OT Jobs in Massachusetts
OT jobs in Massachusetts are in strong demand, with a dense concentration of openings across hospital systems, outpatient rehabilitation clinics, school districts, and skilled nursing facilities, and roles available from entry-level positions through senior clinicians and supervisors. Boston, Worcester, and Springfield are the most active hiring metros, anchored by large employers like Mass General Brigham, Beth Israel Deaconess Medical Center, and UMass Memorial Health. The most sought-after specialties in Massachusetts are pediatric OT, hand therapy, and school-based practice. Find a role that fits below and apply directly.
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LENGTH OF POSITION: School Year- 3 days per week; summer hours to be determined by supervisor VI. REPORTS TO: Coordinator of District ServicesVII. SUPERVISES: Certified Occupational Therapy Assistant (COTA)[OT/COTA students when assigned]VIII. EVALUATION: Staff Evaluation will be implemented as outlined in the North River Collaborative Personnel Policies & Procedures Handbook.IX.
PERFORMANCE RESPONSIBILITIES: THERAPY SERVICESPerform contextual observations and screenings as requested to determine if barriers that limit student participation within the school environment exist and if further OT evaluation is indicated.Provide assessment and evaluation procedures for referred students in accordance with special education regulations and Collaborative policies and procedures, including activity and environmental analysis and make recommendations to improve the fit for greater access, progress, and participation. Able to use appropriate developmental scales, informal assessments, contextual observations and/or standardized tests to evaluate the student in contextually relevant occupational therapy areas.Synthesize evaluation results into a comprehensive written report which reflects strengths and barriers to student participation in the educational environment. Communicate results of observations, screenings and evaluations and other OT reports to the educational staff, parents, students (when appropriate), administrators or others as needed.In conjunction with the team, contribute to the Individualized Educational Plan.Plan and develop evidence-based interventions that are designed to improve student performance in learning environments throughout the school and optimize their performance through specific adaptations and accommodations.Provide therapy in the least restrictive and appropriate setting based on individual needs of students.Evaluate treatment effectiveness through observation, data collection and analysis, re-evaluation, and communication with other staff members. Revise intervention plan and goals as necessary.Complete progress reports, annual reviews and three-year re-evaluations and other reports as needed.
Consult with educators and other school staff to offer curricular and environmental modifications to support diverse learning abilities. Provide training to educators, parents and other school staff as needed to support implementation of recommended procedures or adaptations.Support students other educational goals across school settings. Order, construct and/or adapt equipment and/or assistive technology to meet the educational and environmental needs of the students. Maintain an inventory of OT equipment and supplies and keep equipment and supplies clean and orderly.Communicate with outside professionals or agencies as related to students educational needs in accordance with confidentiality guidelines.Act as a resource to students, parents and staff members who wish to further their understanding of occupational therapy.SUPERVISION AND TRAININGSupervise COTA and provide necessary training and evaluation of their job performance.Supervise and evaluate OT/COTA students when assigned following appropriate guidelines.Accept and follow through with constructive criticism made by the Supervisor.DOCUMENTATION AND PROGRAM COMMUNICATIONSubmit all written reports and IEP information on a timely basis.Keep student attendance, progress monitoring, third-party billing and other documentation current and orderly.Provide input for the development of the department, program or district budget as requested.Abide by established work hours and follow policies and procedures outlined in the North River Collaborative Personnel Policies & Procedures Handbook.Confer/meet with parents as needed to help them better understand the role of the OT in the school setting, including the student's individual plan.
Provide home suggestions when indicated.Attend Annual Review and other meetings as requested.PROFESSIONAL DEVELOPMENT Develop student learning and professional practice goals as indicated based on evaluation cycle.Participate in Collaborative and/or member district program development or goals as requested. Attend and provide a record of attendance of relevant professional development to keep abreast of trends and recent developments in the field of occupational therapy/school-based practice.Attend and participate in in-service training programs and department/program meetings as required.Keep up to date on current technology for enhancing student success, professional collaboration and efficiency. HEALTH AND SAFETY 1. Able to safely lift students up to 50 lbs.
independently and assist in lifting students up to 100 lbs.2. Able to travel or drive a car safely between work locations.3. Able to physically assist students during activities such as: toileting, personal hygiene, in/out of adaptive equipment and mechanical lifts, and other self-care tasks as needed.4. Able to move with reasonable speed and physically assist students during any emergency drills or actual emergencies.5.
