COTA Jobs in Alabama
COTA jobs in Alabama are concentrated in skilled nursing facilities, inpatient rehabilitation centers, school systems, and home health agencies, with demand steady at both entry and experienced levels. Most of the hiring is in Birmingham, Huntsville, and Mobile, where large employers such as UAB Health System, Encompass Health, and Noland Health Services maintain active openings. School-based pediatric therapy and geriatric rehabilitation in long-term care are the most consistently in-demand specialties. See the openings below and apply to the ones that match your experience.
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- Review relevant clinical data.
- Collaborates and coordinates patients care plans with patient/family and other care providers.
- Perform therapeutic procedures for clients as outlined in patient’s plan of care.
- Participates in patient/family teaching.
- Maintain clinical and professional competency.
- Completes all documentation requirements in the established time frame.
- Communicates to therapist as needed related to patient needs/goals.
- Attends in service programs and departmental or hospital meetings.
- Shares experience by mentoring students, new employees, volunteers and presenting in services.
- Maintains involvement in department and hospital activities.
- Provides feedback to the Manager.
- Assist in departmental planning, staff training, performance improvement, and clinical service development.
- Assist with departmental productivity by fulfilling individual work responsibilities and reporting significant variances in patient volume that may require manager adjustments to staffing.
- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook.
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
- Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
- Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
WORK CONTEXT
- Must be able to analyze patient data to determine patient needs or treatment goals
- Must be able to enter patient or treatment data into computers
- Must be able to collaborate with others to plan or provide treatment
- Must have normal vision and hearing or correctable to normal
- Must be careful about detail and thorough in completing work tasks.
- Must be reliable, responsible, dependable, and fulfilling obligations.
- Must be pleasant with others on the job and display good nature, cooperative attitude.
- Must be able to tolerate prolonged periods of sitting and/or standing
- Must be able to exert almost continual physical effort such as pushing, pulling, bending, climbing, lifting, and walking.
- Exposure to human bodily fluids, disease, infection and hazardous materials may occur. Common protective or safety equipment may be required in job task.
- Physical activities include: Talking, hearing, bending, twisting, walking, running, kneeling, crouching, stooping, crawling, climbing, balancing, reaching, pushing, pulling, lifting, grasping, repetitive motion, standing, and/or using hands to handle, control, or feel objects, tools or controls.
- Requirements:
- PT/OT
- Heavy work. Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.
- Must be able to perform the duties with or without reasonable accommodation.
- Hearing and vision must be normal or corrected to within normal range.
- Physical presence onsite is essential.
- Review relevant clinical data.
- Collaborates and coordinates patients care plans with patient/family and other care providers.
- Perform therapeutic procedures for clients as outlined in patient’s plan of care.
- Participates in patient/family teaching.
- Maintain clinical and professional competency.
- Completes all documentation requirements in the established time frame.
- Communicates to therapist as needed related to patient needs/goals.
- Attends in service programs and departmental or hospital meetings.
- Shares experience by mentoring students, new employees, volunteers and presenting in services.
- Maintains involvement in department and hospital activities.
- Provides feedback to the Manager.
- Assist in departmental planning, staff training, performance improvement, and clinical service development.
- Assist with departmental productivity by fulfilling individual work responsibilities and reporting significant variances in patient volume that may require manager adjustments to staffing.
- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook.
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
- Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
- Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- All other duties as assigned.
WORK CONTEXT
- Must be able to analyze patient data to determine patient needs or treatment goals
- Must be able to enter patient or treatment data into computers
- Must be able to collaborate with others to plan or provide treatment
- Must have normal vision and hearing or correctable to normal
- Must be careful about detail and thorough in completing work tasks.
- Must be reliable, responsible, dependable, and fulfilling obligations.
- Must be pleasant with others on the job and display good nature, cooperative attitude.
