The residents of South Dakota want you to know their state has more to offer than just four immense Presidents’ visages. Yes they know that the amazing carvings of Lincoln, Washington, Roosevelt and Jefferson that peer down into the gorgeous Black Hills may be the thing that brings visitors in, but the wonderful amenities South Dakota offers will certainly keep them here. There may not be a more beautiful state in the union than South Dakota. Where else could you stand beneath an incredible mountain and watch as a herd of buffalo thunder by in the distance or watch an amazing waterfall cascading down? Come see it all for yourself by taking an OT job in South Dakota.
If your idea of a great time involves clinking slots or high stakes poker, then South Dakota has what you are craving during your OT job assignment. There are plenty of casinos to choose from, but perhaps the best one to capture the true South Dakota spirit is by moseying on over to the infamous Old West city of Deadwood.
Search our South Dakota OT jobs below or apply now!

Recent OT Jobs
Virtual Occupational Therapist Opening - South Dakota
Rapid City, SDPosition Overview: VocoVision is looking for a passionate and skilled Occupational Therapist (OT) to join our remote team, providing virtual therapy services to students in South Dakota. This is a wonderful opportunity to work remotely and make a lasting impact on students' lives by offering both direct and indirect services, managing caseloads, and conducting evaluations and assessments. Key Responsibilities: Perform virtual assessments,School-Based Certified Occupational Therapy Assistant (COTA) Opportunity Near Fort Pierre, SD
Fort Pierre, SDSoliant is seeking a dedicated Certified Occupational Therapy Assistant (COTA) to join a supportive school district near Fort Pierre, SD. This role offers the opportunity to work closely with an Occupational Therapist to support students' developmental and functional skills. Position Details: Full-time or part-time availability Caseload: K-12 students (details provided during the interview) Assist in therapy sessions, implement treatment plVirtual Occupational Therapist (OT) – Sioux Falls, SD
Sioux Falls, SDSoliant is seeking a compassionate and experienced Occupational Therapist (OT) for a virtual position to support students in Sioux Falls, SD. This remote opportunity offers flexibility while providing crucial occupational therapy services to students in a supportive and engaging online environment. Position Details: Full-time, virtual position Provide occupational therapy services to students via teletherapy Develop and implement treatmentOccupational Therapist School Based (OT)
Fort Pierre, SDLocation: Fort Pierre, South Dakota Are you a compassionate Occupational Therapist (OT) dedicated to supporting students' educational journey? We are seeking a School Occupational Therapist to provide exceptional therapy services in local educational settings. Responsibilities: Assess students' motor skills, sensory processing, and functional abilities. Develop and implement personalized treatment plans. Collaborate with educators andSchool-Based Occupational Therapist (OT) Opportunity Near Fort Pierre, SD
Fort Pierre, SDSoliant is seeking a dedicated Occupational Therapist (OT) to join a supportive school district near Fort Pierre, SD. This role offers the opportunity to help students develop essential life skills and succeed academically. Position Details: Full-time or part-time availability Caseload: K-12 students (specific details provided during the interview) Responsibilities include assessments, therapy sessions, IEP collaboration, and working with eSchool Occupational Therapist
Castlewood, SDJob Title: School Occupational Therapist Location: Castlewood SD area Job Type: Contract About Us: Sunbelt is a healthcare agency specializing in providing school-based therapy services to schools around the country. We are dedicated to delivering high-quality care and making a positive impact in the lives of students. We are currently seeking skilled Occupational Therapists to join our team on a contract basis and support schools. Job DeVirtual Occupational Therapist Opening in South Dakota
Pierre, SDAbout: VocoVision is seeking a dedicated Occupational Therapist to join our remote team and provide virtual services to students in South Dakota. This is an exciting opportunity to work remotely and make a difference in the lives of students by delivering both direct and indirect services, managing caseloads, and conducting evaluations and assessments. Your Responsibilities: Conduct virtual assessments, evaluations, and therapy sessions.Remote School Occupational Therapist in South Dakota k-12
Aberdeen, SDDescription: Join a fully remote school therapy team focused on PreK–5 students with developmental delays. The ideal candidate is experienced in early intervention and can deliver engaging, play-based therapy online. Key Duties: Provide live teletherapy using developmentally appropriate tools. Target fine motor, sensory integration, and self-care skills. Conduct online evaluations and contribute to IEPs. Support teachers anVirtual Occupational Therapist in Hayti, South Dakota- Great District
Hayti, SDOccupational Therapist (OT) Location: Hayti, South Dakota Start Date: August 2025 Schedule: Full-Time (37.5 hours/week) School Year: 2025–2026 Caseload: K–12 Work Setting: Onsite We are hiring a full-time Occupational Therapist for the 2025–2026 school year in Hayti, SD. The role involves providing services to a diverse student population from kindergarten through 12th grade. Apply Today: Contact Kenyon Jackson at 229-458-9315 or kenyon.Virtual Occupational Therapist - South Dakota
Sioux Falls, SDAbout: VocoVision is seeking a dedicated Occupational Therapist to join our remote team and provide virtual services to students in South Dakota. This is an exciting opportunity to work remotely and make a difference in the lives of students by delivering both direct and indirect services, managing caseloads, and conducting evaluations and assessments. Your Responsibilities: Conduct virtual assessments, evaluations, and therapy sessions.School-Based Certified Occupational Therapy Assistant (COTA) – Near Huron, SD
Huron, SDWe are seeking a dedicated Certified Occupational Therapy Assistant (COTA) to join our school-based team near Huron, South Dakota. This role is a fantastic opportunity to support students in achieving their developmental and functional goals within an educational setting. Job Responsibilities: Assist the Occupational Therapist (OT) in implementing therapy plans. Work with students to improve fine motor skills, sensory processing, and daily l25/26 OT Assistant Travel position - Watertown, SD
Watertown, SDCertified Occupational Therapist Assistant Job Objective: The Certified Occupational Therapist Assistant is responsible for implementing intervention and therapy regarding students' fine and gross motor skills and functional abilities (e.g. perceptual-motor, hand functions, motor coordination, sensory development, muscle strength, etc.) under the direction of the Occupational Therapist. This will be a part time role at 10 - 15 hours a week25/26 Travel OT position - Watertown, SD
Watertown, SDIf you are a passionate and dedicated Occupational Therapist looking for a rewarding opportunity to make a difference in the lives of others, we have an opportunity for you! ProCare Therapy is seeking an Occupational Therapist for a contract position located near Watertown, South Dakota. This positions is in a school setting. Apply today for consideration. Part time position 10 - 15 hours a week Early Intervention caseload ItinerantRemote OT Needed for K-12 Students in South Dakota
Rapid City, SDRemote OT Needed for K-12 Students in South Dakota We're seeking a licensed Occupational Therapist to provide virtual services to K–12 students across South Dakota. This fully remote role offers flexible scheduling and is ideal for collaborative professionals committed to helping students build essential life and learning skills. What We Offer: 100% remote work Ongoing support from clinical and administrative teams Access toOccupational Therapist in Brookings, South Dakota - Great District
Brookings, SDOccupational Therapist (OT) – Brookings, SD Full-Time | July 2025 Start | 2025–2026 School Year ProCare Therapy is partnering with a school district in the Brookings, South Dakota area to fill a full-time Occupational Therapist (OT) position serving Birth to Pre-K students. This position will begin in July and run through the entirety of the 2025–2026 school year. Position Details: Start Date: July 2025 Schedule: Full-Tim
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