There is no state more relaxing than Montana – come enjoy it on your next OT job. Sure you can spend time lounging on the beach in another state, but you will be bringing a pound of sand home with you as an unwanted souvenir. But in Big Sky County, grab a book, a chair and a light jacket. Then place your chair in a field and enjoy the loveliness that is Montana. The beautiful mountains and wide open spaces lead outdoorsmen to find plenty of events to keep them occupied during their OT job assignment, from hiking and biking to thrilling white water rafting and snowboarding.

While Montana may focus on its outdoor amenities, there is certainly much to do inside during your OT job. Love to place a wager for fun? Montana has plenty of casinos to allow you to do just that. The casinos in the state are friendlier and more understated than Vegas-style, but that suits the locals just fine. Montana is a hotbed for local microbreweries. If your tastes go beyond the “normal” selections, look to Montana for your next OT job.

We have plenty of OT and COTA jobs in Montana. Search our top occupational therapy jobs below:

Montana

Recent OT Jobs

  • Certified Occupational Therapist Assistant – PreK–2nd Grade Caseload – 2025–2026 – Sidney, MT

    Savage, MT
    ProCare Therapy is seeking a Certified Occupational Therapy Assistant (COTA) to join a welcoming school district in Sidney, MT for the 2025–2026 school year. This position is perfect for someone who values work–life balance, with Fridays off every week! Position Details: Location: Sidney, MT Schedule: 4 days per week (Monday–Thursday), Fridays off Hours: 7.5 hours per day School Year: August 2025 – May 2026 Casel
    Schools - COTA
    Contract
    4 days ago
  • Certified Occupational Therapy Assistant (COTA) – School-Based – Sidney, MT

    Fairview, MT
    ProCare Therapy is seeking a Certified Occupational Therapy Assistant (COTA) to join a welcoming school district in Sidney, MT for the 2025–2026 school year. This position is perfect for someone who values work–life balance, with Fridays off every week! Position Details: Location: Sidney, MT Schedule: 4 days per week (Monday–Thursday), Fridays off Hours: 7.5 hours per day School Year: August 2025 – May 2026 Casel
    Schools - COTA
    Contract
    4 days ago
  • School Certified Occupational Therapist Assistant Opportunity – 4-Day Workweek – Sidney, MT

    Culbertson, MT
    ProCare Therapy is seeking a Certified Occupational Therapy Assistant (COTA) to join a welcoming school district in Sidney, MT for the 2025–2026 school year. This position is perfect for someone who values work–life balance, with Fridays off every week! Position Details: Location: Sidney, MT Schedule: 4 days per week (Monday–Thursday), Fridays off Hours: 7.5 hours per day School Year: August 2025 – May 2026 Casel
    Schools - COTA
    Contract
    4 days ago
  • Full School Year Certified Occupational Therapist Assistant Position – Sidney, MT – Fridays Off

    Bainville, MT
    ProCare Therapy is seeking a Certified Occupational Therapy Assistant (COTA) to join a welcoming school district in Sidney, MT for the 2025–2026 school year. This position is perfect for someone who values work–life balance, with Fridays off every week! Position Details: Location: Sidney, MT Schedule: 4 days per week (Monday–Thursday), Fridays off Hours: 7.5 hours per day School Year: August 2025 – May 2026 Casel
    Schools - COTA
    Contract
    4 days ago
  • REMOTE | Occupational Therapist Opportunity | Missoula, MT

    Missoula, MT
    VocoVision is actively seeking dedicated and qualified Occupational Therapists (OTs) to join our dynamic teletherapy team. This is your chance to provide essential therapy services from home, working directly with students, teachers, and parents to foster progress and success across the state of Montana. Job Details Full-time or part-time (1099 contract). Flexible caseload Contract runs through the remainder of school year with potential re
    Schools - OT - Telehealth
    Contract
    1 day ago
  • Seeking Certified Occupational Therapist Assistants - Travel positions

    Sidney, MT
    Explore New Opportunities with ProCare Therapy – Travel OTs and COTAs Wanted! ProCare Therapy is partnering with school districts across the country that are actively hiring Travel Occupational Therapists (OTs) and Certified Occupational Therapy Assistants (COTAs). If you're looking to grow your career while exploring new locations, our travel-based school opportunities offer the perfect combination of professional development and adventure. Wh
    Schools - OT
    Contract
    1 day ago
  • 25.26 Schoolyear Occupational Therapist Position / Evergreen, Montana area

