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 JobsOverview
Showing 5 of 17+ COTA jobs







Company:
Compassus
At Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits.
Your position perks as a Home Health Certified Occupational Therapist Assistant
- Competitive pay
- Flexibility
- Health, dental, vision for part & full-time positions
- Wellness reimbursements for physicals and gym memberships
- Pre-tax FSA and HSA plans (HSA w/company contributions)
- Generous Paid Time Off plan that increases with tenure
- 401(k) with company matching contributions
- Free Continuing Education Units
- Tuition reimbursement
- Company paid life and long-term disability insurance
- Company paid parental leave with tenure for birth, adoption, and foster parents
- Voluntary long-term care, critical illness, and accident insurance
- Employee Assistance program
- Referral bonus program
- Mileage reimbursement
- Company assistance program supporting teammates in times of need
How you’ll make an impact as a Home Health Certified Occupational Therapist Assistant
- Work one-on-one with patients when and where they need the most help – in their home!
- Empower patients to live safely and productively in their home and complete the tasks they want to do and need to do every day.
- Help patients and families adapt their environment, modify tasks, and use equipment to improve participation in daily activities and improve quality of life
Minimum Qualifications:
- Graduate of an accredited school of occupational therapy assistant with an Associate Degree in Occupational Therapy
- Current State Certification as an Occupational Therapist Assistant
- Valid Driver’s License
- Current CPR, negative TB screen and Hepatitis consent/declination
- One year experience as an Occupational Therapist Assistant in an acute care setting
Knowledge and Skills:
- Therapy skills as set forth in the Therapy Practice Act and other regulatory agencies
- Good interpersonal skills
Care for Who I Am is Caring for Who We Are. Together We Are:
Welcoming everyone. Empowering belonging. Allying for inclusivity. Removing barriers. Engaging community.
WE ARE fostering an inclusive environment where every teammate matters and can be their best selves.
WE ARE becoming a reflection of our patients, families, and partners.
WE ARE transforming care at home for every community serve.
#LI-KB1
Build a Rewarding Career with Compassus
At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.
Your Career Journey Matters
We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.
- Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
- Career Development: Access leadership pathways, mentorship, and personalized professional development.
- Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
- Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
- Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
- A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.
Ready to Join?
At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
See All 17 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


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