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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Showing 5 of 36+ Occupational Therapist jobs
Occupational Therapist – Home Health
Partners In Home Care (PIHC), Western Montana’s leading non-profit home health provider since 1987, is seeking a dedicated and compassionate Occupational Therapist to join our Home Health team. This role offers the opportunity to provide personalized, one-on-one care in patients’ homes, helping individuals regain independence and improve quality of life through skilled, patient-centered therapy.
Department: Home Health
Employment Type: Full-Time or Part-Time
Schedule: Monday–Friday, with flexibility based on FTE and patient care needs
Location: Based out of Missoula County, Ravalli County, or Lake County but may require travel to other counties within our service area.
Essential Duties and Responsibilities
- Conduct comprehensive in-home occupational therapy evaluations and develop individualized treatment plans
- Provide skilled, evidence-based occupational therapy interventions and adjust plans as patient needs evolve
- Complete and score OASIS assessments accurately and in compliance with Medicare regulations
- Maintain knowledge of payer guidelines and Medicare Conditions of Participation
- Participate in interdisciplinary case conferences and QAPI initiatives
- Supervise Occupational Therapy Assistants (OTAs) and provide oversight to CNAs when applicable
- Manage patient care episodes including admissions, reassessments, and discharges
- Document services and communications accurately using point-of-care electronic systems
- Coordinate daily schedules to support continuity of care and efficient travel
- Maintain active Montana OT licensure, required continuing education, and ethical professional standards
- Participate in agency training and professional development activities
REQUIREMENTS
- Bachelor’s degree or higher from an accredited Occupational Therapy program
- Current Occupational Therapist license in the State of Montana (or ability to obtain)
- Valid driver’s license, reliable transportation, and appropriate auto insurance
- Access to high-speed internet
- Two or more years of occupational therapy experience preferred
- Home health or clinical rehabilitation experience a plus
Why You’ll Love Working With Us
- Flexible scheduling with full-time or part-time options (.6 FTE or more)
- Generous paid time off to support work-life balance
- Comprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance
- 401(k) with company match
- Company-paid life insurance
- Tuition reimbursement and annual training budget
- Employee Assistance Program (EAP)
- Additional perks including legal services, ID protection, pet insurance, and financial wellness programs
- Deliver care where it matters most—at home
- Enjoy professional autonomy with the support of a collaborative interdisciplinary team
Join a mission-driven organization that values flexibility, autonomy, and collaboration while serving patients across our local Western Montana communities.
Partners In Home Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Occupational Therapist – Home Health
Partners In Home Care (PIHC), Western Montana’s leading non-profit home health provider since 1987, is seeking a dedicated and compassionate Occupational Therapist to join our Home Health team. This role offers the opportunity to provide personalized, one-on-one care in patients’ homes, helping individuals regain independence and improve quality of life through skilled, patient-centered therapy.
Department: Home Health
Employment Type: Full-Time or Part-Time
Schedule: Monday–Friday, with flexibility based on FTE and patient care needs
Location: Based out of Missoula County, Ravalli County, or Lake County but may require travel to other counties within our service area.
Essential Duties and Responsibilities
- Conduct comprehensive in-home occupational therapy evaluations and develop individualized treatment plans
- Provide skilled, evidence-based occupational therapy interventions and adjust plans as patient needs evolve
- Complete and score OASIS assessments accurately and in compliance with Medicare regulations
- Maintain knowledge of payer guidelines and Medicare Conditions of Participation
- Participate in interdisciplinary case conferences and QAPI initiatives
- Supervise Occupational Therapy Assistants (OTAs) and provide oversight to CNAs when applicable
- Manage patient care episodes including admissions, reassessments, and discharges
- Document services and communications accurately using point-of-care electronic systems
- Coordinate daily schedules to support continuity of care and efficient travel
- Maintain active Montana OT licensure, required continuing education, and ethical professional standards
- Participate in agency training and professional development activities
REQUIREMENTS
- Bachelor’s degree or higher from an accredited Occupational Therapy program
- Current Occupational Therapist license in the State of Montana (or ability to obtain)
- Valid driver’s license, reliable transportation, and appropriate auto insurance
- Access to high-speed internet
- Two or more years of occupational therapy experience preferred
- Home health or clinical rehabilitation experience a plus
Why You’ll Love Working With Us
- Flexible scheduling with full-time or part-time options (.6 FTE or more)
- Generous paid time off to support work-life balance
- Comprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance
- 401(k) with company match
- Company-paid life insurance
- Tuition reimbursement and annual training budget
- Employee Assistance Program (EAP)
- Additional perks including legal services, ID protection, pet insurance, and financial wellness programs
- Deliver care where it matters most—at home
- Enjoy professional autonomy with the support of a collaborative interdisciplinary team
Join a mission-driven organization that values flexibility, autonomy, and collaboration while serving patients across our local Western Montana communities.
Partners In Home Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
See All 36 Occupational Therapist Jobs in Montana
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Find Occupational Therapist JobsOccupational Therapist Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Occupational Therapist Job Market in Montana
A snapshot from current Montana openings, updated as new roles post.
Who's Hiring
- Voyage Health14V
- Granite Peak Home Health6
- CenterWell3
- Ernest Health2
- Eden Health1
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 CenterWell and others right now, based on current listings on Migrate Mate as of August 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?
Missoula, Billings, and Butte 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 25% of occupational therapist openings tied to Montana are remote or hybrid as of August 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 36 Occupational Therapist Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
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