    Evergreen, MT
    Be part of a close-knit, welcoming school district! We have a full-time Occupational Therapist position available to manage a K-12 caseload. If you or someone you know might be interested, review the details below and submit your resume to apply! Job Details: Onsite location near the Evergreen, Montana area   Start in August # students/sites and caseload information will be discussed more in depth with special services director during
    Schools - OT
    Contract
    1 day ago
  • Kalispell, Montana area Upcoming-Schoolyear Role for Occupational Therapist

    Kalispell, MT
    Are you considering joining a new district or exploring a pediatric-focused role? We have a full-time Occupational Therapist position in a close-knit school district. This position supports a K-12 caseload, offering a chance to make a meaningful impact. If interested, don’t hesitate to reach out for further information! Job Details: Onsite location near the Kalispell, Montana area   Start in August # students/sites and caseload inform
    Schools - OT
    Contract
    1 day ago
  • 25-26 School Occupational Therapist Full-Time Position Near Montana City, Montana area

    Montana City, MT
    ProCare Therapy is seeking a Occupational Therapist  to work in a supportive, friendly school district for the 2025-2026 school year. The district is open to OTs from various backgrounds, with a preference for those with school-based experience. To apply, please submit your updated resume! Job Details: Onsite location near the Montana City, Montana area   Start in August # students/sites and caseload information will be discussed more
    Schools - OT
    Contract
    1 day ago
  • Havre, Montana area Occupational Therapist Next-Schoolyear Need

    Havre, MT
    ProCare Therapy offers an exciting opportunity for Occupational Therapist who love working with kids! This full-time role for the upcoming school year involves overseeing a K-12th grade caseload in a supportive district. Reach out if you’d like to learn more about ProCare and this fantastic job opportunity! Job Details: Onsite location near the Havre, Montana area   Start in August # students/sites and caseload information will be di
    Schools - OT
    Contract
    1 day ago
  • Occupational Therapist School Opportunity / 25-26 / Crown Agency, Montana area

    Crown Agency, MT
    We are working with a school district that has a ’25-'26,Occcupational Therapist role, and it prefers candidates with school-based experience. However, it is interested to speaking to all in the OT field! Services would be provided to a K-12th grade caseload.  Please send me your most accurate resume to potentially have an interview setup with the director. Also, please send my information out to those who may be interested in this opportu
    Schools - OT
    Contract
    1 day ago
  • Certified Occupational Therapist Assistant (COTA) - Sidney, MT | 25/26 School Year

    Sidney, MT
    Are you currently seeking a new opportunity within a school district? ProCare Therapy proudly collaborates with an outstanding school district in Sidney, MT in search of a dedicated on-site Certified Occupational Therapist Assistant (COTA) to join their team for the ongoing school year!  Job Description: 2025/2026 School Year Full Time Position (Fridays off) Caseload: Discussed on Interview  Onsite only Pay & Benefits: Highly c
    Schools - OT
    All Job Types
    1 day ago
  • Occupational Therapist 2025.2026 Schoolyear Job / Bigfork, Montana area

    Bigfork, MT
    Are you a Occupational Therapist who feels passionate about supporting children? ProCare Therapy shares that dedication. We have a full-time role for the 2025-2026 school year, providing support for a K-12 caseload. Contact me by email, text, or phone to learn more or to apply! Job Details: Onsite location near the Bigfork, Montana area   Start ASAP # students/sites and caseload information will be discussed more in depth with special
    Schools - OT
    Contract
    1 day ago
  • 25.26 Schoolyear Occupational Therapist Opening Near Hamilton, Montana area

    Hamilton, MT
    Are you a Occupational Therapist who is passionate about helping children? ProCare Therapy shares your dedication. We have a full-time position for the 2025-2026 school year to support a K-12th grade caseload. Reach out to me via email, text, or phone to learn more or to apply! Job Details: Onsite location near the Hamilton, Montana area   Start in August # students/sites and caseload information will be discussed more in depth with sp
    Schools - OT
    Contract
    1 day ago
  • Occupational Therapist 2025-2026 School Job / East Helena, Montana area

    East Helena, MT
    We are in search of a motivated Occupational Therapist  to join our team for the 2025-2026 academic year. The district we are working with is seeking full-time support for a K-8th grade caseload. For more information about ProCare and this position, see the details below. If you're interested, call, text, or email me! Job Details: Onsite location near the East Helena, Montana rea   Start in August # students/sites and caseload informa
    Schools - OT
    Contract
    1 day ago

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