Occupational Therapist
Listed compensation
$34.52-$49.67/hr
The week · per this posting · Monday – Friday
Ask the employer about call expectations, nights and shift pattern and time off.
Job Description
Working title: Occupational Therapist
Classification title: Occupational Therapists
Division: Homecare/Hospice
Program: Home Health
Reports to: Lead Occupational Therapist
FLSA status: Non-Exempt: Full-Time
Schedule: Monday-Friday
Wage Range: $34.52 to $49.67 hourly; depending on number of years of transferrable experience and internal equity
Riverstone Health
Since 1974, RiverStone Health has had a rich history of providing health services to our community, from our role as the Yellowstone City-County Health Department to seeing patients in our medical and dental clinics as part of a nationwide system of Federally Qualified Health Centers.
At RiverStone Health we strive to build a personal connection with everyone we serve to provide optimal complete solutions, within our realm of expertise, to the variety of challenges faced by our patients, clients and customers.
In our medical and dental clinics, we provide care for 20,000 patients each year, more than half of whom are uninsured and rely on our sliding fee scale. In our medical and dental clinics, we serve all patients, regardless of their ability to pay.
Division and Program Overview
The RiverStone Health Hospice Services care for terminally ill patients who want to receive comfort-oriented care rather than continue to seek a cure. Hospice care emphasizes quality of life. Care and grief support services are provided wherever home is.
Most hospice patients receive care in their home, or the home of a relative or friend. Hospice care can also be provided in nursing homes or other facilities.
Working together with patient and family, our team of hospice professionals and volunteers help relieve physical symptoms and decrease psychological, social, emotional, or spiritual distress of patients and their caregivers. Our 24 hour on-call nursing services are available to meet urgent needs.
Job Summary
The Occupational Therapist assists patients to improve their ability to perform tasks in living and working environments.
Essential Functions/Major Duties and Responsibilities
A. Occupational Therapist Duties/Services
95%
- Instructs the patient and patient’s caretaker(s) regarding the patient’s impairment and measures they can take to lessen or eliminate physical and/or mental impairment.
- Test and evaluate patients' physical and mental abilities and analyze medical data to determine realistic rehabilitation goals for patients.
- Develops and implements individual therapy, rehabilitation, and adaptation plans for patients. Modifies as necessary.
- Provides functional training for the patient in negotiating common practical situations.
- Develops and implements a home exercise program for the patient.
- Recommend changes in patients' work or living environments, consistent with their needs and capabilities.
- Help clients improve decision making, abstract reasoning, memory, sequencing, coordination, and perceptual skills, using computer programs.
- Trains patients and/or caretaker(s) in compensatory techniques such as energy conservation, joint protection, and one-handed techniques for completing tasks.
- Evaluates the need for, prescribes, directs the use of, and adjusts adaptive or supportive equipment as necessary.
- Recommend changes in patients' work or living environments, consistent with their needs and capabilities.
- Makes practical recommendations to patients and/or caretaker(s) regarding care and treatment of the patient upon discharge and refers them to community resources as necessary.
- Ensures, inasmuch as it is possible, the safety and physical security of the patient.
- Coordinates patient care with physicians, therapists, home health aides, and other care providers.
- Attends case conferences as scheduled whether in-person, telephonically or electronically.
- Documents and conveys clearly and accurately to others the patient’s mental, physical, and emotional condition and response to treatment; completes all required paperwork.
NON-Essential Functions/Other Duties as Assigned ≥5%
- Perform other duties as assigned in support of RiverStone’s mission and goals.
Education and Experience
Minimum Qualifications
- Graduation from accredited occupational therapy program.
- 3 years experience with rehabilitation and/or disabilities
- Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work.
Preferred Qualifications
- Experience working with an underserved population
Required Certificates, Licenses, Registrations
- Licensed as an occupational therapist in the State of Montana in good standing.
Knowledge, Skills, and Abilities
- Ability to display non-judgmental and empathetic listening skills.
- High degree of detail-oriented skill level.
- Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.
- Ability to work collaboratively and maintain a positive work environment.
- Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality.
- Ability to understand and adhere to required administrative policies and procedures.
- Excellent communication skills to ensure efficiencies and quality customer service.
Customer Service Excellence
- Doing things right the first time
- Making people feel welcome
- Showing respect for each customer
- Anticipating customer needs and concerns
- Keeping customers informed
- Helping and going the extra mile
- Responding quickly
- Protecting privacy and confidentiality
- Demonstrating proper telephone etiquette
- Taking responsibility for handling complaints
- Being professional
- Taking ownership of your attitude toward Service Excellence.
Supervision
- This position does not have supervision authority over others.
Physical Demands and Working Conditions
- Standing, bending, sitting, lifting required
- Work is mainly performed in a clinic setting
- Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices.
Freedom to ACT & Decision Making
- Work is structured by public health regulations and established medical practices.
- Decisions directly affect the quality of services provided to the public.
- Supervised by Lead Occupational Therapist
Communications & Networking
- Daily written and verbal communication with patients and other staff.
- Work directly with other team members to provide quality customer service for patients and customers.
- Responsible for confidential medical information
Budget & Resource Management
No Budgetary Management responsibilities
Key Responsibilities
The Occupational Therapist assists patients in improving their ability to perform daily living and working tasks by evaluating their physical and mental abilities and developing individualized therapy and adaptation plans. Key duties include instructing patients and caregivers, training in compensatory techniques, recommending environmental changes, and coordinating care with other healthcare providers.
Requirements
Minimum qualifications require graduation from an accredited occupational therapy program along with three years of experience in rehabilitation and/or disabilities. Candidates must also hold a current, good-standing Occupational Therapist license in the State of Montana.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Occupational Therapist Career Context
In Montana, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$100k (19 salary observations; 90 listings), vs ~$97k nationally (6,672 salary observations; 25,638 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$88k midpoint carries the purchasing power of roughly $93k in an average-cost state. 59.2% of Montana 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, 43% have no call, 63% 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 RiverStone Health a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,356 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.
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