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Occupational Therapist
Jobs

Occupational therapy is the discipline that follows the patient furthest, from an acute hospital bed through rehabilitation and back into a kitchen or a classroom. That makes the setting you choose matter more than it does in most professions. We fill occupational therapist jobs and OT positions in hospitals, skilled nursing, home health, outpatient clinics and pediatric services across the United States.

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Occupational therapist guiding a patient through a hand therapy exercise with a therapy ball.
From the hospital bed to the kitchen.Find the setting that works for you.

Occupational therapy vacancies move quickly in some settings and sit open for months in others, and which is which depends far more on the state and the setting than on the profession as a whole.

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Current Occupational Therapist Jobs

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View all 51 Occupational Therapist positions

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The setting shapes the work

Where occupational therapists work

  • Skilled nursing and rehab

    Long term care, subacute and inpatient rehabilitation. Productivity targets, steady caseloads, and the setting where OT contract work is most consistently available.

  • Hospitals and acute care

    Shorter episodes, sicker patients, and a lot of discharge planning. NICU occupational therapy jobs sit here and are among the least contested roles in the profession.

  • Home health

    Assessing someone in the environment they actually live in, which is where OT is at its most useful and its most independent. Usually priced per visit.

  • Outpatient and pediatrics

    Clinics, hand therapy and outpatient occupational therapy jobs, plus pediatric OT jobs in clinics, schools and early intervention. Pediatric work often follows the academic year rather than hiring evenly across it.

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Therapy professional reviewing state license and credentialing paperwork on a clipboard.
Find OT Jobs by State

Working in another state

Occupational therapy has its own licensure compact, separate from the nursing and physical therapy ones and newer than both. It is still switching on state by state, so for most therapists most of the time a full state license is still the route.

What that means in practice is that the license, not the contract, usually decides when you can start. Boards differ enormously in how long they take and what they ask for, and the one you need is rarely the fastest. Start the application before you pick an assignment and the choice stays open.

What experience contracts ask for

Expect to be asked for 1 to 3 years wherever you are applying. Occupational therapy asks a different question in every setting, which is why the years are counted separately. Acute care wants to know if someone is safe to discharge. Home health wants to know if they can manage at home. Pediatrics wants to know if a child can take part.

Therapists cross between settings all the time and facilities know it. What they want is to hear it from us up front, with an honest account of what OT work you have and have not done recently. An experienced practitioner moving from acute care into pediatrics is a normal conversation, not a problem.

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Senior patient doing a drawing activity with crayons during an occupational therapy session.

Recent experience.

The right opportunity.

Look past the rate

What occupational therapist roles pay

Therapist supporting a patient through a resistance band rehabilitation exercise.

The number on the offer and the number of visits or units behind it are two different things, and in occupational therapy they diverge more than in most professions. A per visit home health rate and a salaried hospital post can look similar on paper and land very differently.

Occupational therapist pay explained, including per visit and productivity models.
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Travel, contract and permanent

All three are open to occupational therapists. Contract work is common in skilled nursing, where facilities cover gaps week to week, and it is often how therapists test a setting before committing to a contract in it. Full time occupational therapy jobs are steadier but slower to come round, so it is worth telling a recruiter which you actually want.

How travel contracts work

Occupational therapy assistants

COTAs hold a separate license with a separate scope.

Choose your next location

Occupational therapist jobs by state

Showing 12 of 50 states

States marked “Guide & jobs” have a dedicated guide for this role. Every other state opens a filtered job search.

Frequently asked questions

Therapist sharing a warm moment with a young patient during a pediatric therapy session.

Which settings hire occupational therapists most?

Skilled nursing and inpatient rehabilitation carry the most contract work, with home health close behind. Hospitals and outpatient clinics hire steadily but in smaller numbers, and pediatric services tend to recruit around the academic year rather than evenly across it.

Is there an occupational therapy licensure compact?

Yes, though it is newer than the nursing and physical therapy compacts and is still being switched on state by state. For most therapists a full state license is still the practical route, and we will tell you which applies for the states you are considering.

How much experience do occupational therapy contracts ask for?

Around 1 to 3 years, counted per setting rather than in total. Six years split across three settings reads differently to a hiring manager than six years in one, and neither is automatically better.

Can you help with a license in another state?

Yes, and it is usually the first thing we start rather than the last. Tell us which states you are considering and we will come back with what each board wants, how long it is currently taking and what it costs, so you can pick an assignment around a license that will actually arrive in time.

Talk to a therapy recruiter

Two things get a useful conversation started: the settings you know, and how much notice you owe. We can work backwards from there, whether you are early in a career in OT or twenty years into one.

We are occupational therapy hiring for OT roles all year, and a good number of our job openings never reach the site because the bench fills them first. Worth a call even if nothing here fits today.

How contracts and housing work is on our travel nursing page. Everything about rates sits on our occupational therapist pay page.

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