Therapist Jobs in Montana
Therapist jobs in Montana are in steady demand, concentrated in behavioral health agencies, community mental health centers, school districts, and tribal health programs, with openings at every level from newly licensed clinicians to senior supervisors. Billings, Missoula, and Great Falls account for most posted positions, and well-established employers like Billings Clinic, RiverStone Health, and the Montana Department of Public Health and Human Services maintain consistent hiring pipelines. The most sought-after specialties are substance use counseling, trauma-informed care, and school-based therapy. Find a role that fits below and apply directly.
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0.8 FTE - 32 hours / week
Responsible for evaluation, planning, directing and administrating Occupational Therapy (OT) modalities to individuals that will promote independence and quality of life. Occupational therapy is prescribed by a licensed physician. Develops an individualized plan of care for the patient in an effort to improve, sustain or restore independence to individuals who have had an injury, illness, disability or cognitive dysfunction. The Occupational Therapist will assist patients to reach their maximum performance goals through learning life skills, develop or regain physical or mental functioning or adjust to disabilities by implementing programs involving manual arts and crafts, practice in functional, prevocational, vocational, and homemaking skills, activities of daily living, and sensorimotor, educational, recreational, and social activities. Promotes maximum independence by selecting and constructing therapies according to individual's physical capacity, intelligence level, and interest.
Provides direct patient care in the home or setting where the patient refers to as home. The OT is under the direction of the Director or designee.
Performs detailed and accurate assessments utilizing a standardized assessment (OASIS) of patients and completes documentation in a timely and accurate manner according to home health policy and regulatory requirements.
Facilitates patient hand-offs and provides assistance to move the patient through the care continuum.
Works collaboratively with other members of the healthcare team, physicians, and the community emphasizing a teamwork environment.
Coordinates provision of patient care for assigned patients, maintains competency levels annually and attends continuing education as applicable.
Delegates appropriate tasks as needed. Works with the Director and/or Clinical Manager/Coordinator to assure patient visits are being provided as outlined in the plan of care.
KNOWLEDGE/EXPERIENCE: At least 2 years of Acute Care, Outpatient, Rehabilitation, Home Health, or other relevant experience required. Sufficient knowledge, critical thinking skills, and experience to demonstrate ability to work autonomously. Experience working in a Home and Community Based Program is a plus.
EDUCATION: Graduate of an approved school of Occupational Therapy or graduate of accredited college or university with a certificate in Occupational Therapy.
LICENSE/CERTIFICATION/REGISTRY: Current Montana State Occupational Therapy Licensure; BLS required
COMMUNICATION : Demonstrates good communication skills to facilitate implementation of quality core measures, attends meetings and weekly case conferences. Maintains open communication with the interdisciplinary team. Maintains open communication with the Director and/or clinical coordinator in relation to patient assignments, responsibilities or patient concerns. Utilizes appropriate chain of command to collaboratively and proactively problem solve as needed. Diffuses patient/family complaints prior to involving the Director or clinical coordinator. Attends education when offered related to competencies or changes in processes. Understands regulatory and compliance standards to assure the provision of safe, cost effective and quality care. Attends committee meetings as assigned by the Director.
ADAPTABILITY : Has a “can do” attitude, promotes team-work, and a no-blaming environment while setting the tone for the department by being a good role model. Maintains a positive attitude and flexibility regarding fluctuating patient census and staffing needs. Demonstrates critical thinking skills and actively completes assignments, documentation per agency policy. Able to prioritize and multi-task when the department gets busy. Remains calm during stressful times.
0.8 FTE - 32 hours / week
Responsible for evaluation, planning, directing and administrating Occupational Therapy (OT) modalities to individuals that will promote independence and quality of life. Occupational therapy is prescribed by a licensed physician. Develops an individualized plan of care for the patient in an effort to improve, sustain or restore independence to individuals who have had an injury, illness, disability or cognitive dysfunction. The Occupational Therapist will assist patients to reach their maximum performance goals through learning life skills, develop or regain physical or mental functioning or adjust to disabilities by implementing programs involving manual arts and crafts, practice in functional, prevocational, vocational, and homemaking skills, activities of daily living, and sensorimotor, educational, recreational, and social activities. Promotes maximum independence by selecting and constructing therapies according to individual's physical capacity, intelligence level, and interest.
Provides direct patient care in the home or setting where the patient refers to as home. The OT is under the direction of the Director or designee.
Performs detailed and accurate assessments utilizing a standardized assessment (OASIS) of patients and completes documentation in a timely and accurate manner according to home health policy and regulatory requirements.
Facilitates patient hand-offs and provides assistance to move the patient through the care continuum.
