Occupational Therapist

Job Description

Job Description

Location: Billings, Montana-Yellowstone County and surrounding area 

Granite Peak Home Health is a leading home health agency providing high-quality, patient-centered care in Billings, Montana. We specialize in skilled home health services, helping patients recover safely at home while improving independence and quality of life.

We are seeking a licensed Occupational Therapist (OT) for a home health position. This role focuses on adult and geriatric patient care, providing in-home therapy services to individuals recovering from illness, injury, or surgery.

This is a great opportunity for an OT looking for flexible scheduling, autonomy, and meaningful one-on-one patient care in a home health setting.

• Perform occupational therapy evaluations and OASIS assessments (if applicable)

• Develop and implement individualized treatment plans

• Provide skilled therapy services in patients’ homes

• Improve patients’ ability to perform activities of daily living (ADLs) and instrumental ADLs (IADLs)

• Recommend adaptive equipment, home modifications, and fall prevention strategies

• Collaborate with an interdisciplinary healthcare team (RN, PT, SLP, caregivers)

• Complete accurate EMR documentation in compliance with Medicare and home health regulations

• Monitor patient progress and adjust care plans accordingly

• Active Occupational Therapist license in Montana (MT OT License)

• Degree from an accredited Occupational Therapy program

• Minimum 1 year experience in home health, skilled nursing, rehab, or acute care (preferred)

• Knowledge of Medicare guidelines, OASIS documentation, and home health compliance (preferred)

• Strong skills in patient assessment, care planning, and clinical decision-making

• Valid driver’s license, reliable transportation, and ability to travel between patient homes

• Current CPR/BLS certification

• Competitive pay 

• Mileage reimbursement

• Flexible schedule / work-life balance

• Supportive clinical leadership

• Opportunities for career advancement in home health

• Work independently with one-on-one patient care

• Be part of a growing home healthcare organization

• Flexible scheduling and manageable caseload

• Strong support with clinical training and onboarding

• PRN Occupational Therapist

• Monday-Friday flexible business hours

• Field-based home health visits in Billings, MT-Yellowstone County and surrounding areas

GRANITE PEAK HOME HEALTH  provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.