- Must be able to tolerate prolonged periods of sitting and/or standing
- Must be able to exert almost continual physical effort such as pushing, pulling, bending, climbing, lifting, and walking.
- Exposure to human bodily fluids, disease, infection and hazardous materials may occur. Common protective or safety equipment may be required in job task.
- Physical activities include: Talking, hearing, bending, twisting, walking, running, kneeling, crouching, stooping, crawling, climbing, balancing, reaching, pushing, pulling, lifting, grasping, repetitive motion, standing, and/or using hands to handle, control, or feel objects, tools or controls.
- Requirements:
- PT/OT
- Heavy work. Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.
- Must be able to perform the duties with or without reasonable accommodation.
- Hearing and vision must be normal or corrected to within normal range.
- Physical presence onsite is essential.
See All 21 COTA Jobs in Alabama
Find roles in Alabama that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in Alabama
Where Alabama roles are concentrated, by current openings.
COTA Job Market in Alabama
A snapshot from current Alabama openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Consulting & Professional Services
What Alabama Employers Look For
The qualifications that appear most often in COTA jobs across Alabama.
- Active COTA license issued by the Alabama State Board of Occupational Therapy
- Current NBCOT certification in good standing required by most Alabama employers
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Basic Life Support certification preferred or required in clinical and rehab settings
- Experience with electronic documentation systems such as PointClickCare or Casamba
- Ability to travel between multiple patient sites for home health or school-based roles
COTA Jobs in Alabama: Frequently Asked Questions
How do you become a cota in Alabama?
To become a cota in Alabama, you must graduate from an ACOTE-accredited occupational therapy assistant program, pass the NBCOT Certified Occupational Therapy Assistant exam, and then apply for licensure through the Alabama State Board of Occupational Therapy. Alabama requires an active state license before you can practice, so the board application follows your NBCOT results. Both the exam and the state license must be active and in good standing to work in any clinical, school, or home health setting.
Which companies hire cotas in Alabama?
Employers hiring cotas in Alabama right now include Champion Care, Huntsville Hospital Health System, and Optum, based on current listings on Migrate Mate as of August 2026. Alabama's concentration of inpatient rehab hospitals, skilled nursing chains, and school systems means demand is spread across both large health systems and regional post-acute providers.
Which Alabama cities have the most cota jobs?
Birmingham, Huntsville, and Montgomery have the most cota openings in Alabama. Birmingham dominates because it anchors the state's largest hospital network and rehabilitation infrastructure, while Huntsville's rapid population growth has driven new outpatient and school-based demand, and Mobile's established network of skilled nursing and home health agencies generates consistent openings throughout the Gulf Coast region.
Are there remote cota jobs in Alabama?
Yes, but they're rare. Cota work is fundamentally hands-on, requiring direct patient contact for assessments, treatment, and progress documentation, which limits remote options significantly. About 0% of cota openings tied to Alabama are remote or hybrid as of August 2026, and those positions typically involve documentation review, telehealth supervision, or care coordination rather than direct patient treatment.
How can I get hired as a cota in Alabama with little or no experience?
The most realistic entry path is applying to fieldwork-to-hire programs at large Alabama employers while completing your Level II fieldwork rotations. UAB Health System and Encompass Health facilities across Alabama regularly convert fieldwork students into new-grad hires. Applying as a rehab tech or therapy aide at a skilled nursing facility is a strong lateral move that gets you on the floor and visible to the supervising OTR. Having your NBCOT certification and Alabama state license in hand before your first interview gives you a clear edge over candidates still awaiting results.
Where can I find and apply to cota jobs in Alabama?
You can find and apply to cota jobs in Alabama on Migrate Mate, which lists current Alabama openings from employers actively hiring. Search the listings, identify the roles that match your license status, specialty, and preferred location, and apply directly to the ones that fit. No sign-up is needed to view openings.
See All 21 COTA Jobs in Alabama
Find roles in Alabama that match your experience and apply in just a few clicks.
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