Occupational Therapist - Home Health (0.8 FTE)
- BLS
How this pay compares
This posting does not state an hourly rate. Open occupational therapist jobs in Montana post a median of $49.63 an hour, the middle half $39.59–$51.25, across 11 jobs that state their pay. Occupational therapists employed in Montana earn a median of $42.79 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 Montana: pay by town and employer
Licensed in another state?
Montana is not issuing OT Compact privileges yet, so an occupational therapist or OT assistant licensed in another state needs a Montana license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) For a Montana license, apply to the Montana Board of Physical, Rehabilitative, and Developmental Health Care Professionals (Department of Labor and Industry) for a license by endorsement ($190, by its own page): what Montana asks. Every state's OT Compact status.
What Montana requires of an occupational therapist
Occupational therapist license, from the Montana Board of Physical, Rehabilitative, and Developmental Health Care Professionals (Department of Labor and Industry).
- An occupational therapist licensed in a state on the board's substantial equivalency list is treated as a routine applicant for education, examination and experience (ARM 24.119.410). Applicants must have NBCOT forward their examination scores to the board (ARM 24.119.803).
- Staying active: Licenses renew every year by June 15 with 10 hours of continuing education, or current NBCOT certification in its place (ARM 24.101.413 and 24.119.2101).
Occupational therapist jobs and requirements in Montana · 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 87.1%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
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.
SPECIFIC DUTIES : Conducts all OASIS time points and assessments in a timely manner according to regulatory guidelines. Serves as a team resource and assists staff members as available with difficult patient situations. Understands the principles of patient education and health literacy to promote patient self-management skills and ADL/IADL functioning. Develops an individualized home plan of care. Conducts home safety evaluations. Provide evaluation/consultation visits with certified home health aides for bathing and safety. Assesses the home environment for adaptive equipment needs. Provides OT to various types of patients which may include; dementia, learning disabilities and chronic diseases. Regularly attends staff meetings and educational programs as applicable or mandated. Effectively manages time and resources responsibly. Collaborates with the interdisciplinary team in providing quality care to home care patients. Effectively works with the Home Health Clinical Manager/Coordinator and/or Lead Physical Therapist.
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.
From St. Peter's Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About St. Peter's Health
St. Peter's Health is a nonprofit hospital with an emergency department in Helena, MT. Its job board posts jobs for nurses, imaging techs and therapists.
Based in Helena, MTHires in MontanaPay on its listings: shown on each listing that states it
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