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Ernest Health
Billings, Montana

Occupational Therapist

Occupational TherapistFull-Time

Compensation

Pay not listed

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Job Description

Occupational Therapist - Full Time - Billings, Montana

Part Time and Per Diem options available.

Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care!

Big Sky Rehabilitation Hospital in Billings, Montana, is a leading inpatient rehabilitation hospital dedicated to helping patients recover, regain independence, and achieve their highest level of function after serious illness, injury, or surgery.

Through comprehensive inpatient rehabilitation, 24-hour nursing care, and coordinated interdisciplinary treatment, our team provides expert care for patients recovering from stroke, brain and spinal cord injuries, neurological conditions, orthopedic procedures, amputations, and other complex medical conditions.

Serving communities across Montana and the surrounding region, we help patients return to their families, workplaces, and everyday lives with greater strength, confidence, and independence. Every team member plays a vital role in creating life-changing outcomes and moments of hope for patients and families.

Join a collaborative, compassionate team dedicated to delivering exceptional care through human connection.

As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements.

We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.

  • Our hospital offers comprehensive benefits, designed to support your health and financial well-being.
  • Benefits: Full Time / Part Time
  • PPO and High Deductible Medical Plan options
  • Flexible and Health Saving account options available
  • Dental and Vision coverage
  • 401K with employer matching
  • Life insurance
  • Short-and-long term disability
  • Competitive compensation
  • Wellness & Work Life balance: Full Time / Part Time

Employee Assistance Program

  • Wellness Program with quarterly wellness challenges with participation incentives.
  • Earned Time Off - Start accruing vacation time on start date.
  • Professional Growth: Full Time
  • Clinical Career Ladder bonus program
  • Therapy Preceptor bonus program

What You Bring

A passion for patient care, a team player, motivating and collaborating therapist to assist patients to reach the best outcome.

  • Graduate Degree from an accredited program in Occupational Therapy.
  • Current State Occupational Therapist License.
  • Current CPR

Qualifications

Required Skills

Current licensure as an Occupational Therapist required

Basic Life Support/CPR Card Required

One year of experience in the care of patients in rehabilitation hospital setting preferred.

Additional Qualifications/Skills

  • Knowledge of clinical operations and procedures.
  • Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
  • Demonstrates competency in the provision of care according to established standards
  • Demonstrates appropriate application of age specific standards, policies and procedures and guidelines in caring for pediatric, adolescent, adult, and geriatric patients
  • Demonstrates general computer skills including: data entry, word processing, email, and record management.
  • Leadership skills in delegating, organizing, and educating coworkers and staff.
  • Effective organizational and time management skills.
  • Effective written and verbal communication skills.
  • Ability to maintain proper levels of confidentiality.
  • Ability to work closely and professionally with others.
  • Ability to maintain quality, safety, and/or infection control standards.

Responsibilities

Evaluates patients and helps them improve basic motor functions and reasoning abilities, but also compensate for permanent loss of function by teaching them to perform tasks in their daily living and working environments.

These patients may have conditions that are mentally, physically, developmentally, or emotionally disabling. May also assist patients in selecting appropriate adaptive equipment and assistive devices. Integrates the hospital’s mission and “Guiding Principles” into daily practice.

Qualifications

Education
Master's degree (postgraduate degree)

Certifications

BLS

Key Skills

Patient EvaluationMotor Function ImprovementReasoning Ability EnhancementAdaptive Equipment SelectionAssistive Device TrainingWritten CommunicationRehabilitation Therapy

Occupational Therapist Career Context

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 8% are remote, 32% have no call, 74% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 3.5% vs. the prior quarter (through Sep 2026).

Top Occupational Therapist Jobs

41 matches · ranked by pay

Salary Distribution39 jobs · 32 employers

17
<$115k
8
$115k-140k
9
$140k-165k
5
$165k-190k

Annual compensation range

Benefits & Perks34 jobs · 32 employers

401k / retirement match
91% this job
CME allowance
56%
Sign-on bonus
44%
Loan repayment
24%
Relocation assistance
9%

Share of similar jobs offering each benefit

#1

Occupational Therapist III EX

UCSF · Oakland, California

$67.06-$90.53/hr
#2

Occupational Therapist

Ironside Human Resources · Fairfield, California

$75-$90/hr
#3

Occupational Therapist II EX

$64.05-$86.19/hr
#4

Virtual Occupational Therapist

$82.50 per hour
+ 39 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 Billings

Typical 3-bedroom home value
$387k
Typical market rent
$1,426/mo
Residents’ average commute
17 min
Metro price indexU.S. average = 100
93.5
State income tax
Up to 6.8%
Sources & methodology

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

BEA 2024 · Billings, MT metro prices. Housing figures are city-level.

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

Ernest Health logo

About Ernest Health

Hospitals and Health Care
Mesquite, Texas
501-1,000 employees

Benefits & Perks

PPO and High Deductible Medical Plan options
Flexible and Health Saving account options
Dental and Vision coverage
401K with employer matching
Life insurance
Short-and-long term disability
Employee Assistance Program
Wellness Program with quarterly wellness challenges