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    Salary / OT / Hawaii

    OT salary in Hawaii

    What OT roles are advertised at, and the Hawaii factors that change the number.

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    How much does a OT earn in Hawaii?

    Federal wage data for Hawaii puts the median for occupational therapists at $102,870 a year, with the middle of the market between $78,670 and $118,240 and about 390 people employed in the state (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025). Island geography makes coverage the hiring constraint. Employers recruit for permanence rather than volume, and neighbour-island roles carry travel expectations. Nationally, the OT roles we recruit are advertised at roughly $78k – $108k; the national OT salary guide sets out the entry, mid-career and senior figures behind that.

    OT advertised pay by experience

    Entry
    $78k
    First role after certification
    Mid-career
    $92k
    Two to five years, full caseload
    Senior
    $108k
    Supervisory scope or specialist skill

    Official Hawaii wage data

    Federal wage data for Hawaii puts the median for occupational therapists at $102,870 a year, with the middle of the market between $78,670 and $118,240 and about 390 people employed in the state (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025).

    Median
    $102,870
    Mean
    $100,280
    10th percentile
    $78,670
    90th percentile
    $118,240

    Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. State wage tables

    What changes a OT offer in Hawaii

    • Mental Health Counselor, LCSW and LSW are licensed separately.
    • Setting: Pediatric clinics, School districts, Hospitals and rehab price differently for the same credential.
    • Caseload cap and billable or productivity target, which decide whether a bonus is real.
    • Metro cost of living within the state; a city premium is not the same as a better offer.
    • Scarcity: Consistently short in pediatrics and school contracts, especially where sensory integration or feeding experience is needed.

    How to read the HI figures

    The federal estimates above are the official Hawaii picture for occupational therapists, published annually and lagging the market by about a year. What we publish alongside them is what we actually see advertised on roles we recruit today. Use the federal median as a floor for negotiation and the advertised range as the live signal.

    Bureau of Labor Statistics wage data

    Last reviewed August 2026.

    Live OT roles in Hawaii

    No live OT roles in Hawaii right now. Tell us your license status and target setting and we will contact you when the next Hawaii search opens.

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    Open OT roles elsewhere in the US

    How to work as a OT in Hawaii

    1. 1

      Confirm the credential

      State licensure; NBCOT certification (OTR). This is the baseline every Hawaii employer screens on before anything else.

    2. 2

      Check the HI requirement

      Mental Health Counselor, LCSW and LSW are licensed separately.

    3. 3

      Check the multi-state routes

      PSYPACT: confirm current status with the state board; Counseling Compact: not a member state Compact participation changes, so confirm the current position with the Hawaii board rather than a secondary source.

    4. 4

      Build board processing into your start date

      Processing time, not eligibility, is the usual cause of a delayed start. Agree a start date with the licensing timeline already in it.

    5. 5

      Match the credential to open work

      Compare the advertised range for OT roles, roughly $78k – $108k, against the live Hawaii vacancies on this page, or join the talent network to be contacted when the next Hawaii search opens.

    Continue with OT in Hawaii

    OT pay and licensure in Hawaii: common questions

    Do you need a license to work as a OT in Hawaii?
    Mental Health Counselor, LCSW and LSW are licensed separately. Confirm the current position with the Hawaii board before you accept a start date, as processing time is the usual cause of a delayed start.
    What is the average OT salary in Hawaii?
    Federal wage data for Hawaii puts the median for occupational therapists at $102,870 a year, with the middle of the market between $78,670 and $118,240 and about 390 people employed in the state (U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025). Advertised pay on the OT roles we recruit nationally sits at roughly $78k – $108k, and offers land inside that band according to setting, caseload and metro cost of living.
    Does OT pay in Hawaii differ from the rest of the US?
    We publish advertised pay on the roles we recruit, not a Hawaii average. Across the US those OT roles are advertised at roughly $78k – $108k, and where a Hawaii offer lands inside that band is driven by setting, caseload and metro cost of living. For an official comparison, Hawaii median pay for occupational therapists is $102,870; treat that as a negotiating floor.
    Where are the OT jobs in Hawaii?
    Island geography makes coverage the hiring constraint. Employers recruit for permanence rather than volume, and neighbour-island roles carry travel expectations. The live OT vacancies we hold in Hawaii are listed on this page; when nothing is open there today, the national OT board carries every role we currently hold.
    Who employs OTs in Hawaii?
    The employers hiring this credential are pediatric clinics, school districts, hospitals and rehab, skilled nursing, early intervention, home health. Which of those dominates in Hawaii follows the local funding and provider mix rather than any national pattern, and it is the single biggest driver of what an offer looks like: the same OT is priced differently by a center-based provider, a school district and a hospital system.
    What do employers look for when hiring a OT in Hawaii?
    First, the credential and the right to practise: state licensure; nbcot certification (otr). Mental Health Counselor, LCSW and LSW are licensed separately. After that, hiring managers screen on the specifics of the work — caseload size you have carried, the settings you have worked in, supervision responsibility, and documentation or payer experience. Availability matters too: a realistic start date that accounts for board processing usually beats a stronger resume that cannot start.
    What does the salary range on this page actually mean?
    Two different things, kept separate on purpose. $78k – $108k is what OT roles we recruit are advertised at across the US — a live market signal, not a survey. The federal figures are official Hawaii estimates for occupational therapists: $102,870 median, with $78,670 at the 10th percentile and $118,240 at the 90th. They cover the whole occupation in the state, are published annually and lag the market by roughly a year, so read the median as a negotiating floor rather than a target. Neither number is an offer; where you land inside a range is set by setting, caseload and metro cost of living.

    OT pay in other states

    A clinical director and a hiring lead shaking hands across a meeting-room table.

    Hiring OTs in Hawaii

    Pay is the last thing that fixes a stalled search

    Pediatric OT candidates screen hard on evaluation load and documentation time. Roles that quote both fill faster.

    Join the OT talent networkHire a OT in Hawaii
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    • Behavioral health only
    • Recruiting across all 50 states
    • Pay published on every role
    • Recruitment partnerships, not job spam