Works collaboratively with other members of the healthcare team, physicians, and the community emphasizing a teamwork environment.
Coordinates provision of patient care for assigned patients, maintains competency levels annually and attends continuing education as applicable.
Delegates appropriate tasks as needed. Works with the Director and/or Clinical Manager/Coordinator to assure patient visits are being provided as outlined in the plan of care.
KNOWLEDGE/EXPERIENCE: At least 2 years of Acute Care, Outpatient, Rehabilitation, Home Health, or other relevant experience required. Sufficient knowledge, critical thinking skills, and experience to demonstrate ability to work autonomously. Experience working in a Home and Community Based Program is a plus.
EDUCATION: Graduate of an approved school of Occupational Therapy or graduate of accredited college or university with a certificate in Occupational Therapy.
LICENSE/CERTIFICATION/REGISTRY: Current Montana State Occupational Therapy Licensure; BLS required
COMMUNICATION : Demonstrates good communication skills to facilitate implementation of quality core measures, attends meetings and weekly case conferences. Maintains open communication with the interdisciplinary team. Maintains open communication with the Director and/or clinical coordinator in relation to patient assignments, responsibilities or patient concerns. Utilizes appropriate chain of command to collaboratively and proactively problem solve as needed. Diffuses patient/family complaints prior to involving the Director or clinical coordinator. Attends education when offered related to competencies or changes in processes. Understands regulatory and compliance standards to assure the provision of safe, cost effective and quality care. Attends committee meetings as assigned by the Director.
ADAPTABILITY : Has a “can do” attitude, promotes team-work, and a no-blaming environment while setting the tone for the department by being a good role model. Maintains a positive attitude and flexibility regarding fluctuating patient census and staffing needs. Demonstrates critical thinking skills and actively completes assignments, documentation per agency policy. Able to prioritize and multi-task when the department gets busy. Remains calm during stressful times.
See All 21 Therapist Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Therapist JobsTherapist Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Therapist Job Market in Montana
A snapshot from current Montana openings, updated as new roles post.
Who's Hiring
What Montana Employers Look For
The qualifications that appear most often in therapist jobs across Montana.
- Active Montana licensure as a Licensed Clinical Social Worker, Licensed Professional Counselor, or Licensed Clinical Professional Counselor
- Master's degree in counseling, social work, marriage and family therapy, or a closely related field
- Experience delivering individual and group therapy in a clinical or community setting
- Proficiency with electronic health records and documentation standards
- Ability to work with diverse populations including rural, Indigenous, and underserved communities
- Clean background check and compliance with Montana DPHHS or equivalent agency requirements
Therapist Jobs in Montana: Frequently Asked Questions
How do you become a therapist in Montana?
You earn a master's degree in counseling, social work, or a related field, then apply for licensure through the Montana Board of Social Work Examiners and Professional Counselors. Depending on your degree, you pursue either a Licensed Clinical Social Worker or Licensed Professional Counselor credential, both of which require supervised post-degree hours and a passing score on a board-approved exam. Completing those supervised hours at a Montana clinical site is a common path for new graduates.
Which companies hire therapists in Montana?
Montana therapist roles are posted by HiredFirst, American Traveler, and Cottonwood Healthcare and others right now, based on current listings on Migrate Mate as of October 2026. Larger health systems and community mental health centers tend to post the most consistent openings across the state's major metros and rural service areas.
Which Montana cities have the most therapist jobs?
Billings, Butte, and Helena hold the most therapist openings in Montana. Billings leads as the state's largest city and home to major health systems, Missoula's concentration of university and nonprofit behavioral health organizations drives demand there, and Great Falls anchors hiring in north-central Montana through its regional medical and human services network.
Are there remote therapist jobs in Montana?
Yes, and more than many clinical roles, because telehealth has become widely accepted in therapy. About 13% of therapist openings tied to Montana are remote or hybrid as of October 2026, reflecting the state's push to extend mental health access to rural and frontier communities. Telehealth outpatient counseling and remote case management positions tend to be the most common fully remote options.
How can I get hired as a therapist in Montana with little or no experience?
The most realistic entry path is securing an associate or provisional license through the Montana Board of Social Work Examiners and Professional Counselors while completing the required supervised hours at a community mental health center or tribal health program. Billings Clinic and RiverStone Health both offer structured clinical supervision arrangements for post-graduate candidates. Roles titled case manager, mental health technician, or community health worker are strong lateral entry points that build the documented hours needed for full licensure.
Where can I find and apply to therapist jobs in Montana?
You can find and apply to therapist jobs in Montana on Migrate Mate, which lists current Montana openings from employers across the state. Search the listings, find roles that match your license level and specialty, and apply directly to the ones that fit.
See All 21 Therapist Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
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