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 23+ Occupational Therapist jobs
0.8 FTE - 32 hours / week
Responsible for evaluation, planning, directing and administrating Occupational Therapy (OT) modalities to individuals that will promote independence and quality of life. Occupational therapy is prescribed by a licensed physician. Develops an individualized plan of care for the patient in an effort to improve, sustain or restore independence to individuals who have had an injury, illness, disability or cognitive dysfunction. The Occupational Therapist will assist patients to reach their maximum performance goals through learning life skills, develop or regain physical or mental functioning or adjust to disabilities by implementing programs involving manual arts and crafts, practice in functional, prevocational, vocational, and homemaking skills, activities of daily living, and sensorimotor, educational, recreational, and social activities. Promotes maximum independence by selecting and constructing therapies according to individual's physical capacity, intelligence level, and interest.
Provides direct patient care in the home or setting where the patient refers to as home. The OT is under the direction of the Director or designee.
Performs detailed and accurate assessments utilizing a standardized assessment (OASIS) of patients and completes documentation in a timely and accurate manner according to home health policy and regulatory requirements.
Facilitates patient hand-offs and provides assistance to move the patient through the care continuum.
Works collaboratively with other members of the healthcare team, physicians, and the community emphasizing a teamwork environment.
Coordinates provision of patient care for assigned patients, maintains competency levels annually and attends continuing education as applicable.
Delegates appropriate tasks as needed. Works with the Director and/or Clinical Manager/Coordinator to assure patient visits are being provided as outlined in the plan of care.
KNOWLEDGE/EXPERIENCE: At least 2 years of Acute Care, Outpatient, Rehabilitation, Home Health, or other relevant experience required. Sufficient knowledge, critical thinking skills, and experience to demonstrate ability to work autonomously. Experience working in a Home and Community Based Program is a plus.
EDUCATION: Graduate of an approved school of Occupational Therapy or graduate of accredited college or university with a certificate in Occupational Therapy.
LICENSE/CERTIFICATION/REGISTRY: Current Montana State Occupational Therapy Licensure; BLS required
COMMUNICATION : Demonstrates good communication skills to facilitate implementation of quality core measures, attends meetings and weekly case conferences. Maintains open communication with the interdisciplinary team. Maintains open communication with the Director and/or clinical coordinator in relation to patient assignments, responsibilities or patient concerns. Utilizes appropriate chain of command to collaboratively and proactively problem solve as needed. Diffuses patient/family complaints prior to involving the Director or clinical coordinator. Attends education when offered related to competencies or changes in processes. Understands regulatory and compliance standards to assure the provision of safe, cost effective and quality care. Attends committee meetings as assigned by the Director.
ADAPTABILITY : Has a “can do” attitude, promotes team-work, and a no-blaming environment while setting the tone for the department by being a good role model. Maintains a positive attitude and flexibility regarding fluctuating patient census and staffing needs. Demonstrates critical thinking skills and actively completes assignments, documentation per agency policy. Able to prioritize and multi-task when the department gets busy. Remains calm during stressful times.
0.8 FTE - 32 hours / week
Responsible for evaluation, planning, directing and administrating Occupational Therapy (OT) modalities to individuals that will promote independence and quality of life. Occupational therapy is prescribed by a licensed physician. Develops an individualized plan of care for the patient in an effort to improve, sustain or restore independence to individuals who have had an injury, illness, disability or cognitive dysfunction. The Occupational Therapist will assist patients to reach their maximum performance goals through learning life skills, develop or regain physical or mental functioning or adjust to disabilities by implementing programs involving manual arts and crafts, practice in functional, prevocational, vocational, and homemaking skills, activities of daily living, and sensorimotor, educational, recreational, and social activities. Promotes maximum independence by selecting and constructing therapies according to individual's physical capacity, intelligence level, and interest.
Provides direct patient care in the home or setting where the patient refers to as home. The OT is under the direction of the Director or designee.
Performs detailed and accurate assessments utilizing a standardized assessment (OASIS) of patients and completes documentation in a timely and accurate manner according to home health policy and regulatory requirements.
Facilitates patient hand-offs and provides assistance to move the patient through the care continuum.
Works collaboratively with other members of the healthcare team, physicians, and the community emphasizing a teamwork environment.
Coordinates provision of patient care for assigned patients, maintains competency levels annually and attends continuing education as applicable.
Delegates appropriate tasks as needed. Works with the Director and/or Clinical Manager/Coordinator to assure patient visits are being provided as outlined in the plan of care.
KNOWLEDGE/EXPERIENCE: At least 2 years of Acute Care, Outpatient, Rehabilitation, Home Health, or other relevant experience required. Sufficient knowledge, critical thinking skills, and experience to demonstrate ability to work autonomously. Experience working in a Home and Community Based Program is a plus.
EDUCATION: Graduate of an approved school of Occupational Therapy or graduate of accredited college or university with a certificate in Occupational Therapy.
LICENSE/CERTIFICATION/REGISTRY: Current Montana State Occupational Therapy Licensure; BLS required
COMMUNICATION : Demonstrates good communication skills to facilitate implementation of quality core measures, attends meetings and weekly case conferences. Maintains open communication with the interdisciplinary team. Maintains open communication with the Director and/or clinical coordinator in relation to patient assignments, responsibilities or patient concerns. Utilizes appropriate chain of command to collaboratively and proactively problem solve as needed. Diffuses patient/family complaints prior to involving the Director or clinical coordinator. Attends education when offered related to competencies or changes in processes. Understands regulatory and compliance standards to assure the provision of safe, cost effective and quality care. Attends committee meetings as assigned by the Director.
ADAPTABILITY : Has a “can do” attitude, promotes team-work, and a no-blaming environment while setting the tone for the department by being a good role model. Maintains a positive attitude and flexibility regarding fluctuating patient census and staffing needs. Demonstrates critical thinking skills and actively completes assignments, documentation per agency policy. Able to prioritize and multi-task when the department gets busy. Remains calm during stressful times.
See All 23 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
Top Industries Hiring
- Healthcare & Medical Services
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 Advanced Therapy Clinic, Eduro Healthcare, and Enhabit Home Health & Hospice and others right now, based on current listings on Migrate Mate as of October 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 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 October 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 23 Occupational Therapist Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Occupational Therapist Jobs