Remote OT Jobs
Remote OT jobs are open across the U.S. at remote-first firms and distributed teams in healthcare technology, telehealth, and rehabilitation services. Employers hiring remotely right now include All Care Therapies, ServiceNow, and Ensign Services. See the openings below and apply to the ones that match your experience.
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About HiredFirst
HiredFirst is a healthcare staffing company that places professionals across every part of healthcare, including therapy, nursing, allied health and locum tenens, in every care setting: hospitals, outpatient clinics, skilled nursing, home health, schools and community health centers. Our current focus and fastest-growing area is therapy: Physical Therapists, PTAs, Occupational Therapists, COTAs and Speech-Language Pathologists. We run lean, move fast, and pay our recruiters a larger share of every deal than most agencies. Everything we do is built on H.I.T.: Honesty, Integrity and Transparency.
You’ll be in business for yourself, but not by yourself.
The Role
We’re looking for an experienced therapy recruiter to source, screen and submit candidates to our open jobs. HiredFirst has active client contracts nationwide, with some of the highest rates in California. Our Account Managers bring the jobs, and you bring the talent.
An Entrepreneurial Opportunity
This role is built for recruiters who want to run their own desk. Because our payouts are among the highest in the industry, we don’t provide recruiting resources. Independent recruiters are responsible for their own sourcing tools, job board access and databases. In return, you keep a much larger share of every placement you make.
What You’ll Do
Source PT, PTA, OT, COTA and SLP candidates for travel, local contract and permanent roles
Screen candidates for licensure, experience and fit, and gather credentialing documents
Submit strong candidates quickly. Speed to submission wins deals here.
Present pay packages, prepare candidates for interviews and support them through offer and start
Keep candidate records current in our ATS
How You Get Paid
Permanent placements: 40% of the total client fee. Example: a $20,000 fee pays you $8,000.
Contract placements: 40% of the gross margin after burden costs. Example: $5,000 in gross margin pays you $2,000.
360 deals: Bring your own client and fill the role yourself, and you earn the full payout: 80% on perm and 60% on contract.
No earnings cap.
What HiredFirst Provides
Live client contracts, so you’re not starting from zero
Access to our ATS
A support team to back you up through submission, onboarding and start
HiredFirst participates in all onboarding and credentialing costs, as well as any losses due to fall-off. Most agencies pass those on to you.
Healthcare is our core, and we also support non-clinical verticals
Who We’re Looking For
We can’t accept everyone. We only partner with recruiters who have a proven track record, which keeps our client delivery at the highest standard and our payouts the highest they can be.
2+ years recruiting in therapy, allied health or healthcare staffing
A record of placements you can speak to (volume, specialties, contract vs. perm)
Your own recruiting resources, such as job board access, sourcing tools or a candidate network
Working knowledge of therapy licensure, compact states and credentialing
Self-driven and comfortable with commission-only income
Bonus: existing client relationships that could become 360 deals
Details
Remote, independent contractor (1099), commission-only
Payout rates shown apply to U.S.-based recruiters. Overseas-based recruiters receive 50% of the standard payout rate.
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Who's Hiring
Top Industries Hiring
- Energy
- Investment & Asset Management
What Employers Look For
The qualifications that appear most often in remote OT jobs.
- Master of Science or Doctoral degree in Occupational Therapy from an accredited program
- Current NBCOT certification (OTR/L) and active state licensure in the practice state
- Proficiency with electronic health record systems such as Epic, Cerner, or Net Health
- Experience with standardized assessments including the MOHO, MMSE, FIM, and sensory processing tools
- Strong documentation skills including progress notes, evaluations, and SOAP format reporting
- Ability to meet productivity standards and manage a full caseload across diverse patient populations
Tips for Your Remote OT Job Search
Apply early to remote roles that fit
Migrate Mate lists remote ot openings from across the U.S. in one place, so you can find roles that match your license type and specialty and apply directly without sorting through mixed location results.
Show your telehealth platform experience upfront
Remote ot employers screen for hands-on familiarity with tools like WebPT, TheraPlatform, or similar telehealth systems. Name the platforms you've used in your resume and specify the caseload context, such as pediatric or home health, so hiring managers see practical fit immediately.
Document your async communication skills concretely
Remote teams rely on written handoffs and structured session notes instead of hallway check-ins. In your cover letter, describe how you've maintained accurate documentation, communicated plan-of-care updates in writing, or coordinated with other providers without real-time face time.
Prepare for remote interviews with a clinical scenario
Remote ot hiring managers often ask how you'd handle a client safety concern or a treatment plateau when you can't be physically present. Rehearse a concise scenario from your telehealth or home-health experience that shows your clinical judgment and your process for escalating remotely.
Remote OT Jobs: Frequently Asked Questions
How do I get a remote ot job?
Remote ot roles go to candidates who can demonstrate self-direction and strong written communication from day one. Telehealth platforms and digital health companies are the most active remote hirers, and they screen for comfort with asynchronous workflows, video-based client sessions, and documentation in cloud-based systems. A portfolio showing independent caseload management or remote client outcomes gives you a clear edge over applicants with only in-person experience.
Which companies hire remote ots?
Employers currently hiring remote ots include All Care Therapies, ServiceNow, and Ensign Services, per current remote listings on Migrate Mate as of November 2026. Remote ot roles are concentrated at telehealth companies, digital health platforms, and distributed rehabilitation networks that serve patients across multiple regions without a fixed clinic footprint.
Can you get a remote ot job with no experience?
Yes, but remote entry-level ot roles are harder to land because employers expect you to manage your caseload independently from the start. Telehealth startups and home-health platforms are more likely to hire new graduates into remote roles. Demonstrating strong documentation habits, comfort with video conferencing tools, and any remote clinical externship or fieldwork experience can open the door when a formal work history is thin.
Do you need a degree for remote ot jobs?
Usually, yes. Most remote ot positions require at minimum a master's degree in occupational therapy and state licensure, since those are regulatory requirements for clinical practice regardless of setting. Remote employers weigh your documented clinical competencies, telehealth-specific skills, and demonstrated ability to work without direct supervision alongside your credentials when evaluating candidates.
Which industries hire the most remote ots?
The sectors hiring the most remote ots are Energy and Investment & Asset Management, based on current remote listings on Migrate Mate as of November 2026. Those sectors hire ots remotely because their distributed client bases and digital-first service models make synchronous, location-independent care delivery practical at scale.
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