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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Date posted: August 24, 2026
Pay: $68,000.00 - $78,000.00 per year.
Job description:
Position Type: Early Intervention
Location: Central Regional Education Association
Job Title: Early Childhood Special Education Teacher (ECSE) and/or Occupational Therapist
Supervisor: Kim Frohlich
Employees under their Direct Supervision: 0
Terms of Employment: 4 Days Per Week
FTE 1.0 Full Time, Exempt
Salary Range: $68,000 - $78,000 DOE
Closing Date: Open until filled
Decision Making Authority: Responsible for best interests of CREA and its clients using what has been budgeted for assigned responsibilities. Approval required from Operations Director and/or Executive Director on specific matters as outlined in policies and procedures.
Position Overview: The Early Interventionist- ECSE and/or Occupational Therapist is responsible for working with families in natural environments to ensure that children receive the necessary services as outlined by North Dakota Early Intervention Guidelines and CREA. This job reports to the Early Intervention Director
Position Accountabilities, Responsibilities and Essential Functions
A critical part of every position is achieving the goals set for the position while delivering high levels of satisfaction to internal and external stakeholders. This is realized by building positive relationships with internal individuals and teams as well as with external partners, and by exhibiting behaviors that contribute to the success of short- and long-term goals of the agency. These behaviors include a focus on timely completion of tasks and high quality of work (with or without supervision) while following all legal, compliance, departmental, documentation, safety, timeline, program and other standards per organizational policies and procedures. Will adhere to North Dakota Early Intervention Guidelines and Part C of IDEA. Will maintain confidentiality on every child/family.
Position requires close collaboration with: CREA CEO, COO, CoS, CFO, Early Intervention Director; Caregivers: and ND Agency Employees, Partners, Community and Funding Agencies, including, but not limited to West Central Human Services Center Region VII and NDDHHS.
Performance is equally a function of goal attainment; timely and accurate completion of assignments; building positive internal and external relationships; and planning, communicating, and coordinating work to avoid last-minute confusion while adhering to legal/compliance guidelines and organizational policies/procedures.
It is expected this position will inherit and demonstrate the values of the CREA:
· Integrity
We believe that we must be dedicated to our communities and our work in order to assist clients in a responsive manner. This requires an assurance to our members that they can trust us to deliver.
· Support
We work tirelessly to help our communities, to assist our educators, and to keep improving for their children. Each action we take should answer the question, “How can I help you?”
· Collaborative Independence
Based on the wide variance of our programs and services, we must be able to work at high levels with partners, participants, and colleagues. Simultaneously, we must strive to complete tasks and lead as individuals.
· Action/Reflection
Continuous improvement is a necessity for our organization. We must be able to act quickly to serve our members while engaging in frequent reflection to increase our effectiveness.
· Relevance
We believe that our clients deserve the very best, and that means getting meaningful assistance that can help them when they return to their communities. We must constantly strive to reach all learners, adults, and children alike through innovative measures.
- Collaborates with internal and external personnel (e.g. other administrators, auditors, public agencies, community members, etc.) for the purposes of implementing and/or maintaining services and programs.
- Provide home visiting services to infants and toddlers (birth to 3 years old) in their natural environment (home, daycare, etc.). Recommend and model strategies during home visits so parents/caregivers can support their child’s development through natural routines. Early Intervention embraces the parent coaching model.
- Evaluate and assess children’s development in the areas of fine motor, gross motor, early literacy, cognition, communication, social emotional development, adaptive/self-help, as well as vision and hearing through a combination of standardized evaluation tools, parent report, and observation as required in program guidelines. Evaluation results will determine a child’s eligibility for services.
- Coordinates program components, support needs and material for the purpose of delivering services which conform to established guidelines.
- Collaborates with family and program manager to write Individualized Family Service Plan (IFSP) for each child for the purpose of insuring the state and federal guidelines are met.
- Complete Periodic Reviews and Annual IFSP progress review meetings with members of the IFSP Team.
- Maintain written home visit progress notes. Provide home visits and ensure that consultations for each child on caseload occur on time, as determined by the IFSP Team and as stated on the Infant Development Authorization.
- Follow North Dakota State guidelines for implementation of transition activities and timelines for each child on caseload. Work in collaboration with local education agencies during transition planning.
- Will provide consultations to staff and families of designated children in program as identified on IFSP and Infant Development Authorization.
- Facilitate meetings, workshops, seminars, consultation, etc. (e.g. due process hearings, special education parent groups, etc.) for the purpose of identifying issues, developing recommendations, supporting parents, and supporting other staff.
- Implement services outlined in the IFSP in accordance with the parent coaching model of service delivery.
- Maintains daily files and reports associated with services provided to ensure accurate records for the purpose of timely and accurate billing in accordance with state and federal guidelines.
- Participates in meetings, workshops and seminars for the purpose of conveying and/or gathering information required to perform functions.
- Participates in a wide variety of meetings (e.g. IFSPs, weekly referral meetings, IEPs, Board meetings, training, hearings, etc.) for the purpose of providing and/or receiving information.
- Prepares a wide variety of often complex materials (e.g. plans, reports, recommendations, procedures, etc.) for the purpose of documenting activities and issues, meeting compliance requirements, providing audit references, making presentations, and/or providing supporting materials for requested actions.
