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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Showing 5 of 1,928+ COTA jobs
$2,500 Bonus Eligible!
Experience a Certified Occupational Therapy Assistant career that’s full of joy, purpose, and opportunities to grow. We’re seeking talented, creative, and compassionate professionals who enjoy building relationships with patients, learning new ways to deliver care, and being part of a team dedicated to helping senior patients live their best lives.
- Share your skills and training as a valued member of our on-site rehabilitative care team by assisting with rehabilitative services for patients under specific medical orders as part of a coordinated team.
- Provide attentive one-on-one therapy services for residents, administering functional treatments that emphasize a holistic, patient-centered approach to care.
- Get mentorship and valuable hands-on experience utilizing innovative technologies and therapeutic treatments.
- Advance your career, pursue clinical interests, and develop subject matter expertise.
Your Legacy career offers great experiences, work/life balance, and excellent rewards, including::
- Desirable Monday—Friday schedule with no weekend or holiday requirements
- 401(k)
- Medical/dental/vision/prescription/pet insurance
- Paid time off (PTO) with rollover and buyout options at year’s end
- Company-paid group life
- Flex spending account
- Voluntary life, short-term disability, and long-term disability insurance
- Licensure reimbursement
- Company-provided CEUs and unlimited online CEUs for full-time employees
- Career advancement opportunities
- Our not-for-profit organization offers personalized therapeutic care for residents within senior living communities, offering rehabilitative care that helps improve their quality of life.
- Our organization was founded by and continues to be led by therapists.
- We are one of the largest providers of on-site senior therapy care in the country, serving nearly 500 senior living communities throughout the U.S. and growing!
- We are leaders in innovation and personalized care, which makes us a preferred provider for senior adults residing in the communities we serve.
Position requirements::
- Associates of applied science degree in area of discipline
- Current occupational therapy assistant license in state of practice, or ability to obtain one prior to starting
- Excellent interpersonal, fiscal, and clinical skills
- Computer proficiency
$2,500 Bonus Eligible!
Experience a Certified Occupational Therapy Assistant career that’s full of joy, purpose, and opportunities to grow. We’re seeking talented, creative, and compassionate professionals who enjoy building relationships with patients, learning new ways to deliver care, and being part of a team dedicated to helping senior patients live their best lives.
- Share your skills and training as a valued member of our on-site rehabilitative care team by assisting with rehabilitative services for patients under specific medical orders as part of a coordinated team.
- Provide attentive one-on-one therapy services for residents, administering functional treatments that emphasize a holistic, patient-centered approach to care.
- Get mentorship and valuable hands-on experience utilizing innovative technologies and therapeutic treatments.
- Advance your career, pursue clinical interests, and develop subject matter expertise.
Your Legacy career offers great experiences, work/life balance, and excellent rewards, including::
- Desirable Monday—Friday schedule with no weekend or holiday requirements
- 401(k)
- Medical/dental/vision/prescription/pet insurance
- Paid time off (PTO) with rollover and buyout options at year’s end
- Company-paid group life
- Flex spending account
- Voluntary life, short-term disability, and long-term disability insurance
- Licensure reimbursement
- Company-provided CEUs and unlimited online CEUs for full-time employees
- Career advancement opportunities
- Our not-for-profit organization offers personalized therapeutic care for residents within senior living communities, offering rehabilitative care that helps improve their quality of life.
- Our organization was founded by and continues to be led by therapists.
- We are one of the largest providers of on-site senior therapy care in the country, serving nearly 500 senior living communities throughout the U.S. and growing!
- We are leaders in innovation and personalized care, which makes us a preferred provider for senior adults residing in the communities we serve.
Position requirements::
- Associates of applied science degree in area of discipline
- Current occupational therapy assistant license in state of practice, or ability to obtain one prior to starting
- Excellent interpersonal, fiscal, and clinical skills
- Computer proficiency
COTA Jobs by Experience Level
Top Cities Hiring COTAs
Explore COTA openings in the cities hiring most right now.
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Find COTA JobsCOTA Job Market
Who's Hiring
- Continuum Therapy Partners112
- Broad River Rehab93
- HiredFirst69H
- Powerback Rehabilitation56
- EmpowerMe Wellness48
Top Industries Hiring
- Healthcare & Medical Services
- Insurance
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?
Continuum Therapy Partners, Broad River Rehab, and HiredFirst are hiring the most cotas right now, with openings concentrated in California, Florida, and Ohio, based on current listings on Migrate Mate as of November 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 6% of cota openings are fully remote or hybrid as of November 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 1,928+ COTA Jobs
Find roles that match your experience and apply in just a few clicks.
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