Occupational Therapist - Home Health (0.8 FTE)

Occupational TherapistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

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.

Responsibilities

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.

Qualifications

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.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient AssessmentOASIS DocumentationCare PlanningHome Health CareInterdisciplinary CollaborationTime ManagementBLS CertificationFunctional Skills TrainingSensorimotor ActivitiesRegulatory Compliance

Occupational Therapist Career Context

In Montana, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$100k (18 salary observations; 103 listings), vs ~$97k nationally (5,345 salary observations; 27,162 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)). 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Montana?
MeasureThis jobMarket
Listed paynot listedOccupational Therapy median $95k (middle half $86k–$104k)218 comparable listings, Oct 2026
Montana vs national$100k median in Montana$97k nationally (+3%)18 state / 5,345 national salary observations
Cost of livingMontana index 94.6US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Montana39 active9,372 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 4% remote · 44% no call · 74% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS Occupational Therapist listings: 12% state a sign-on bonus (median $8k) · 9% offer loan repayment10,384 active listings, Oct 2026
Occupational Therapy pay trend+3.0% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Occupational Therapist Jobs

39 matches · ranked by pay

Salary Distribution

33 jobs · 28 employers
15
<$105k
4
$105k-120k
4
$120k-135k
7
$135k-150k
3
$150k+

Annual compensation range

Benefits & Perks

35 jobs · 28 employers
401k / retirement match
97%
CME allowance
60% this job
Sign-on bonus
31%
Loan repayment
14%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational TherapistContract

Luna Physical Therapy · Chicago, Illinois

$68-$75/hr
#3

School-Based Occupational Therapist (OT)

$67-$73/hr
#4

Occupational Therapist

$57-$70/hr
+ 37 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 9,375 comparable listings. Shaded area = the share scoring below this one.

St. Peter's Health Regional Medical Center logo

About St. Peter's Health Regional Medical Center

Hospitals and Health Care
Helena, Montana
501-1,000 employees

Benefits & Perks

Continuing education
Teamwork environment

Living in Helena

Typical 3-bedroom home value
$477k
Typical market rent
$1,630/mo
Residents’ average commute
14 min
Metro price indexU.S. average = 100
95.7
State income tax
Up to 6.8%
Sources & methodology

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

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

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