Occupational Therapist Jobs in West Virginia
Occupational Therapist jobs in West Virginia are concentrated in Charleston, Huntington, and Morgantown, where large health systems like WVU Medicine, CAMC Health System, and Encompass Health operate rehabilitation units, outpatient clinics, and long-term care facilities. Demand is strongest in pediatric therapy, geriatric rehabilitation, and hand therapy, with openings at every level from new graduate to senior clinician. West Virginia's aging rural population and ongoing expansion of community-based care keep the pipeline of positions consistently active. See the openings below and apply to the ones that match your experience.
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- Hold a valid license to practice occupational therapy in the State of West Virginia.
- Meet all applicable West Virginia Department of Education and state requirements for employment in a public school setting.
- Possess appropriate education and training in occupational therapy from an accredited program.
- Demonstrate knowledge of pediatric occupational therapy practices and school-based service delivery.
- Demonstrate knowledge of special education procedures, Individualized Education Programs (IEPs), evaluations, and related services.
- Possess strong communication, organizational, documentation, and interpersonal skills.
- Demonstrate the ability to work collaboratively with students, families, teachers, administrators, and other professionals.
- Successfully complete all required background checks and employment requirements established by Boone County Schools and applicable law.
- Evaluate students referred for occupational therapy services using appropriate assessments, observations, records, and other relevant information.
- Assist in determining whether occupational therapy services are necessary for a student to access and benefit from their educational program.
- Participate in IEP meetings, eligibility meetings, multidisciplinary team meetings, and Student Assistance Team meetings, as appropriate.
- Develop measurable occupational therapy goals and objectives that address students' educational and functional needs.
- Provide direct and indirect occupational therapy services in accordance with student IEPs and applicable requirements.
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Address student needs related to:
- Fine motor development.
- Visual-motor and visual-perceptual skills.
- Sensory processing and regulation.
- Self-care and activities of daily living within the school environment.
- Handwriting and written-output skills.
- Positioning, mobility, and classroom access.
- Assistive technology and adaptive equipment.
- Functional participation in classroom and school activities.
- Collaborate with teachers and other school personnel to develop classroom strategies, accommodations, modifications, and interventions.
- Provide consultation and training to teachers, aides, parents, and other staff regarding student needs and appropriate supports.
- Monitor student progress and modify therapy interventions as appropriate.
- Maintain accurate, complete, and timely documentation of evaluations, therapy sessions, progress reports, Medicaid documentation when applicable, and other required records.
- Complete progress reports and provide information regarding student progress toward IEP goals.
- Assist with recommendations for adaptive equipment, assistive technology, seating, positioning, and other supports necessary for student access and participation.
- Coordinate services with physical therapists, speech-language pathologists, school psychologists, special education teachers, nurses, and other related-service providers.
- Maintain confidentiality of student records and information in accordance with federal and state law and Boone County Schools policies.
- Follow all applicable requirements related to IDEA, Section 504, FERPA, special education procedures, and related-service documentation.
- Maintain professional competence through continuing education, training, and professional development.
- Maintain required professional licensure and certifications throughout employment.
- Travel between Boone County Schools locations as necessary to provide services to assigned students.
- Maintain and properly use occupational therapy equipment, materials, and supplies.
- Communicate effectively with parents and guardians regarding evaluations, services, progress, and recommendations.
- Perform other duties related to occupational therapy and student support as assigned by the Superintendent, Director of Special Education, or designee.
Student Support Services/Occupational Therapist
8/21/2026
Boone County Board of Education
Boone County Schools
BOONE COUNTY SCHOOLS
See All 19 Occupational Therapist Jobs in West Virginia
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Where West Virginia roles are concentrated, by current openings.
Occupational Therapist Job Market in West Virginia
A snapshot from current West Virginia openings, updated as new roles post.
Who's Hiring

Top Industries Hiring
- Healthcare & Medical Services
What West Virginia Employers Look For
The qualifications that appear most often in occupational therapist jobs across West Virginia.
- Active West Virginia occupational therapist license issued by the WV Board of Occupational Therapy
- Master's or doctoral degree in occupational therapy from an ACOTE-accredited program
- Passed the NBCOT certification examination (OTR credential)
- Minimum one to two years of clinical experience in a relevant practice setting
- Experience with electronic health records and documentation in a clinical environment
- Strong knowledge of ADL training, therapeutic exercise, and adaptive equipment use
Occupational Therapist Jobs in West Virginia: Frequently Asked Questions
How do you become a occupational therapist in West Virginia?
You must hold an active license from the West Virginia Board of Occupational Therapy to practice in the state. To qualify, you need a master's or doctoral degree from an ACOTE-accredited occupational therapy program and a passing score on the NBCOT certification exam. After passing, you apply directly to the WV Board of Occupational Therapy for your state license. West Virginia participates in the OT Licensure Compact, which can simplify multi-state practice for licensed therapists.
How much do occupational therapists make in West Virginia?
Occupational therapists in West Virginia earn a median of about $96,190 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,870 for the lowest 10% to over $129,460 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in West Virginia?
Companies currently hiring occupational therapists in West Virginia include HiredFirst, Voyage Health, and WVU Medicine, per current listings on Migrate Mate as of August 2026. WVU Medicine and CAMC Health System are among the most consistent employers, with openings across inpatient rehabilitation, outpatient clinics, and home health settings throughout the state.
Which West Virginia cities have the most occupational therapist jobs?
The cities with the most occupational therapist openings in West Virginia are Terra Alta, Charleston, and Morgantown. Charleston leads because it anchors CAMC Health System and several large rehabilitation networks, Morgantown draws volume from WVU Medicine and WVU's academic medical campus, and Huntington benefits from Marshall Health and Cabell Huntington Hospital driving consistent rehabilitation and outpatient hiring.
How can I get hired as a occupational therapist in West Virginia with little or no experience?
The most realistic entry path is applying to new-graduate positions within WVU Medicine's or CAMC Health System's rehabilitation departments, both of which regularly bring on new OTs with mentored onboarding. Completing your Level II fieldwork placement at a West Virginia facility strengthens your candidacy with local supervisors. Certified occupational therapy assistant roles and rehab aide positions at skilled nursing facilities across the state also serve as a practical bridge into full therapist roles once you are licensed.
Where can I find and apply to occupational therapist jobs in West Virginia?
You can find and apply to occupational therapist jobs in West Virginia on Migrate Mate, which lists current openings from employers across the state. Search the listings to find roles that match your specialty and experience level, then apply directly to the positions that fit.
See All 19 Occupational Therapist Jobs in West Virginia
Find roles in West Virginia that match your experience and apply in just a few clicks.
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