Occupational Therapy Assistant Jobs in Michigan
Occupational Therapy Assistant jobs in Michigan are consistently active, with strong demand concentrated in skilled nursing facilities, inpatient rehabilitation centers, school districts, and pediatric outpatient clinics from entry-level to senior clinical roles. Detroit, Grand Rapids, and Lansing account for the largest share of openings, with established employers like Beaumont Health, Sparrow Health System, and Mary Free Bed Rehabilitation Hospital among the most active Michigan hirers. Pediatrics, geriatric rehabilitation, and neurological recovery are the most in-demand specialties for occupational therapy assistants across the state. Find a role that fits below and apply directly.
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CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.
The Occupational Therapist Assistant treats patients under the direction of a licensed Occupational Therapist and according to the established treatment plan, manages patient care while utilizing support personnel as needed, documents treatment sessions in the Electronic Health Record, participates in team initiatives, and accepts responsibility for personal and professional growth. This position must be able to demonstrate the knowledge and skills necessary to provide care and service appropriate to all patient types in their designated area.Pay Range: $23.30 - $34.95
Employment Type: VSP/Limited Hours
Schedule: Monday/Thursday with one weekend shift per month, 8 hour shifts. W eekday coverage as available
Requirements: Occupational Therapist Assistant Associate Degree required, Current licensure as a Certified Occupational Therapist Assistant in the State of Michigan required, Current BLS for the Healthcare Provider Certification (or completed within 60 days of hire) required, Acute Care experience strongly preferred.
Clinical Treatment
Following appropriate goals and treatment plans as set out by the evaluating therapist.
Chooses appropriate and up to date treatment methodologies and tools relevant to diagnosis and reason for referral.
Demonstrates knowledge of, and effective use of, appropriate therapeutic techniques throughout the course of treatment.
Performs appropriate treatments with interdisciplinary rehab team based on thorough medical chart review; including physical therapy and speech pathology, in order to provide comprehensive treatment for acute care and placement needs.
Patient Management
Shares responsibility over the course of therapy for patient management related to functional progress, safety and treatment outcomes as evidenced by team feedback and documentation.
Assists in addressing discharge planning needs as evidenced by team feedback and documentation.
Adapts the therapy treatment program as needed to respond to changes in the patient status and input from medical and rehab team.
Provides efficient communication with all members of the patient’s medical team, care management, and nursing team in order to provide efficient and effective care based on ongoing changes in patient status and needs.
Documentation
Documents clearly, concisely, and completely, including all essential elements according to department standards.
Adheres to department standards regarding timeframe, form and content of written progress notes and discharge summaries. Including the IPPJ format for all assessments.
Documents evidence of patient and family/caregiver education.
Rehab Team Participation
Works as a resource in any area of specialty, assisting with complex patients and planning for, and adjusting treatment interventions as needed.
Assists in developing educational and training resources for the rehab department associated with any continued education or areas of special skill.
Maintains efficient use of work time to be as productive as possible.
Completes routine administrative responsibilities within established timeframe consistently (e.g. time cards, PTO requests, etc.).
Participates in committees, focus groups etc., department processes and special projects in accordance with clinical expertise and individual performance plan.
Demonstrates fiscal responsibility in the department with respect to patient charges, equipment use, and supplies.
Weekend Staffing Specific
Performs all tasks consistent with Essential Functions 1-4.
Will determine patient appropriateness and readiness for therapy interventions based on thorough chart review and communication with nursing staff.
Performs all levels of patient care management with the rehab and medical interdisciplinary team, including all written and verbal communication.
Receives primary communication from the Leadership Team via phone or email, for all department updates, changes and staffing needs.
Acts as the primary contact representing the rehab department for all patient care related questions and inquiries.
Holland Hospital is an Equal Opportunity Employer, please see our EEO policy
See All 76 Occupational Therapy Assistant Jobs in Michigan
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Find JobsOccupational Therapy Assistant Jobs by City in Michigan
Where Michigan roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Michigan
A snapshot from current Michigan openings, updated as new roles post.
Who's Hiring
- Rivetus Rehabilitation23

- Concept Rehab6

- Therapy Management5

- Renewal Rehab4

- Corewell Health4

Top Industries Hiring
- Healthcare & Medical Services
- Government & Public Sector
What Michigan Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Michigan.
- Active Michigan occupational therapy assistant license issued by the Michigan Board of Occupational Therapy
- Associate degree in occupational therapy assistant from an ACOTE-accredited program
- Passed the NBCOT Certified Occupational Therapy Assistant examination
- Minimum one year of clinical experience in a relevant care setting
- Current CPR and Basic Life Support certification required at time of hire
- Familiarity with electronic health record systems and documentation compliance standards
Occupational Therapy Assistant Jobs in Michigan: Frequently Asked Questions
How do you become an occupational therapy assistant in Michigan?
To work as an occupational therapy assistant in Michigan, you must hold an active license issued by the Michigan Board of Occupational Therapy, which operates under the Michigan Department of Licensing and Regulatory Affairs. You first complete an associate degree from an ACOTE-accredited program, then pass the NBCOT Certified Occupational Therapy Assistant exam. After passing, you apply for your Michigan license before beginning clinical practice.
How much do occupational therapy assistants make in Michigan?
Occupational therapy assistants in Michigan earn a median of about $63,260 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $52,270 for the lowest 10% to over $79,310 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Michigan?
Employers hiring occupational therapy assistants in Michigan right now include Rivetus Rehabilitation, Concept Rehab, and Therapy Management, based on current listings on Migrate Mate as of August 2026. Michigan's large integrated health systems and post-acute rehabilitation networks consistently maintain some of the steadiest occupational therapy assistant openings across the state.
Which Michigan cities have the most occupational therapy assistant jobs?
Grand Rapids, Monroe, and Detroit have the most occupational therapy assistant openings in Michigan. Detroit leads because of its concentration of major hospital systems, inpatient rehabilitation facilities, and skilled nursing networks, while Grand Rapids benefits from Mary Free Bed Rehabilitation Hospital and a growing cluster of outpatient and pediatric providers, and Lansing draws demand from its mix of regional medical centers and public school districts.
Are there remote occupational therapy assistant jobs in Michigan?
Yes, but they're rare. Occupational therapy assistants primarily deliver hands-on care that requires in-person presence with patients, so remote work is not typical for the core clinical role. About 67% of occupational therapy assistant openings tied to Michigan are remote or hybrid as of August 2026, which largely reflects administrative, telehealth coordination, or home health supervision roles rather than direct treatment positions.
How can I get hired as an occupational therapy assistant in Michigan with little or no experience?
The most realistic entry path is applying directly to new-graduate or level-one clinical roles at Michigan skilled nursing facilities and inpatient rehabilitation centers, which regularly onboard candidates fresh from accredited programs. Large Michigan rehabilitation employers like Mary Free Bed and Beaumont Health run structured clinical orientation programs for new graduates. Completing your Michigan LARA license quickly after passing NBCOT and highlighting any fieldwork hours completed at Michigan facilities gives candidates a meaningful edge over those who delay licensure.
Where can I find and apply to occupational therapy assistant jobs in Michigan?
You can find and apply to occupational therapy assistant jobs in Michigan on Migrate Mate, which lists current Michigan openings from employers actively hiring. Find the roles that fit your experience and specialty area and apply directly to those positions.
See All 76 Occupational Therapy Assistant Jobs in Michigan
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