Able to safely and effectively participate in restraint training and to safely perform physical escort and restraints as needed once trained.6. Able to move with reasonable speed in order to maintain safety of very young or behaviorally involved students who may run towards danger. 7. Able to safely and effectively participate in Cardiopulmonary Resuscitation (CPR) training if requested and to safely perform CPR as needed once trained.ETHICALMaintain confidentiality of students at all times.Maintain professional attitude and productive relationship with other staff and administration.Treat students, parents and other professionals with respect.Preserve the rights of each student and family.OTHER DUTIES AS ASSIGNED BY THE COORDINATOR OF DISTRICT SERVICES OR EXECUTIVE DIRECTOR
See All 93 OT Jobs in Massachusetts
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Find OT JobsOT Jobs by City in Massachusetts
Where Massachusetts roles are concentrated, by current openings.
OT Job Market in Massachusetts
A snapshot from current Massachusetts openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
What Massachusetts Employers Look For
The qualifications that appear most often in OT jobs across Massachusetts.
- Active occupational therapist license issued by the Massachusetts Board of Registration in Allied Health Professions
- Master's or doctoral degree in occupational therapy from an accredited program
- Successful completion of the NBCOT certification examination
- Clinical fieldwork experience in a relevant OT setting such as acute care or pediatrics
- Experience with electronic health records systems such as Epic or Meditech
- Strong documentation skills and ability to develop individualized treatment plans
OT Jobs in Massachusetts: Frequently Asked Questions
How do you become a ot in Massachusetts?
To work as an ot in Massachusetts, you must hold an active license from the Massachusetts Board of Registration in Allied Health Professions. Candidates need a master's or doctoral degree in occupational therapy from an accredited program, completion of supervised fieldwork hours, and a passing score on the NBCOT certification exam. Once those requirements are met, you apply directly to the Board for licensure before practicing in the state.
Which companies hire ots in Massachusetts?
Employers hiring ots in Massachusetts right now include Havenova Home Care Solutions, Aveanna Healthcare, and Evolve Therapy Services, based on current listings on Migrate Mate as of August 2026. Massachusetts's dense network of academic medical centers, community health systems, and public school districts makes it one of the more consistently active states for OT hiring across multiple practice settings.
Which Massachusetts cities have the most ot jobs?
Boston, Haverhill, and Worcester have the most ot openings in Massachusetts. Boston drives the largest share of demand through its concentration of major hospital systems and academic medical centers, while Worcester and Springfield support strong OT hiring through regional health systems, school districts, and outpatient rehabilitation networks that serve sizable surrounding communities.
Are there remote ot jobs in Massachusetts?
Yes, but they're rare. Occupational therapy is fundamentally a hands-on, patient-facing profession, so the vast majority of roles require in-person work. About 50% of ot openings tied to Massachusetts are remote or hybrid as of August 2026, and those positions are almost exclusively in telehealth consultation, care coordination, or program management rather than direct clinical treatment.
How can I get hired as a ot in Massachusetts with little or no experience?
The most realistic entry path is applying to new-graduate residency or fellowship programs at large Massachusetts health systems such as Mass General Brigham and UMass Memorial Health, which offer structured clinical mentorship for new clinicians. School districts across Massachusetts also hire entry-level ots through the public education system, often with support from experienced colleagues. Completing your NBCOT exam and securing your Massachusetts license before you apply gives you an immediate edge, and candidates who completed fieldwork placements at Massachusetts facilities often have a smoother transition into permanent roles.
Where can I find and apply to ot jobs in Massachusetts?
You can find and apply to ot jobs in Massachusetts on Migrate Mate, which lists current openings across the state. Search the listings for roles that match your specialty and experience level, then apply directly to the ones that fit.
See All 93 OT Jobs in Massachusetts
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