Occupational Therapist Jobs in Washington
Occupational Therapist jobs in Washington represent one of the most active markets in the Pacific Northwest, with strong demand across pediatric clinics, acute care hospitals, school districts, and rehabilitation centers serving populations from entry-level fieldwork to senior clinical specialist. Seattle, Tacoma, and Spokane anchor most of the hiring, with major employers like UW Medicine, Providence Health and Services, and MultiCare Health System consistently posting openings. Hand therapy, pediatrics, and neurological rehabilitation are the most sought-after specialties in Washington right now. Find a role that fits below and apply directly.
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PRN opportunity!:
The Certified Occupational Therapist Assistant assumes clinical responsibility in an assigned facility. This is a professional position with the primary responsibility of direct patient care under the supervision of the Occupational Therapist. Additional duties of an administrative nature are to be performed as assigned.:
You will:
- Under the supervision of a Occupational Therapist, is at all times responsible to follow all state specific laws governing the provision of occupational therapy in home care
- Follow the treatment set only as defined by the Occupational Therapist; to perform only those procedures that the COTA is qualified and trained to perform
- Make all recommendations for changes in the plan of care to the supervising Occupational Therapist.
- Aligned Mission and Values - Shared company values of Integrity, Respect, Commitment to Excellence, Accountability, and Teamwork. Foster a culture of excellence and collaboration between departments - focusing on individualized care for the residents.
- Enhanced Quality of Care - Deliver consistent, personalized care through dedicated in-house teams, ensuring resident needs are met by tailored programs and a collaborative Rehab Care Model approach.
- Perks - Offer robust benefits, including continuing education funding (up to $750 annually with up to 2 days paid time off for CE course/training), license renewal, EPA program, in-house training, generous PTO including double-time holiday pay if worked for 8 recognized holidays, and leadership development through NARA and Management initiatives.
- Possess a degree in Occupational Therapy Assistant from an accredited program.
- Possess, prior to, onboarding and maintain a current, unrestricted license to practice as a Certified Occupational Therapy Assistant in assigned state.
- Adaptability, compassion, detail oriented, friendly courteous.
- A moderate degree of physical strength is needed because of the exertion required to assist patients.
- Ability to kneel, stoop and stand for long periods of time with or without accommodation.
- Medical / Dental / Vision Insurance
- Prescription Drug Coverage
- Vacation/Sick/Paid Time Off (PTO) - Based on State
- Paid Life Insurance
- Employee Assistance Program (EAP)
- Employee Discounts (movies, restaurants, gifts, more)
- 401-K
PRN opportunity!:
The Certified Occupational Therapist Assistant assumes clinical responsibility in an assigned facility. This is a professional position with the primary responsibility of direct patient care under the supervision of the Occupational Therapist. Additional duties of an administrative nature are to be performed as assigned.:
You will:
- Under the supervision of a Occupational Therapist, is at all times responsible to follow all state specific laws governing the provision of occupational therapy in home care
- Follow the treatment set only as defined by the Occupational Therapist; to perform only those procedures that the COTA is qualified and trained to perform
- Make all recommendations for changes in the plan of care to the supervising Occupational Therapist.
- Aligned Mission and Values - Shared company values of Integrity, Respect, Commitment to Excellence, Accountability, and Teamwork. Foster a culture of excellence and collaboration between departments - focusing on individualized care for the residents.
- Enhanced Quality of Care - Deliver consistent, personalized care through dedicated in-house teams, ensuring resident needs are met by tailored programs and a collaborative Rehab Care Model approach.
- Perks - Offer robust benefits, including continuing education funding (up to $750 annually with up to 2 days paid time off for CE course/training), license renewal, EPA program, in-house training, generous PTO including double-time holiday pay if worked for 8 recognized holidays, and leadership development through NARA and Management initiatives.
- Possess a degree in Occupational Therapy Assistant from an accredited program.
- Possess, prior to, onboarding and maintain a current, unrestricted license to practice as a Certified Occupational Therapy Assistant in assigned state.
- Adaptability, compassion, detail oriented, friendly courteous.
- A moderate degree of physical strength is needed because of the exertion required to assist patients.
- Ability to kneel, stoop and stand for long periods of time with or without accommodation.
- Medical / Dental / Vision Insurance
- Prescription Drug Coverage
- Vacation/Sick/Paid Time Off (PTO) - Based on State
- Paid Life Insurance
- Employee Assistance Program (EAP)
- Employee Discounts (movies, restaurants, gifts, more)
- 401-K
See All 88 Occupational Therapist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
Find Occupational Therapist JobsOccupational Therapist Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Occupational Therapist Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Insurance
- Healthcare & Medical Services
What Washington Employers Look For
The qualifications that appear most often in occupational therapist jobs across Washington.
- Active Washington State occupational therapist license issued by the Washington State Department of Health
- Master's or doctoral degree in occupational therapy from an accredited program
- Passed the NBCOT certification examination and holds current NBCOT certification
- Minimum one to two years of clinical experience in a relevant practice setting
- Experience with electronic health records systems such as Epic or Cerner
- Strong documentation skills and ability to develop individualized treatment plans
Occupational Therapist Jobs in Washington: Frequently Asked Questions
How do you become a occupational therapist in Washington?
To become a licensed occupational therapist in Washington, you must graduate from an accredited master's or doctoral occupational therapy program, complete the required supervised fieldwork hours, and pass the NBCOT certification exam. You then apply for licensure through the Washington State Department of Health, Occupational Therapy Practice section. Washington requires a background check and proof of exam passage before issuing your license, which must be renewed every two years with continuing education.
How much do occupational therapists make in Washington?
Occupational therapists in Washington earn a median of about $107,670 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $83,110 for the lowest 10% to over $135,290 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in Washington?
Employers hiring occupational therapists in Washington right now include Optum, Providence Swedish, and MultiCare Health System, based on current listings on Migrate Mate as of October 2026. Washington's large integrated health systems, school districts, and home health agencies tend to post consistently throughout the year, making them reliable sources of full-time openings.
Which Washington cities have the most occupational therapist jobs?
Seattle, Everett, and Olympia have the most occupational therapist openings in Washington. Seattle leads because of its concentration of major hospital systems, university-affiliated medical centers, and pediatric facilities, while Tacoma and Spokane anchor significant regional healthcare networks and serve as hubs for school-based and outpatient rehabilitation services across eastern and western Washington.
Are there remote occupational therapist jobs in Washington?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so most roles require in-person patient contact. About 5% of occupational therapist openings tied to Washington are remote or hybrid as of October 2026, and those positions are typically limited to telehealth consultation, case management, or program coordination roles rather than direct patient care.
How can I get hired as a occupational therapist in Washington with little or no experience?
The most realistic entry path is applying directly to new-graduate or residency programs at large Washington health systems such as UW Medicine or Providence, which periodically run structured programs for candidates without post-graduation experience. School districts across King County and the Puget Sound region also hire new graduates into school-based OT roles that offer built-in mentorship. Completing your Level II fieldwork in Washington, obtaining your state license promptly after graduation, and targeting rehab technician or OT aide roles at established facilities can open the door while you build clinical hours.
Where can I find and apply to occupational therapist jobs in Washington?
You can find and apply to occupational therapist jobs in Washington on Migrate Mate, which lists current Washington openings across health systems, school districts, outpatient clinics, and home health agencies. Find roles that fit your experience and specialty and apply directly.
See All 88 Occupational Therapist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
Find Occupational Therapist Jobs