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Sanford Health
Ottumwa, Iowa

Occupational Therapist - PRN

Occupational TherapistNo nightsPer Diem

Listed compensation

$32.5-$52/hr

The week · per this posting

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

Posted 3mo ago

Job Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

  • Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled
  • Weekly Hours: 0
  • Salary Range: $32.50 - $52.00 Union
  • Position: No Department Details

Summary Assesses clients/patients/residents and designs occupational therapy treatments. Help clients/patients/residents to develop, maintain and recover their ability to perform tasks in client’s/patient’s/resident's occupations of life.

Job Description The therapist conducts evaluations and provides interventions for clients/patients/residents who have functional, cognitive or behavioral impairments.

Occupational Therapist evaluate physical, cognitive, developmental and psychosocial abilities of clients/patients/residents; developing realistic therapy goals and administering appropriate occupational therapy programs.

Documents client's/patient's/resident's information for evaluation; establishes therapeutic plans and modifies them if necessary. Provides clients/patients/residents education designed to enhance understanding and improve functional outcomes.

Knowledge of and utilizes appropriate age-related treatments and evaluations relating to the needs of clients/patients/residents. Demonstrate and incorporate knowledge of current research into daily treatment of clients/patients/residents. May treat individuals of all ages with varying diagnosis and disorders.

Will demonstrate documentation in accordance with departmental guidelines and meet all regulatory requirements. Demonstrates level of treatment associated with their specialty provided to their clients/patients/residents. Follows and adheres to accepted clinical practice guidelines of professional organization.

Exhibits flexibility with acceptance of variable work schedules/assignments. Participates in activities to promote the department, Good Samaritan Society and Sanford Health.

Will be interacting with individuals outside of the department including but not limited to: providers, case managers, family members, third party payers, public organizations, etc. May be asked to supervise assistants, aides, and students as they provide patient/resident care, treatment, or other services.

Will be expected to provide ongoing education and training to peers in the area(s) of expertise as determined by the department leadership. Performs other related duties as requested by manager.

Dependent on facility and location, work may focus on those receiving intervention in the post-acute, long term care, and home health care environments.

Qualifications Appropriate education level required in accordance with state licensure. Must be licensed in the state(s) of practice as Occupational Therapist.

When working at a Sanford Health Facility (not required but preferred for GSS Facilities): Must also be certified through the National Board of Certification in Occupational Therapy (NBCOT). When applicable, may require valid driver's license.

Obtains and subsequently maintains required department specific competencies and certifications. Basic Life Support (BLS) for health care providers required or within the first 60 days of employment.

In the state of South Dakota and Iowa, new graduates in the process of testing with the board, will be considered with the possession of a temporary license. Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

The Sanford organization owns and manages multiple distinct brands, including Sanford Health, Marshfield Clinic, and Good Samaritan, as well as Lewis Drug, Sanford Health Equip, Solutions by Sanford, Great Shots, and Blue Rock Bar & Grill.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan.

The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies.

The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at sanfordhealth.org or Sanford Health News.

Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care.

As part of Sanford Health, an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies.

The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com.

Key Responsibilities

Assess patients to design and implement occupational therapy treatments that help them recover functional, cognitive, and behavioral abilities. Document patient progress and provide education to enhance functional outcomes across various care environments.

Requirements

Must possess a valid state license as an Occupational Therapist and Basic Life Support (BLS) certification. NBCOT certification is preferred for Sanford Health facilities.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient EvaluationTreatment PlanningCognitive RehabilitationPsychosocial AssessmentPatient EducationClinical DocumentationRegulatory ComplianceInterdisciplinary CollaborationPatient Care

Occupational Therapist Career Context

The cost-of-living index for Iowa is 87.8 (US average = 100; BEA Regional Price Parities (2024)). 59.8% of Iowa clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 18% have no call, 34% require no weekends.

What does the Occupational Therapy market look like in Iowa?
MeasureThis jobMarket
Work-life score6.2 / 10 · above average in occupational therapyranked against 9,325 Occupational Therapy listingslisting-based score, 0–10
Listed paynot listedOccupational Therapy median $139k (middle half $122k–$156k)195 comparable listings, Oct 2026
Cost of livingIowa index 87.8US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Iowa75 active9,367 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 18% no call · 34% no weekends50 benchmarked listings
Occupational Therapy pay trend+1.5% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (9,325 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist - PRN at Sanford Health a 6.2 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,325 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no night shifts.

Top contract/1099 Occupational Therapist Jobs

50 matches · ranked by pay

Salary Distribution

26 jobs · 20 employers
6
<$90k
12
$90k-105k
4
$105k-120k
1
$125k
3
$135k+

Annual compensation range

Benefits & Perks

45 jobs · 20 employers
CME allowance
87%
401k / retirement match
87%
Sign-on bonus
20%
Relocation assistance
16%
Loan repayment
4%

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 Therapist- 1099 (Queens)Per Diem

US Physical Therapy · Flushing, New York

$80-$90/hr
#3

Occupational Therapist, OT, Flexible Home Health Schedule

$65-$75/hr
#4

Occupational Therapist, OT

$65-$75/hr
+ 48 more · ranked by pay

Work-life snapshot

median 4.8this job 6.2
Better work-life than 70% of Occupational Therapy listings

Listing-based score, 0–10, across 9,325 comparable listings. Shaded area = the share scoring below this one.

  • No nights
Sanford Health logo

About Sanford Health

Hospitals and Health Care
Sioux Falls, SD
10,000+ employees

Benefits & Perks

Flexible Schedule

Living in Ottumwa

Typical 3-bedroom home value
$155k
Median resident rent
$921/mo
Residents’ average commute
18 min
State income tax
Up to 6%
Sources & methodology

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

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