- Researches a variety of topics required to manage assignments (e.g. relevant policies, new federal and state statutes, staffing requirements, financial resources, etc.) for the purpose of recommending new programs/services, ensuring compliance with regulatory requirements, securing general information and/or responding to requests.
- Performs other related duties as assigned for the purpose of ensuring the efficient and effective functioning of the work unit.
Physical Demands and Work Environment
· Travel required for home visits, assessments, consultations, stakeholder engagement, training, and meetings.
· Requires high-level interactions with clients requiring substantial mental, verbal, auditory and visual effort. Position requires a high degree of concentration with continuous and often intense mental and visual attention to documents, people, and digital devices.
· Numerous irregularities in schedules and complicated/complex tasks.
· Requires management of potential stress associated with work pace and deadline pressures while maintaining a professional demeanor.
· Frequent walking, sitting, standing, and reaching plus driving or riding to client sites. Occasional climbing, kneeling, lifting, carrying, pushing and/or pulling and transporting up to 30 lbs. for 8-10 hours a day. Some stooping, kneeling crouching and/or crawling and significant fine finger dexterity.
· Work is primarily performed at the client’s residence. Work is occasionally performed in an office, home office, and/or family/childcare setting and community spaces. Occasionally exposed to dust, noise, odors, other irritants, and exposure to small quantities of hazardous chemicals found in office supplies.
Essential Skills, Experience and Expertise
- Job related experience within a specialized field is required.
- Ability to perform multiple, highly complex, technical tasks with a need to occasionally upgrade skills in order to meet changing job conditions.
- Knowledge of early childhood development, early intervention strategies, and applicable local, state, and federal regulations.
· Demonstrate skills to assess muscle strength, muscle tone, joint stability, balance and coordination, and gait abnormalities in small children.
· Assist parents and Early Intervention staff with problem solving motor concerns and provide strategies to maximize the child’s independence in his natural environment through specific activities, positioning, or use of adaptive equipment such as seating devices, standers, walkers, etc.
· Assist parents and Early Intervention staff in assessment and intervention in feeding and sensory issues, fine and gross motor development, positioning, adaptive equipment, self-help/adaptive skills and use of technology and adaptive equipment to improve the child’s access to the environment and to more fully or independently participate in fine motor and self-help related routines.
· Adapting to changing work priorities; meeting deadlines and schedules; setting priorities; scheduling a number of activities, meetings and/or events; maintaining accurate records.
- Plan and manage paperwork.
- Working with detailed information/data and proficiency in data analysis and program evaluation.
· Interpersonal and Communication Skills: Requires excellent customer service and interpersonal communication skills. Candidates effectively collaborate with diverse groups of individuals and develop high performing teams; yet smoothly manage individual and group conflicts. Candidates handle last-minute pressure and keep calm when faced with competing demands and priorities.
· Reading and Writing Skills: College Level; requires analysis, synthesis and evaluation skills in a variety of areas per Bloom's taxonomy.
· Action-oriented, entrepreneurial, and innovative approach to service development and delivery.
· Competency to satisfactorily perform the functions of the job such as operating standard office equipment including using a variety of software applications.
· Capacity, skill, and willingness to perform in and who may encounter safety concerns and dangers in a home visit.
· Ensure legal and ethical obligations for mandated reporting are met while providing leadership and participation in appropriate investigations.
Special Position Requirements and preferences
- Required degrees, licenses, and certificates in accordance with Early Intervention guidelines and licensure.
ECSE:
- A Bachelor’s degree in the area of Special Education, Elementary Education, Early Childhood Education or Early Childhood Special Education and a valid North Dakota teaching certificate.
- The Early Childhood Special Education Teacher is responsible for maintaining North Dakota certification requirements.
- Experience working with infants and toddlers.
· Occupational Therapist:
Bachelor’s, Master’s or Doctorate Degree from an approved and accredited professional Occupational Therapy Program.
The Occupational Therapist is responsible for maintaining North Dakota licensure requirements
· Experience working with infants and toddlers.
- Familiarity with CREA’s operational procedures and policies, preferred.
- Travel: Travel required as needed to service outlying counties: Burleigh, Morton, Grant, Mercer, Oliver, McLean, Kidder, Emmons, and Sheridan. Potentially in excess of 30-40% of work week.
· Personal vehicle shall be used for travel. Travel reimbursement is available.
Description Revised: CREA is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
This information is provided as a general summary of key elements of this job. Nothing in this job description restricts management’s rights to assign or reassign duties and responsibilities to this job at any time. This job description is not designed to cover or contain a comprehensive listing of all activities and duties or responsibilities required of the employee.
Job Type: Full-time
Benefits:
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Travel reimbursement
- Vision insurance
Work Location: In person
Pay: $68,000.00 - $78,000.00 per year
Benefits:
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Parental leave
- Retirement plan
- Vision insurance
Work Location: In person
See All 13 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


Top Industries Hiring
- Healthcare & Medical Services
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 Essentia Health, Sanford Health, and Voyage Health, based on current listings on Migrate Mate as of August 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, Bismarck, and Mayville 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 August 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.
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