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Monument Health
Spearfish, South Dakota

Occupational Therapist - Outpatient

Occupational TherapistPart-Time

Listed compensation

$34.77-$43.46/hr

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 2h ago · Verified live

Job Description

Current Employees

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

  • Primary Location
  • Spearfish, SD USA

Department: SPH Occupational Therapy

  • Scheduled Weekly Hours
  • 32
  • Starting Pay Rate Range
  • $34.77 - $43.46
  • (Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

*UP TO $25,000 SIGN ON BONUS FOR QUALIFIED CANDIDATES*

It starts with heart. That is what you will do each day. As a Occupational Therapist at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and— most importantly— a life-changing career. You will make a difference. Every day.

As an Occupational Therapist, operating in the outpatient services area, you will provide evaluation and direct patient care to individuals of all ages with the goal of maximizing their function and independence, with appropriate documentation of that care.

You will also carry out operational duties for the Rehab Services department as indicated. Our occupational therapy services are also provided at outreach sites in communities around the area in which you will play an active role in providing care.

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions:

Uses appropriate critical thinking and judgment in the provision of care. Performs all aspects of treatment based on accepted national, departmental and evidence-based standards. Provides treatment that meets or exceeds departmental outcome standards.

Documents in a timely, accurate manner which supports medical necessity in accordance with department standards.

Submits required paperwork for billing, accurate charges and authorizations. Demonstrates appropriate use of time management according to departmental productivity standards.

Demonstrates initiative in individual professional development. Completes all education required by the Monument Health system and for licensure/certification in a timely manner. Actively promotes the profession within Monument Health and to the outside community.

Provides supervision according to state, federal and professional association standards.

Incorporates and educates patient, family and caregivers in treatment, goal setting and discharge planning as appropriate.

Complies with all regulatory requirements as it pertains to insurance, accrediting bodies, national and state regulatory agencies.

All other duties as assigned.

Additional Requirements

Required

  • Education - Bachelors: Occupational Therapy
  • Certification - Occupational Therapist (OT) - South Dakota Board of Medical and Osteopathic Examiners

Preferred

Education - Masters: Occupational Therapy

Scheduling Requirements: Requires the ability to work assigned schedules and hours as determined by the department.

Physical Requirements

Very Heavy work - exerting over 25 pounds of force constantly (67-100% of the time), and/or more than 50 pounds frequently (34-66% of the time), and/or more than 100 pounds of force occasionally (up to 33% of the time), and/or more than 100 pounds of force seldomly to move objects. Possible exposure to blood, bodily fluids, or tissues.

  • Job Category
  • Rehabilitation
  • Job Family

Occupational Therapy

Shift: Requires the ability to work assigned schedules and hours as determined by the department

  • Employee Type
  • Regular

62 Monument Health Spearfish Hospital

Make a difference. Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Key Responsibilities

Provide evaluation and direct patient care to individuals of all ages to maximize their function and independence. Perform operational duties for the Rehab Services department and maintain accurate documentation of patient care.

Requirements

Requires a Bachelor's degree in Occupational Therapy and a valid Occupational Therapist certification from the South Dakota Board of Medical and Osteopathic Examiners. Candidates must be capable of performing very heavy physical work as defined by the department.

Qualifications

Education
Bachelor degree

Key Skills

Patient evaluationRehabilitation servicesTreatment planningClinical judgmentRegulatory compliance

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 ~$81k midpoint carries the purchasing power of roughly $92k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 46 active Occupational Therapy listings this role was benchmarked against, 13% are remote, 43% have no call, 59% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 3.0% vs. the prior quarter (through Sep 2026).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$81k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

43 matches · ranked by pay

Salary Distribution25 jobs · 22 employers

10
<$115k
7
$115k-130k
1
$135k
5
$145k-160k
2
$160k+

Annual compensation range

Benefits & Perks28 jobs · 22 employers

401k / retirement match
93% this job
CME allowance
68%
Sign-on bonus
18% this job
Loan repayment
14%
PSLF eligible
7%

Share of similar jobs offering each benefit

#1

Occupational Therapist (OT)- South County

Home Care Providers Group · San Diego, California

$158k – $198k
#2

Home Care Occupational TherapistPer Diem

US Physical Therapy · Morristown, New Jersey

$74-$93.75/hr
#3

Home Care Occupational Therapist- (Morris County)

$74-$93.75/hr
#4

Home Care Occupational Therapist- 1099 (Queens)

$80-$90/hr
+ 41 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,334 comparable listings. Shaded area = the share scoring below this one.

Living in Spearfish

Typical 3-bedroom home value
$439k
Typical market rent
$1,514/mo
Residents’ average commute
16 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

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

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About Monument Health

Hospitals and Health Care
Rapid City, South Dakota
1,001-5,000 employees

Benefits & Perks

Supportive work culture
Medical, Vision and Dental Coverage
Retirement Plans
Health Savings Account
Flexible Spending Account
Instant pay available
Paid Time Off Accrual Bank
Opportunities for growth and advancement