Occupational Therapist Jobs in South Dakota
Occupational Therapist jobs in South Dakota concentrate in healthcare systems, school districts, and long-term care facilities, with steady demand at every level from new graduates to experienced practitioners. The largest hiring activity is in Sioux Falls, Rapid City, and Aberdeen, where employers like Sanford Health, Monument Health, and Avera Health maintain ongoing openings. Pediatric OT, hand therapy, and geriatric rehabilitation are the most in-demand specialties across the state. Scan the live roles below and apply to whichever ones fit.
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Job Summary
OCCUPATIONAL THERAPIST OT-Rehab
Talented Medical Solutions
Contract
In-Office | Britton, SD, United States
Provide skilled occupational therapy services in accordance with state/federal regulations and facility guidelines.
Responsible for evaluating patients, developing treatment and discharge plans, and delivering therapy to improve independence in daily living skills.
Responsibilities: •
Evaluate and treat patients per physician orders/referrals •
Develop and update individualized treatment/discharge plans •
Document services accurately and timely •
Supervise COTAs per practice acts and facility policies •
Collaborate with interdisciplinary care teams and families •
Maintain compliance with all safety and regulatory standards
Qualifications: •
Graduate of an accredited Occupational Therapy program (MOT/OTD) •
Active state OT license (or ability to obtain) •
Strong clinical, documentation, and communication skills
#WorkwolfJob Summary
OCCUPATIONAL THERAPIST OT-Rehab
Talented Medical Solutions
Contract
In-Office | Britton, SD, United States
Provide skilled occupational therapy services in accordance with state/federal regulations and facility guidelines.
Responsible for evaluating patients, developing treatment and discharge plans, and delivering therapy to improve independence in daily living skills.
Responsibilities: •
Evaluate and treat patients per physician orders/referrals •
Develop and update individualized treatment/discharge plans •
Document services accurately and timely •
Supervise COTAs per practice acts and facility policies •
Collaborate with interdisciplinary care teams and families •
Maintain compliance with all safety and regulatory standards
Qualifications: •
Graduate of an accredited Occupational Therapy program (MOT/OTD) •
Active state OT license (or ability to obtain) •
Strong clinical, documentation, and communication skills
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Where South Dakota roles are concentrated, by current openings.
Occupational Therapist Job Market in South Dakota
A snapshot from current South Dakota openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What South Dakota Employers Look For
The qualifications that appear most often in occupational therapist jobs across South Dakota.
- Active occupational therapist license issued or recognized by the South Dakota Board of Medical and Osteopathic Examiners
- Master's or doctoral degree in occupational therapy from an ACOTE-accredited program
- Passed the NBCOT certification examination and holds current OTR credential
- Experience working in a clinical setting such as acute care, rehabilitation, or outpatient therapy
- Familiarity with electronic medical records systems used in healthcare environments
- Strong written and verbal communication skills for documentation and interdisciplinary team collaboration
Occupational Therapist Jobs in South Dakota: Frequently Asked Questions
How do you become a occupational therapist in South Dakota?
To become an occupational therapist in South Dakota, you must earn a master's or doctoral degree from an ACOTE-accredited program, complete the required supervised fieldwork hours, and pass the NBCOT certification exam. You then apply for licensure through the South Dakota Board of Medical and Osteopathic Examiners. South Dakota participates in the OT Compact, which can streamline licensure if you're already licensed in a compact member state.
How much do occupational therapists make in South Dakota?
Occupational therapists in South Dakota earn a median of about $85,050 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $65,820 for the lowest 10% to over $106,520 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in South Dakota?
Companies currently hiring occupational therapists in South Dakota include HiredFirst, Voyage Health, and Avera Health, per current listings on Migrate Mate as of August 2026. South Dakota's largest healthcare systems, school districts, and long-term care networks are consistently among the most active employers in the state.
Which South Dakota cities have the most occupational therapist jobs?
Rapid City, Aberdeen, and Mitchell have the most occupational therapist openings in South Dakota. Sioux Falls leads as the state's largest city and the home of Sanford Health and Avera Health, while Rapid City draws volume through Monument Health and its surrounding regional facilities, with Aberdeen serving as a secondary hub for healthcare and school-based services in the northeastern part of the state.
Are there remote occupational therapist jobs in South Dakota?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so most roles require in-person patient contact. About 0% of occupational therapist openings tied to South Dakota are remote or hybrid as of August 2026, with telehealth consultation and documentation-only roles making up most of that share.
How can I get hired as a occupational therapist in South Dakota with little or no experience?
The most realistic entry path is applying directly to new-graduate positions at Sanford Health, Avera Health, or Monument Health, all of which regularly onboard new graduates into structured clinical rotations. School districts across South Dakota also hire entry-level therapists for pediatric and special education settings. Candidates who hold their NBCOT certification and active South Dakota license before applying move through hiring far faster than those still pending credentialing.
Where can I find and apply to occupational therapist jobs in South Dakota?
You can find and apply to occupational therapist jobs in South Dakota on Migrate Mate, which lists current openings across the state. Search the roles that match your specialty and experience level and apply directly to the ones that fit.
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