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Blue Stone Therapy
Madison, South Dakota

Occupational Therapist

Occupational Therapist 8.0 Work-LifeNo callNo nightsFull-Time

Listed compensation

$36-$55/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting and time off.

Posted 3mo ago

Job Description

Blue Stone Therapy is proud to be certified as a Great Place to Work®

Since 2009, Blue Stone Therapy has partnered with skilled nursing and senior living communities across the Midwest to deliver individualized, high-quality physical, occupational, and speech therapy services. We are committed to strong clinical standards, consistent operations, and long-term partnerships that support meaningful patient outcomes.

Occupational Therapist (OT) - Madison, SD

Blue Stone Therapy is seeking an Occupational Therapist (OT) to provide rehabilitation services to adult and geriatric patients at Bethel Lutheran Home in Madison, SD.

This role focuses on evaluating and treating adult and geriatric patients in a skilled nursing and post-acute rehabilitation setting. The Occupational Therapist is responsible for assessments, care plan development, and implementation of treatment programs designed to improve activities of daily living (ADLs), cognitive function, upper extremity strength, range of motion, positioning, and overall functional independence.

This position will serve multiple partner communities, including United Living Community and Peaceful Pines, with travel between locations as needed.

  • What You’ll Do
  • Perform occupational therapy evaluations and develop individualized plans of care
  • Provide skilled occupational therapy treatment focused on functional and measurable outcomes
  • Address ADLs, functional mobility, cognition, strength, positioning, and discharge planning
  • Supervise Occupational Therapy Assistants in accordance with regulatory and company standards
  • Maintain appropriate patient schedules per established guidelines
  • Complete timely, accurate documentation to support quality care and reimbursement requirements
  • Collaborate with interdisciplinary team members and facility staff to support positive patient outcomes

Requirements

  • What You Bring
  • Graduate of an accredited Occupational Therapy program
  • Current Occupational Therapist license (or eligibility for licensure) in applicable state
  • Experience in skilled nursing, long-term care, or post-acute rehabilitation preferred
  • Strong clinical reasoning, communication, and organizational skills
  • Commitment to patient-centered care and professional standards

Why Blue Stone Therapy?

We believe exceptional care begins with exceptional clinicians. Our teams are supported by consistent leadership, collaborative partnerships, and a shared purpose of enhancing lives through quality rehabilitation services. We invest in clinical growth, strong facility relationships, and an environment where therapists can focus on delivering meaningful outcomes.

Benefits

  • Medical, Dental, and Vision insurance
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options
  • 401(k) with employer contribution
  • Employee Assistance Program (EAP)
  • Paid Time Off (PTO) and paid holidays

And More

Benefits are subject to eligibility requirements and the terms of applicable plans or programs.

Blue Stone Therapy is an Equal Opportunity Employer

Key Responsibilities

Perform occupational therapy evaluations and implement individualized treatment plans for adult and geriatric patients in skilled nursing settings. Responsibilities include improving activities of daily living, supervising assistants, and collaborating with interdisciplinary teams to ensure positive patient outcomes.

Qualifications

Education
Professional certificate or licensure

Key Skills

ADL TrainingCognitive RehabilitationUpper Extremity StrengtheningPatient AssessmentInterdisciplinary CollaborationPatient SchedulingClinical DocumentationSupervision of OT Assistants

Occupational Therapist Career Context

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$95k midpoint carries the purchasing power of roughly $107k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Occupational Therapy listings this role was benchmarked against, 3% are remote, 45% have no call, 68% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist at Blue Stone Therapy a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Occupational Therapy — ranked against 9,356 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no on-call duties, no night shifts.

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$95k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

25 matches · ranked by pay

Salary Distribution25 jobs · 16 employers

14
<$115k
1
$130k
4
$135k-155k
6
$155k-175k

Annual compensation range

Benefits & Perks20 jobs · 16 employers

401k / retirement match
90% this job
CME allowance
45%
Sign-on bonus
40%
Loan repayment
15%
Relocation assistance
5%

Share of similar jobs offering each benefit

#1

Virtual Occupational TherapistContract

Lets Therapy · Media, Pennsylvania

$82.50 per hour
#2

Head Occupational Therapist (Inpatient Rehabilitation & Acute Care) | NYP-CUIMC | Full-Time | Mon - Fri | Day Shift

NewYork-Presbyterian Hospital · New York, New York

$70.76-$81.01/hr
#3

Occupational Therapist, OT, Flexible Schedule, Home Health

$70-$75/hr
#4

Occupational Therapist

$68-$75/hr
+ 23 more · ranked by pay

Work-life snapshot

median 4.8this job 8.0
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,356 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No nights
  • Includes weekends

Living in Madison

Median resident rent
$981/mo
Residents’ average commute
11 min
State income tax
None
Sources & methodology

Sources: U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

Blue Stone Therapy logo

About Blue Stone Therapy

Medical Practices
Urbandale, Iowa
201-500 employees

Benefits & Perks

Medical, Dental, Vision
FSA/HSA
401(k) with employer contribution
Employee Assistance Program
Paid Time Off
Paid Holidays