveler
New 1m ago
Travel Occupational Therapist - Outpatient
American Traveler
Plains, Montana
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
BLS Certification
501-1,000

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American Traveler
Travel Occupational Therapist - Outpatient
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American Traveler
New 1m ago
Travel Occupational Therapist - Outpatient
American Traveler
Bozeman, Montana
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
BLS Certification
501-1,000

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Bozeman Health
Occupational Therapist- Acute Care (FT- 1.0 FTE, Day Shift)
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Bozeman Health
New 1m ago
Occupational Therapist- Acute Care (FT- 1.0 FTE, Day Shift)
Bozeman Health
Bozeman, Montana
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
501-1,000

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V
Travel Occupational Therapist
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V
New 1m ago
Travel Occupational Therapist
Voyage Health
Bozeman, Montana
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling

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V
Travel Occupational Therapist
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V
New 1m ago
Travel Occupational Therapist
Voyage Health
Anaconda, Montana
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling

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See All 48 Occupational Therapist Jobs in Montana

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Occupational Therapist Jobs by City in Montana

Where Montana roles are concentrated, by current openings.

Billings
6 jobs
Missoula
6 jobs
Bozeman
5 jobs
Butte
4 jobs
Helena
4 jobs
Kalispell
3 jobs
Great Falls
3 jobs
Clancy
2 jobs
Plains
2 jobs

Occupational Therapist Job Market in Montana

A snapshot from current Montana openings, updated as new roles post.

Who's Hiring

  • V
    Voyage Health15
  • G
    Granite Peak Home Health8
  • Bozeman Health
    Bozeman Health4
  • Benefis Health System
    Benefis Health System3
  • Eduro Healthcare
    Eduro Healthcare2

Top Industries Hiring

  • Healthcare & Medical Services9
  • Technology & Software1

What Montana Employers Look For

The qualifications that appear most often in occupational therapist jobs across Montana.

  • Active occupational therapist license issued or recognized by the Montana Board of Occupational Therapy
  • Master of Science or doctoral degree in occupational therapy from an accredited program
  • Passed the NBCOT certification examination for registered occupational therapists
  • Experience or clinical placement in rehabilitation, pediatrics, or geriatric care settings
  • Ability to document patient progress and treatment plans using electronic health record systems
  • Current CPR and Basic Life Support certification required prior to start date

Occupational Therapist Jobs in Montana: Frequently Asked Questions

How do you become a occupational therapist in Montana?

You must hold an active license from the Montana Board of Occupational Therapy Practice before working in the state. The path starts with completing an accredited master's or doctoral occupational therapy program, then passing the NBCOT certification exam. After passing, you apply directly to the Montana Board with your exam results, transcripts, and application fee. Montana does not participate in the OT licensure compact, so out-of-state therapists must apply for a Montana license individually.

How much do occupational therapists make in Montana?

Occupational therapists in Montana earn a median of about $88,990 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $76,110 for the lowest 10% to over $110,910 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire occupational therapists in Montana?

Montana occupational therapist roles are posted by Voyage Health, Granite Peak Home Health, and Bozeman Health and others right now, based on current listings on Migrate Mate as of July 2026. Large health systems anchored in Billings and Missoula tend to post the most consistent volume, particularly for inpatient rehabilitation and outpatient clinic positions.

Which Montana cities have the most occupational therapist jobs?

Billings, Missoula, and Bozeman are the Montana cities with the most occupational therapist openings. Billings leads because it is home to the largest hospital system in the state, drawing regional patients from southeastern Montana and Wyoming, while Missoula's concentration of university-affiliated clinics and Helena's state government health programs sustain steady hiring in those markets.

Are there remote occupational therapist jobs in Montana?

Yes, but they're rare. Occupational therapy is a hands-on clinical profession, and most positions require direct patient contact in a facility, clinic, or home setting. About 8% of occupational therapist openings tied to Montana are remote or hybrid as of July 2026, and those roles tend to be in telehealth assessment, care coordination, or supervision rather than direct treatment.

How can I get hired as a occupational therapist in Montana with little or no experience?

The most realistic entry path is applying for new-graduate positions at Montana's larger health systems, particularly Billings Clinic and Providence St. Patrick Hospital in Missoula, which regularly hire new OTs into structured onboarding programs. School districts across Montana also hire entry-level therapists through the state's special education programs, where a provisional license is accepted while the full credential is finalized. Completing a Level II fieldwork rotation at a Montana facility is the strongest competitive edge, as it establishes local clinical relationships before graduation.

Where can I find and apply to occupational therapist jobs in Montana?

You can find and apply to occupational therapist jobs in Montana on Migrate Mate, which lists current Montana openings across hospitals, outpatient clinics, school districts, and home health agencies. Search the available roles, find the ones that match your license level and specialty, and apply directly to each position.

See All 48 Occupational Therapist Jobs in Montana

Find roles in Montana that match your experience and apply in just a few clicks.

Find Occupational Therapist Jobs