OT Jobs in Washington

OT jobs in Washington are in strong demand, with openings concentrated across hospital systems, rehabilitation centers, school districts, and skilled nursing facilities, serving candidates from new graduates through senior clinicians. Seattle, Spokane, and Tacoma are the state's busiest hiring metros, anchored by established employers such as UW Medicine, Providence Health, and MultiCare Health System. Pediatric occupational therapy, hand therapy, and school-based practice are the most consistently sought specialties across the state. Find a role that fits below and apply directly.

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Overview

Open roles43
Top employerPowerback Rehabilitation
Top citySeattle, WA
Cities hiring29
Work type83% On-site
Top industryHealthcare

Showing 4 of 43+ OT jobs

Occupational Therapist (OT)
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Added 5d ago
Occupational Therapist (OT)
HealthPRO Heritage
Lakewood, Washington
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
5,001-10,000

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Occupational Therapist (OT) PRN
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Added 1w ago
Occupational Therapist (OT) PRN
Caldera Care
Spokane, Washington
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$50 - $60/hr

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Occupational Therapist (OT) - Thurston County
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Added 2w ago
Occupational Therapist (OT) - Thurston County
Providence at Home with Compassus
Lacey, Washington
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$47.26 - $63.26/hr
BLS Certification

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Pediatric Occupational Therapist (OT) / Certified Occupational Therapy Assistant (COTA)
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Added 2w ago
Pediatric Occupational Therapist (OT) / Certified Occupational Therapy Assistant (COTA)
Speech For Success, LLC
Marysville, Washington
Healthcare Administration
Medical Assistant
Patient Services & Wellbeing
$37 - $57/hr
On-Site

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OT Jobs by City in Washington

Where Washington roles are concentrated, by current openings.

Seattle
5 jobs
Tacoma
3 jobs
Everett
3 jobs
Kirkland
3 jobs
Omak
2 jobs
Spokane
2 jobs
Vancouver
2 jobs
Fife
1 job
Lacey
1 job

OT Job Market in Washington

A snapshot from current Washington openings, updated as new roles post.

Who's Hiring

Powerback Rehabilitation8 open roles
Rehab Without Walls4 open roles
Comprehensive Healthcare3 open roles

Top Industries Hiring

  • Healthcare & Medical Services

What Washington Employers Look For

The qualifications that appear most often in OT jobs across Washington.

  • Active Washington State occupational therapist license issued by the Washington State Department of Health
  • Master's or doctoral degree from an accredited occupational therapy program
  • Successful completion of the NBCOT certification examination
  • Experience in a clinical specialty such as pediatrics, hand therapy, or acute rehabilitation
  • Proficiency with electronic health record systems used in Washington health networks
  • Strong documentation skills and ability to meet state-mandated treatment plan requirements

OT Jobs in Washington: Frequently Asked Questions

How do you become a ot in Washington?

To become a licensed ot in Washington, you must complete a master's or doctoral degree from an accredited occupational therapy program, pass the NBCOT certification exam, and apply for licensure through the Washington State Department of Health. The Department of Health issues and renews all occupational therapist licenses in the state, and practicing without an active license is not permitted. Continuing education is required for renewal.

Which companies hire ots in Washington?

Employers hiring ots in Washington right now include Powerback Rehabilitation, Rehab Without Walls, and Comprehensive Healthcare, based on current listings on Migrate Mate as of October 2026. Washington's large integrated health systems, school districts, and outpatient rehabilitation networks account for a significant share of consistent openings across the state.

Which Washington cities have the most ot jobs?

Seattle, Tacoma, and Everett have the most ot openings in Washington right now. Seattle leads because of its density of major hospital systems and specialty clinics, while Spokane and Tacoma draw consistent hiring from regional health networks and school district programs that serve large suburban and rural populations in eastern and south Puget Sound communities.

Are there remote ot jobs in Washington?

Yes, but they're rare. Occupational therapy is fundamentally a hands-on clinical role, so fully remote positions make up a small share of total openings. About 17% of ot openings tied to Washington are remote or hybrid as of October 2026, and those positions tend to involve telehealth evaluation, care coordination, or home health consultation rather than direct treatment sessions.

How can I get hired as a ot in Washington with little or no experience?

The most realistic entry path is applying for a new-graduate or Level I fieldwork position within Washington's large health systems, such as UW Medicine or Providence Health, which regularly onboard new clinicians through structured orientation programs. School districts across King County and Spokane County also hire newly licensed ots for school-based roles where mentorship is built into the contract. Securing your Washington Department of Health license and your NBCOT certification before applying puts you ahead of candidates still awaiting credentials.

Where can I find and apply to ot jobs in Washington?

You can find and apply to ot jobs in Washington on Migrate Mate, which lists current Washington openings across health systems, school districts, rehabilitation centers, and outpatient clinics. Find roles that match your specialty and experience level and apply directly to the ones that fit.

See All 43 OT Jobs in Washington

Find roles in Washington that match your experience and apply in just a few clicks.

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