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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Must be a licensed Occupational Therapist to apply
Employment Type: Full-Time
Setting: Skilled Nursing Facility | Long-Term Care
✨ Exciting opportunity with Blue Stone Therapy! ✨
Join a leading therapy organization with 30+ years of excellence in care and team development.
Why You'll Love Working with Us:
Blue Stone Therapy, part of the Enhance Therapies family of companies, is hiring a Occupational Therapist - FT to join our growing and passionate team. We support our clinicians with competitive pay, a collaborative work environment, and industry-leading clinical education so you can focus on what matters most: making a difference in people’s lives. Just as you're committed to delivering high-quality care, we're committed to supporting your professional growth and long-term success.
What We Offer:
- Supportive company culture rooted in mentorship and collaboration
- Unparalleled schedule flexibility to fit your lifestyle
- Comprehensive healthcare benefits (Medical, Dental, Vision)
- 401(k) with company match to invest in your future
- Online CEU credits to support your clinical growth
- Opportunities for promotion, advancement, and internal transfers
- Dynamic partnerships with leading facilities for career stability
- Student mentor program and ongoing professional development
- Employee Assistance Program (EAP) for life’s unexpected moments
- Referral bonus program
- Immigration support for H1B candidates, including transfers and new filings
- Additional benefits and perks are available - reach out today to learn more!
What You'll Do:
- Evaluate and treat patients with functional, cognitive, and ADL impairments
- Create and implement personalized care plans
- Collaborate with team members to ensure quality outcomes
- Maintain documentation to meet all regulatory requirements
- Ensure all required physician orders are obtained and up to date
Qualifications:
- Degree in Occupational Therapy (BS, MS, MA, or OTD) from an AOTA-accredited program
- Certified by the NBCOT as an OTR, if required by the state
- Current license as an Occupational Therapist in the state of practice
- Strong communication and organizational skills New grads welcome! Mentorship available
Refer a Friend & Earn!
Know a great therapist? Help grow our team and get rewarded. Visit https://enhancetherapies.com/refer-a-friend/
About Enhance Therapies
Enhance Therapies is a family of therapy companies with more than 30 years of industry-leading experience in delivering high-quality rehabilitation services. With over 8,000 therapists in 30+ states, we proudly serve patients in skilled nursing, home health, senior living, outpatient, and hospital settings.
Our mission is to empower clinicians and elevate care through innovative programs, unmatched clinical support, and a strong culture of collaboration. Each of our local brands, including Blue Stone Therapy, is supported by the strength and stability of Enhance Therapies while maintaining its unique community-focused identity.
Related: Occupational Therapist | OT | OTR | AOTA
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See All 14 Occupational Therapist Jobs in South Dakota
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Find Occupational Therapist JobsOccupational Therapist Jobs by City in South Dakota
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


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, Vibra Travels, and American Traveler, per current listings on Migrate Mate as of October 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?
Aberdeen, Mitchell, and Redfield 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.
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.
See All 14 Occupational Therapist Jobs in South Dakota
Find roles in South Dakota that match your experience and apply in just a few clicks.
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