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.

Find COTA Jobs

Overview

Open roles17
Top employerHuntsville Hospital Health System
Top cityHuntsville, AL
Cities hiring15
Work type100% On-site
Top credentialCPR Certification

Showing 5 of 17+ COTA jobs

Certified Occupational Therapist Assistant COTA Home Health PRN
We won't show you this job again
Added 4d ago
Certified Occupational Therapist Assistant COTA Home Health PRN
Compassus
Birmingham, Alabama
Caregiving & Elderly Support
Healthcare Administration
Patient Services & Wellbeing
CPR Certification
5,001-10,000

Have you applied for this role?

Certified Occupational Therapist Assistant (COTA)
We won't show you this job again
Added 6d ago
Certified Occupational Therapist Assistant (COTA)
Northside Rehabilitation and Healthcare Center
Gadsden, Alabama
Allied Health
Healthcare Administration
Patient Services & Wellbeing
$36 - $40/hr
Associate's degree
51-200

Have you applied for this role?

COTA - Red Bay - PT OT Speech Therapy - PT - Shift 1
We won't show you this job again
Added 1w ago
COTA - Red Bay - PT OT Speech Therapy - PT - Shift 1
Huntsville Hospital Health System
Red Bay, Alabama
Allied Health
Healthcare Administration
Patient Services & Wellbeing
10,000+

Have you applied for this role?

COTA Occupational Therapy Assistant
We won't show you this job again
Added 2w ago
COTA Occupational Therapy Assistant
Champion Care
Montgomery, Alabama
Customer Service
Customer Support
Hospitality & Guest Services
Associate's degree in occupational therapy
1,001-5,000

Have you applied for this role?

Certified Occupational Therapist Assistant ( COTA )
We won't show you this job again
Added 2w ago
Certified Occupational Therapist Assistant ( COTA )
Canterbury Rehabilitation and Healthcare Center
Phenix City, Alabama
Allied Health
Healthcare Administration
Patient Services & Wellbeing
$35 - $40/hr
Associate's degree in occupational therapy
51-200

Have you applied for this role?

See All 17 COTA Jobs in Alabama

Find roles in Alabama that match your experience and apply in just a few clicks.

Find COTA Jobs

COTA Jobs by City in Alabama

Where Alabama roles are concentrated, by current openings.

Huntsville
2 jobs
Montgomery
2 jobs
Athens
1 job
Ashland
1 job
Decatur
1 job
Gadsden
1 job
Glencoe
1 job
Madison
1 job
Red Bay
1 job

COTA Job Market in Alabama

A snapshot from current Alabama openings, updated as new roles post.

Who's Hiring

Huntsville Hospital Health System4 open roles
Compassus1 open role
Champion Care1 open role

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 Huntsville Hospital Health System, Compassus, and Champion Care, based on current listings on Migrate Mate as of October 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?

Huntsville, Montgomery, and Athens 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 October 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 17 COTA Jobs in Alabama

Find roles in Alabama that match your experience and apply in just a few clicks.

Find COTA Jobs