Occupational Therapist Jobs in North Dakota
Occupational Therapist jobs in North Dakota concentrate in healthcare systems, long-term care facilities, school districts, and rehabilitation centers, with consistent demand from entry-level clinicians through experienced senior practitioners. The busiest hiring markets are Fargo, Bismarck, and Grand Forks, where anchored employers such as Sanford Health, CHI St. Alexius Health, and Essentia Health maintain ongoing occupational therapist needs. Pediatric OT, geriatric rehabilitation, and school-based therapy are the most in-demand specializations across the state. See the openings below and apply to the ones that match your experience.
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Showing 5 of 15+ Occupational Therapist jobs
- Evaluating a patient’s condition and needs
- Developing treatment plans to address a patient’s needs and help them meet specific goals
- Assessing a patient’s home and/or work environment and recommending adaptations to fit the patient’s needs and improve independence
- Training patients and their caregivers to use special equipment
Starting salary at $70,000 but may be negotiated based on experience
Job Type: Full-time
Pay: From $70,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
License/Certification:
- Occupational Therapy License (Preferred)
Work Location: In person
- Evaluating a patient’s condition and needs
- Developing treatment plans to address a patient’s needs and help them meet specific goals
- Assessing a patient’s home and/or work environment and recommending adaptations to fit the patient’s needs and improve independence
- Training patients and their caregivers to use special equipment
Starting salary at $70,000 but may be negotiated based on experience
Job Type: Full-time
Pay: From $70,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
License/Certification:
- Occupational Therapy License (Preferred)
Work Location: In person
See All 15 Occupational Therapist Jobs in North Dakota
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Where North Dakota roles are concentrated, by current openings.
Occupational Therapist Job Market in North Dakota
A snapshot from current North Dakota openings, updated as new roles post.
Who's Hiring
What North Dakota Employers Look For
The qualifications that appear most often in occupational therapist jobs across North Dakota.
- Active occupational therapist license issued by the North Dakota State Board of Occupational Therapy Practice
- Master's or doctoral degree in occupational therapy from an ACOTE-accredited program
- Passed the NBCOT certification examination for registered occupational therapist credential
- Current or eligible Basic Life Support certification from an accredited provider
- Experience with pediatric, geriatric, or rehabilitation patient populations preferred by most employers
- Proficiency with electronic health records systems used across North Dakota clinical settings
Occupational Therapist Jobs in North Dakota: Frequently Asked Questions
How do you become a occupational therapist in North Dakota?
You must earn a master's or doctoral degree in occupational therapy from an accredited program, pass the NBCOT certification exam, and obtain an active license from the North Dakota State Board of Occupational Therapy Practice before practicing in the state. The board requires a completed application, verification of education and exam results, and a background check. Candidates completing fieldwork in North Dakota can apply for licensure before their first position begins.
How much do occupational therapists make in North Dakota?
Occupational therapists in North Dakota earn a median of about $83,200 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $66,890 for the lowest 10% to over $106,300 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in North Dakota?
Employers hiring occupational therapists in North Dakota right now include Sanford Health, CENTSTONE SERVICES, and PAM Health, based on current listings on Migrate Mate as of November 2026. Large integrated health systems like Sanford Health and CHI St. Alexius Health account for a significant share of ongoing postings across hospital, outpatient, and long-term care settings.
Which North Dakota cities have the most occupational therapist jobs?
Fargo, Minot, and Mandan lead North Dakota for occupational therapist openings. Fargo drives the largest volume as the state's most populous city and home to major health system campuses, while Bismarck's concentration of hospital networks and state government health facilities sustains steady hiring, and Grand Forks benefits from the presence of Altru Health System and the University of North Dakota's health sciences programs.
Are there remote occupational therapist jobs in North Dakota?
Yes, but they're rare. Occupational therapy is a hands-on clinical discipline, so the vast majority of roles require in-person patient contact. About 0% of occupational therapist openings tied to North Dakota are remote or hybrid as of November 2026, and those positions are typically limited to telehealth consultations, documentation-heavy supervisory roles, or early-intervention coordination work rather than direct treatment.
How can I get hired as a occupational therapist in North Dakota with little or no experience?
New graduates should target Level II fieldwork placements that convert to full-time offers at North Dakota employers like Sanford Health or CHI St. Alexius Health, both of which routinely hire new clinicians into structured orientation programs. School districts across the state, including Fargo Public Schools and Bismarck Public Schools, hire entry-level occupational therapists into school-based roles that provide mentored caseloads. Completing your NBCOT exam and securing your North Dakota license before interviews begin is the single biggest competitive advantage for candidates without prior professional experience.
Where can I find and apply to occupational therapist jobs in North Dakota?
You can find and apply to occupational therapist jobs in North Dakota on Migrate Mate, which lists current openings from employers across the state. Search the listings to find roles that match your specialty, experience level, and preferred location, then apply directly to the ones that fit.
See All 15 Occupational Therapist Jobs in North Dakota
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