COTA Jobs in Kentucky
COTA jobs in Kentucky are concentrated in skilled nursing facilities, inpatient rehabilitation centers, school-based therapy programs, and home health agencies, with demand at every level from new graduates to experienced clinicians. The busiest hiring markets are Louisville, Lexington, and Bowling Green, where employers such as Baptist Health, Kindred Healthcare, and Appalachian Regional Healthcare maintain ongoing cota openings. Pediatric therapy, geriatric rehabilitation, and hand therapy are among the most in-demand specialties across the state. See the openings below and apply to the ones that match your experience.
Find COTA JobsOverview
Showing 5 of 27+ COTA jobs









HealthPro Heritage has a great Certified Occupational Therapy Assistant COTA) PRN
Why Choose HealthPro Heritage?
- Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.
- Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
- Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
- Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
- Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!
Join Us in Making a Difference
At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, schools, and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.
Responsibilities:- Patient Care & Treatment Implementation: Assist in delivering individualized therapy based on treatment plans developed by the Occupational Therapist, including activities to improve daily living skills (e.g., dressing, eating, mobility).
- Progress Monitoring & Documentation: Track and document patient progress, maintaining accurate records in compliance with facility policies, and report changes or concerns to the Occupational Therapist.
- Collaboration & Patient Education: Work with interdisciplinary teams (e.g., PT, OT, nursing) to provide holistic care, and educate patients and families on therapeutic exercises, adaptive equipment, and strategies for independence.
- Therapeutic Activities & Support: Lead or assist patients with exercises, activities of daily living, and other therapeutic tasks, while creating a positive and supportive environment to encourage patient engagement.
- Education: Associate’s degree in Occupational Therapy Assistant program from an accredited school.
- Certification: Certification as an Occupational Therapy Assistant (COTA) through the National Board for Certification in Occupational Therapy (NBCOT).
- Licensure: Current state licensure (or eligibility) to practice as a Certified Occupational Therapy Assistant.
- Experience: Previous experience in an occupational therapy setting (hospital, clinic, school, etc.) is preferred, but new graduates are also encouraged to apply.
HealthPRO Heritage and its subsidiaries provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HealthPRO Heritage and its subsidiaries comply with applicable state and local laws governing nondiscrimination in employment in every location in which the company facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
See All 27 COTA Jobs in Kentucky
Find roles in Kentucky that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in Kentucky
Where Kentucky roles are concentrated, by current openings.
COTA Job Market in Kentucky
A snapshot from current Kentucky openings, updated as new roles post.
Who's Hiring



What Kentucky Employers Look For
The qualifications that appear most often in COTA jobs across Kentucky.
- Active Kentucky cota license issued by the Kentucky Board of Licensure for Occupational Therapy
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- Associate degree in occupational therapy assistant from an ACOTE-accredited program
- CPR and Basic Life Support certification current at time of hire
- Experience with EMR documentation systems such as Optima or Therapy Source
- Ability to meet physical demands including patient transfers and sustained standing
COTA Jobs in Kentucky: Frequently Asked Questions
How do you become a cota in Kentucky?
To become a cota in Kentucky, you must complete an associate degree from an ACOTE-accredited occupational therapy assistant program, pass the NBCOT Certified Occupational Therapy Assistant exam, and then apply for a license through the Kentucky Board of Licensure for Occupational Therapy. The board requires proof of your NBCOT certification and program completion before issuing an active state license, which is required before you can practice in any Kentucky setting.
Which companies hire cotas in Kentucky?
Employers hiring cotas in Kentucky right now include Broad River Rehab, Signature HealthCARE, and Adoration Health, based on current listings on Migrate Mate as of October 2026. Kentucky's concentration of long-term care chains, regional hospital systems, and school districts creates consistent year-round openings rather than purely seasonal demand.
Which Kentucky cities have the most cota jobs?
Louisville, Bowling Green, and Lebanon lead Kentucky for cota openings. Louisville drives the largest share because of its dense network of rehabilitation hospitals, skilled nursing facilities, and pediatric therapy clinics, while Lexington's university medical complex and Bowling Green's growing regional health system keep both markets active beyond the metro core.
How can I get hired as a cota in Kentucky with little or no experience?
The most realistic entry path is applying to new-graduate or associate-level positions at skilled nursing facilities, which consistently hire cotas fresh out of accredited programs across Kentucky. Large employers such as Baptist Health and regional long-term care networks in Louisville and Lexington often bring on new graduates under the supervision of an occupational therapist. Completing your fieldwork hours at a Kentucky facility and obtaining your NBCOT certification before your first interview gives you a clear edge. Roles listed as rehab aide or therapy technician also provide a recognized lateral route into supervised cota work.
Where can I find and apply to cota jobs in Kentucky?
You can find and apply to cota jobs in Kentucky on Migrate Mate, which lists current openings from employers actively hiring across the state. Search the listings to find roles that match your experience level, specialty, and preferred location, then apply directly to the ones that fit.
See All 27 COTA Jobs in Kentucky
Find roles in Kentucky that match your experience and apply in just a few clicks.
Find COTA Jobs