Occupational Therapist - Outpatient
- $15,000 sign-on bonus
- BLS
- Driver's license
How this pay compares
This posting states $31–$46.50 an hour. Open occupational therapist jobs in North Dakota post a median of $38.75 an hour, the middle half $38.75–$42.25, across 17 jobs that state their pay, so this one is within the middle half of what they post. Occupational therapists employed in North Dakota earn a median of $40 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Occupational therapists in North Dakota: pay by town and employer
Visa sponsorship record
From 1 October 2025 to 30 June 2026, the US Labor Department certified 2 H-1B applications from Sanford Health for occupational therapists, offering a median $33.89 an hour (the low end of each application's wage range). That is the employer's record, not a promise for this job: ask its recruiter whether this one sponsors a visa. Every employer that sponsors occupational therapists.
Licensed in another state?
North Dakota is not issuing OT Compact privileges yet, so an occupational therapist or OT assistant licensed in another state needs a North Dakota license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) For a North Dakota license, apply to the North Dakota State Board of Occupational Therapy Practice for a license by endorsement ($200, by its own page): what North Dakota asks. Every state's OT Compact status.
What North Dakota requires of an occupational therapist
Occupational therapist license, from the North Dakota State Board of Occupational Therapy Practice.
- The board may waive the examination, education or experience requirements for an applicant currently licensed in another state whose standards it considers equivalent (N.D.C.C. 43-40-12). The notarized application includes the fee, official verification of the NBCOT examination score and a completed jurisprudence examination on North Dakota laws and rules (N.D. Admin. Code 55.5-02-01).
- Staying active: Licenses renew every two years in even-numbered years (due June 1, expiring June 30) with 20 contact hours of continued competency in the 24 months before renewal (N.D. Admin. Code 55.5-02-01-02 and 55.5-02-01-04).
Occupational therapist jobs and requirements in North Dakota · Every state's rule
Physical, occupational, speech and respiratory therapy jobs in our research
- How long these jobs stay listed: Still listed at 7 days 87.4%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.22x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.7% · Stating an hourly rate 32.4%
From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours
32
Compensation
Salary Range: $31.00 - $46.50 Sign on Bonus! $15,000 with a commitment
Union Position
No
Department Details
Flexible schedule that supports work-life balance.
Monday–Friday hours with no nights, weekends, or holidays. Flexibility in setting schedule.
Opportunity to provide care in multiple rural clinic locations (Hankinson and Lidgerwood), offering variety in your practice.
Brand-new Hankinson facility featuring a spacious therapy gym and private treatment rooms designed for high-quality patient care.
Integrated care model - work closely with primary care providers and other healthcare professionals to coordinate patient care.
Collaborative, supportive rehabilitation team committed to exceptional patient outcomes.
Opportunity to build meaningful, long-term relationships with patients in a community-focused healthcare setting.
Modern equipment and an updated therapy environment that supports efficient, patient-centered care.
Summary
Assesses clients/patients/residents and designs occupational therapy treatments. Help clients/patients/residents to develop, maintain and recover their ability to perform tasks in client’s/patient’s/resident's occupations of life.
Job Description
The therapist conducts evaluations and provides interventions for clients/patients/residents who have functional, cognitive or behavioral impairments. Occupational Therapist evaluate physical, cognitive, developmental and psychosocial abilities of clients/patients/residents; developing realistic therapy goals and administering appropriate occupational therapy programs. Documents client's/patient's/resident's information for evaluation; establishes therapeutic plans and modifies them if necessary. Provides clients/patients/residents education designed to enhance understanding and improve functional outcomes. Knowledge of and utilizes appropriate age-related treatments and evaluations relating to the needs of clients/patients/residents. Demonstrate and incorporate knowledge of current research into daily treatment of clients/patients/residents.
May treat individuals of all ages with varying diagnosis and disorders. Will demonstrate documentation in accordance with departmental guidelines and meet all regulatory requirements. Demonstrates level of treatment associated with their specialty provided to their clients/patients/residents. Follows and adheres to accepted clinical practice guidelines of professional organization.
Exhibits flexibility with acceptance of variable work schedules/assignments. Participates in activities to promote the department, Good Samaritan Society and Sanford Health. Will be interacting with individuals outside of the department including but not limited to: providers, case managers, family members, third party payers, public organizations, etc. May be asked to supervise assistants, aides, and students as they provide patient/resident care, treatment, or other services. Will be expected to provide ongoing education and training to peers in the area(s) of expertise as determined by the department leadership. Performs other related duties as requested by manager.
Dependent on facility and location, work may focus on those receiving intervention in the post-acute, long term care, and home health care environments.
Qualifications
Appropriate education level required in accordance with state licensure.
Must be licensed in the state(s) of practice as Occupational Therapist.
When working at a Sanford Health Facility (not required but preferred for GSS Facilities): Must also be certified through the National Board of Certification in Occupational Therapy (NBCOT). When applicable, may require valid driver's license. Obtains and subsequently maintains required department specific competencies and certifications. Basic Life Support (BLS) for health care providers required or within the first 60 days of employment.
In the states of North Dakota, South Dakota, Iowa, and Minnesota, new graduates in the process of testing with the board, will be considered with the possession of a temporary license.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
From Sanford Health's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Sanford Health
Sanford Health is a nonprofit rural health system with 60 (source: Sanford Health, About Sanford Health) hospitals, 315 (source: Sanford Health, About Sanford Health) clinic locations and 60,000 (source: Sanford Health, About Sanford Health) employees across the Dakotas, Minnesota, Iowa, Wisconsin, Wyoming and Michigan's Upper Peninsula. Source: Sanford Health, About Sanford Health
Based in Sioux Falls, SDHires in 9 statesPay on its listings: 72.9% of its open jobs state an hourly rate
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