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.
Find OT Jobs in MissouriOverview
Showing 4 of 35+ OT jobs
Job Summary:
An Occupational Therapist (OT) administers occupational therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Therapy, Home Health.
Responsibilities:
- Improves or minimizes residual physical disabilities of the patient.
- Returns the individual to optimum and productive living within the patient’s capabilities.
- Periodically participates with all other health care personnel in patient care planning.
- Provides prescribed occupational therapy.
- Directs and supervises personnel as required.
- Takes initial history and makes initial evaluation.
- Performs all skilled procedures.
- Consults with physicians regarding change in treatment.
- Writes reports to physicians regarding patient’s progress.
- Instructs patients/family members in home programs and fine motor movement exercises.
- An initial evaluation, including plan of treatment and goals, must be completed and submitted to the physician for approval. A recertification by physician every 60 days is necessary, if further treatment is to be continued. A progress note is written each visit. A reevaluation is written when expected duration of treatment is reached. A summary is written upon patient’s discharge.
- Periodically presents an in-service to the Agency staff.
- Assists the physician in evaluating level of function.
- Helps develop the plan of care and revises as necessary.
- Prepares clinical and progress notes.
- Advises and consults with the family and other Agency personnel.
- Participates in in-service programs.
Working Environment:
Works indoors in Agency office and patient homes and travels to/from patient homes.
Job Relationships:
- Supervised by: Director of Therapy, Home Health
- Workers Supervised: Certified Occupational Therapy Assistant and Home Health Aide as assigned
Risk Exposure:
High risk
Requirements:Qualifications:
- Graduate of an Occupational Therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association (AOTA) and/or certified by successfully completing the National Certification examination, or...
- Is eligible for the National Registration Examination of the American Occupational Therapy Association.
- Currently licensed in the state(s) in which practicing.
- Two (2) years experience, preferred.
Physical Requirements:
Ability to perform the following tasks if necessary:
- Ability to participate in physical activity.
- Ability to work for extended period of time while standing and being involved in physical activity.
- Moderate lifting.
- Ability to do extensive bending, lifting and standing on a regular basis.
Job Summary:
An Occupational Therapist (OT) administers occupational therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Therapy, Home Health.
Responsibilities:
- Improves or minimizes residual physical disabilities of the patient.
- Returns the individual to optimum and productive living within the patient’s capabilities.
- Periodically participates with all other health care personnel in patient care planning.
- Provides prescribed occupational therapy.
- Directs and supervises personnel as required.
- Takes initial history and makes initial evaluation.
- Performs all skilled procedures.
- Consults with physicians regarding change in treatment.
- Writes reports to physicians regarding patient’s progress.
- Instructs patients/family members in home programs and fine motor movement exercises.
- An initial evaluation, including plan of treatment and goals, must be completed and submitted to the physician for approval. A recertification by physician every 60 days is necessary, if further treatment is to be continued. A progress note is written each visit. A reevaluation is written when expected duration of treatment is reached. A summary is written upon patient’s discharge.
- Periodically presents an in-service to the Agency staff.
- Assists the physician in evaluating level of function.
- Helps develop the plan of care and revises as necessary.
- Prepares clinical and progress notes.
- Advises and consults with the family and other Agency personnel.
- Participates in in-service programs.
Working Environment:
Works indoors in Agency office and patient homes and travels to/from patient homes.
Job Relationships:
- Supervised by: Director of Therapy, Home Health
- Workers Supervised: Certified Occupational Therapy Assistant and Home Health Aide as assigned
Risk Exposure:
High risk
Requirements:Qualifications:
- Graduate of an Occupational Therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association (AOTA) and/or certified by successfully completing the National Certification examination, or...
- Is eligible for the National Registration Examination of the American Occupational Therapy Association.
- Currently licensed in the state(s) in which practicing.
- Two (2) years experience, preferred.
Physical Requirements:
Ability to perform the following tasks if necessary:
- Ability to participate in physical activity.
- Ability to work for extended period of time while standing and being involved in physical activity.
- Moderate lifting.
- Ability to do extensive bending, lifting and standing on a regular basis.
See All 35 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 EmpowerMe Wellness, Mercy Rehabilitation Hospitals, and Lifepoint Health, per current listings on Migrate Mate as of October 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?
St. Louis, Kansas City, and Springfield 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 25% of ot openings tied to Missouri are remote or hybrid as of October 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 35 OT Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
Find OT Jobs in Missouri