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.
Find COTA JobsOverview
Showing 5 of 1,501+ COTA jobs
At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
Continuing Education: Keep growing with free CEUs through Medbridge.
H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Location/work environment: In facility
Reporting structure: Reporting to Director of Rehab
As an Occupational Therapy Assistant, you help patients get well. You are the person who can bring their power back. In doing this, you will implement occupational therapy programs and activities, follow developed recovery plans, and deliver therapy treatments.
Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back. It's patient-centered care that provides a sustainable way of feeling better, moving better, breathing better, and living better.
Working in a company that values growth and understands what it means to be a caregiver is refreshing. Our CEO is a former staff therapist. We offer growth, paths forward, and we are committed to patient-centered care. We are growing, stable, and need people like you, who have a calling to help people thrive.
2. You'll hear back from us within 1 business day.
3. If you meet the qualifications, a recruiter will call you for a 10-minute conversation within 2-3 business days, depending on your availability.
4. You will then be presented to the hiring manager
5. The hiring manager will reach out within a business day to schedule the interview.
This all happens within 1-5 business days from the phone screen.
7. If the hiring manager wants to move forward, you will hear from us within a business day, because we are excited to get you started!
2. Initial certification obtained from the National Board for Certification in Occupational Therapy.
3. They must be licensed and/or eligible for licensure as required in the state of practice.
At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
Continuing Education: Keep growing with free CEUs through Medbridge.
H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Location/work environment: In facility
Reporting structure: Reporting to Director of Rehab
As an Occupational Therapy Assistant, you help patients get well. You are the person who can bring their power back. In doing this, you will implement occupational therapy programs and activities, follow developed recovery plans, and deliver therapy treatments.
Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back. It's patient-centered care that provides a sustainable way of feeling better, moving better, breathing better, and living better.
Working in a company that values growth and understands what it means to be a caregiver is refreshing. Our CEO is a former staff therapist. We offer growth, paths forward, and we are committed to patient-centered care. We are growing, stable, and need people like you, who have a calling to help people thrive.
2. You'll hear back from us within 1 business day.
3. If you meet the qualifications, a recruiter will call you for a 10-minute conversation within 2-3 business days, depending on your availability.
4. You will then be presented to the hiring manager
5. The hiring manager will reach out within a business day to schedule the interview.
This all happens within 1-5 business days from the phone screen.
7. If the hiring manager wants to move forward, you will hear from us within a business day, because we are excited to get you started!
2. Initial certification obtained from the National Board for Certification in Occupational Therapy.
3. They must be licensed and/or eligible for licensure as required in the state of practice.
COTA Jobs by Experience Level
See All 1,501+ COTA Jobs
Find roles that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Job Market
Who's Hiring
- Powerback Rehabilitation132
- HiredFirst120H
- Preferred Therapy Solutions51
- Voyage Health42V
- Broad River Rehab35
Top Industries Hiring
- Healthcare & Medical Services48
- Consulting & Professional Services5
- Non-Profit & Social Services2
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 Preferred Therapy Solutions are hiring the most cotas right now, with openings concentrated in California, Florida, and Texas, based on current listings on Migrate Mate as of August 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 1% of cota openings are fully remote or hybrid as of August 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.
See All 1,501+ COTA Jobs
Find roles that match your experience and apply in just a few clicks.
Find COTA Jobs