OT Jobs in Missouri
OT jobs in Missouri offer steady demand across hospital systems, outpatient rehabilitation clinics, school districts, and skilled nursing facilities, with openings at every level from new graduates to senior clinicians. St. Louis, Kansas City, and Springfield anchor most of the hiring, where established employers like BJC HealthCare, Saint Luke's Health System, and Mercy Health maintain consistent occupational therapy programs. Pediatric OT, hand therapy, and school-based practice are among the most sought-after specialties statewide. See the openings below and apply to the ones that match your experience.
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SSM Health Rehabilitation Acute Care
DePaul Hospital
Certified Occupational Therapist Assistant (COTA) Full-time
$23.00-34.19/hour based on experience
SSM Health Rehabilitation-Acute Care is seeking a full-time Certified Occupational Therapy Assistant to join our team at The Depaul Ministry of SSM Health. The DePaul Ministry of SSM Health is accredited by The Joint Commission as a Center of Excellence for Total Joint Replacement and a Comprehensive Center of Excellence for Stroke. We are a Level II trauma center and a Level I STEMI center serving the north and northwest St Louis County area in Missouri and our neighbors to the east in Illinois. Our diverse and progressive therapy department participates in research and program advancement throughout the 450 bed hospital.
Teamwork and individualized, compassionate patient care provide a basis for learning and professional development in a community hospital atmosphere. Therapy is provided in the areas of orthopedics, cardiopulmonary, neurology, oncology, general medicine and surgery.
- Current state licensure as a Certified Occupational Therapy Assistant required.
- Certified BLS or completion in first 90 days of employment required or as required by state regulations.
- Home Care Requirements: One or more years of clinical experience and valid state Driver’s License.
See All 40 OT Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
Find OT Jobs in MissouriOT Jobs by City in Missouri
Where Missouri roles are concentrated, by current openings.
OT Job Market in Missouri
A snapshot from current Missouri openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
What Missouri Employers Look For
The qualifications that appear most often in OT jobs across Missouri.
- Active Missouri occupational therapist license issued by the Missouri Board of Occupational Therapy
- Master's or doctoral degree in occupational therapy from an accredited program
- Passage of the NBCOT certification examination prior to or at time of hire
- Minimum one to two years of clinical experience for most non-entry-level positions
- Experience with electronic medical records documentation in a clinical setting
- Current CPR and Basic Life Support certification required at time of employment
OT Jobs in Missouri: Frequently Asked Questions
How do you become a ot in Missouri?
To become an ot in Missouri, you must complete an accredited master's or doctoral occupational therapy program, accumulate the required supervised fieldwork hours, and pass the NBCOT certification exam. After passing, you apply for licensure through the Missouri State Board of Occupational Therapy. Missouri does not participate in OT licensure compact reciprocity, so applicants licensed elsewhere must apply directly to the Missouri board for a Missouri license before practicing in the state.
Which companies hire ots in Missouri?
Companies currently hiring ots in Missouri include Voyage Health, EmpowerMe Wellness, and PAM Health, per current listings on Migrate Mate as of August 2026. Missouri's largest health systems, school districts, and rehabilitation networks consistently generate the highest volume of openings across the state.
Which Missouri cities have the most ot jobs?
Kansas City, St. Louis, and Chesterfield have the most ot openings in Missouri. St. Louis leads because of its large concentration of academic medical centers and rehabilitation networks, Kansas City follows with major health systems and growing outpatient clinics, and Springfield draws consistent volume from Mercy and CoxHealth, which are the dominant regional employers in the southwest part of the state.
Are there remote ot jobs in Missouri?
Yes, but they're rare. Occupational therapy is a hands-on clinical profession, so the vast majority of roles require in-person patient care. About 13% of ot openings tied to Missouri are remote or hybrid as of August 2026, and those positions are concentrated in telehealth consultation, early intervention coordination, and documentation or utilization review roles rather than direct treatment.
How can I get hired as a ot in Missouri with little or no experience?
The most realistic entry path is applying to new graduate positions at Missouri's large health systems, where BJC HealthCare, Mercy, and CoxHealth run structured clinical onboarding programs designed for candidates coming directly out of fieldwork. School districts across the Kansas City and St. Louis metro areas also regularly hire new graduates for school-based OT roles, which offer mentorship and a structured caseload. Completing your Level II fieldwork at a Missouri facility strengthens your candidacy considerably, and obtaining your NBCOT certification promptly removes the most common hiring barrier for entry-level applicants.
Where can I find and apply to ot jobs in Missouri?
You can find and apply to ot jobs in Missouri on Migrate Mate, which lists current Missouri openings across hospital systems, outpatient clinics, schools, and skilled nursing facilities. Search the listings to find roles that match your license, specialty, and preferred location, then apply directly to the ones that fit.
See All 40 OT Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
Find OT Jobs in Missouri