COTA Jobs
COTA jobs are open across skilled nursing facilities, outpatient clinics, home health agencies, and school systems, from entry-level to senior and lead positions, with specializations in pediatrics, geriatrics, and hand therapy. Scan the live roles below and apply to whichever ones fit.
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At AMG we offer our employees much more than just a job in the healthcare industry. We offer unique career opportunities for people who are called to make a healing difference in the lives of others and desire to be part of a team that makes a difference each day for our patients. We invite you to join our team and share your gifts and talents. Market competitive pay rates and benefits are offered by Charleston-AMG Specialty Hospital in the Lowcountry area, where employees are our greatest asset and patients are our greatest honor.
Charleston-AMG Specialty Hospital, in Mt. Pleasant, SC, is part of the AMG Integrated Healthcare Management Hospital System – a Top-5 Post-Acute Care Hospital System. Our mission is an unyielding commitment to Patients, People, and the Pursuit of Healing. We believe our employees are the asset and heart of our organization. We are conveniently located in the heart of Lowcountry area in Mt. Pleasant, SC.
Charleston-AMG Specialty Hospital is seeking a Full-Time Certified Occupational Therapist Assistant (COTA). The Certified Occupational Therapist Assistant is responsible for assisting the Occupational Therapist in developing individual treatment programs and administering the occupational therapy treatment program as directed by the Occupational Therapist and as ordered by a Physician.
Join our dynamic team and enjoy a career where you can make a difference with Charleston-AMG Specialty Hospital in Mt. Pleasant!
Full-Time employees are offered a comprehensive package is offered including competitive pay, direct deposit, medical insurance, dental insurance, long-term disability insurance, life insurance, AD&D insurance, vision insurance, multiple voluntary insurance options, paid holidays, paid vacation time, paid sick time, optional credit union membership, cellular discount options, free uniform scrub after 90 days of employment, 401(k) retirement plan with company contribution, and many more exciting benefits.
Job Requirements
- Maintains a current South Carolina State Certified Occupational Therapist Assistant License in good standing
- Current BLS certification.
- Ability to read and communicate effectively in English.
- Additional languages are desirable.
- Basic computer knowledge.
Charleston-AMG Specialty Hospital is a Long-Term Acute Care hospital that specializes in the management of complex medical needs in Mt. Pleasant, SC.
When patients need more attention, time, and therapy than they can get in a traditional hospital, we provide quality patient care and dedicated rehabilitation experts for their complex medical conditions over an extended period of time.
Getting the right level of care is central to recovery. Still, we also understand that recovery is something patients do with friends and family close-by. That’s why our aim is to provide a welcome and healing environment. At Charleston-AMG Specialty Hospital, our patients and their family members will find free parking, easy highway access, and open visiting hours, so that loved ones can always visit with ease.
Our mission is to return patients to their optimal level of well-being in the least restrictive medical environment. We accomplish this through a multi-disciplined approach that includes aggressive clinical and therapeutic interventions, as well as family involvement. Our high staff to patient ratio ensures individualized attention. Our nurses, therapists, and physicians work with each patient to obtain the best possible outcomes. Learn more about the quality care we provide by visiting our website at: www.amgihm.com .
Charleston-AMG Specialty Hospital is an equal opportunity employer.
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COTA Jobs by Experience Level
Top Cities Hiring COTAs
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Find COTA JobsCOTA Job Market
Who's Hiring
- Powerback Rehabilitation352

- HiredFirst245H
- Voyage Health92V
- Broad River Rehab47

- EmpowerMe Wellness47

Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in COTA jobs.
- Active COTA license in the state of employment
- Associate degree in occupational therapy assistant from an accredited program
- Current CPR and Basic Life Support certification
- Experience documenting in electronic health record systems
- Ability to work under the supervision of a licensed occupational therapist
- Knowledge of Medicare and Medicaid billing and skilled care documentation requirements
Tips for Your COTA Job Search
Tailor your resume to the setting
Hiring managers in skilled nursing facilities care about ADL documentation and restorative care experience, while outpatient clinics want to see functional goal-writing and patient volume. Adjust your bullet points to match the specific setting you're targeting, not a generic therapy resume.
List your state license clearly
Put your COTA license number, issuing state, and expiration date in a dedicated credentials section near the top of your resume. Many applicant tracking systems screen for this automatically, and missing it can get your application filtered out before a human sees it.
Apply early to roles that fit
Migrate Mate lists cota openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter by supervision ratio before applying
Some facilities assign one OT to oversee six or more COTAs, which limits your clinical growth. Ask about the OT-to-COTA ratio during screening calls, and look for postings that mention collaborative or team-based practice models.
Prepare for a skills demonstration interview
Many employers, especially pediatric clinics and hand therapy practices, ask COTAs to walk through a mock ADL session or explain a sensory-based activity during the interview. Practice narrating your clinical reasoning out loud, not just performing the technique.
Negotiate productivity expectations, not just pay
In productivity-based settings, your billable unit requirement directly affects your workload and burnout risk. Ask during the offer stage how many units per day are expected, and whether that figure is a floor or a target, before you accept.
COTA Jobs: Frequently Asked Questions
Which companies are hiring the most cotas?
Powerback Rehabilitation, HiredFirst, and Voyage Health are hiring the most cotas right now, with openings concentrated in California, Texas, and Washington, based on current listings on Migrate Mate as of September 2026. Skilled nursing chains and large home health organizations consistently post the highest volume of cota openings nationwide.
How many cota jobs are remote?
About 9% of cota openings are fully remote or hybrid as of September 2026, which is lower than many healthcare roles because most cota work requires direct patient contact. Telehealth-adjacent roles, such as care coordination support and documentation consulting, account for the majority of the remote share.
How do you become a cota?
To become a cota, you complete an accredited associate degree program in occupational therapy assisting, which includes supervised fieldwork rotations in clinical settings. After graduating, you sit for the National Board for Certification in Occupational Therapy exam. Once you pass, you apply for licensure in the state where you plan to work, as each state has its own application process and fees.
How do you get hired as a cota with little or no experience?
Emphasize your Level I and Level II fieldwork placements on your resume, naming the settings and the patient populations you worked with. Skilled nursing facilities and home health agencies hire new graduates more readily than hospitals or specialty clinics. Applying to per-diem roles first lets you build a documented caseload record, which makes full-time applications more competitive within a year.
What does the cota interview process look like?
Most cota interviews begin with a phone or video screening focused on your license status, availability, and setting experience. An in-person or second-round interview typically involves questions about documentation habits, productivity management, and how you handle supervision dynamics with the supervising OT. Some employers, particularly in pediatrics or hand therapy, add a brief practical component where you describe or demonstrate a treatment activity.
Where can I find and apply to cota jobs?
You can find and apply to cota jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your preferred setting, location, and schedule, then apply directly to each listing that fits. Applying early gives your application the best chance of reaching the hiring manager before a position fills.
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