COTA Jobs in Michigan
COTA jobs in Michigan are concentrated in Detroit, Grand Rapids, and Lansing, where health systems like Henry Ford Health, Spectrum Health, and Beaumont Health maintain large rehabilitation and outpatient therapy departments hiring at every level from new graduate to senior clinician. Demand is strongest in school-based therapy, skilled nursing facility care, and pediatric rehabilitation, reflecting Michigan's aging population and growing special education caseloads. See the openings below and apply to the ones that match your experience.
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Job Overview
We are seeking an Occupational Therapist or a COTA to add to our team
Pay is negotiable for the role based on education, background, and years of experience
Occupational therapists treat patients with injuries, illnesses, or disabilities through the therapeutic use of everyday activities. They help these patients develop, recover, and improve the skills needed for daily living and working. This role provides services in a structured day program that involves a residential semi-independent living environment, with a focus on promoting skill development, independence, and community integration.
The ideal candidate is a strong collaborator with experience in neurorehabilitation or behavioral health and a passion for helping individuals achieve their personal goals in recovery and independent living.
- Provide treatment for clients through meaningful interventions weekly- many of these interventions take place in client’s homes, community, and/or clubhouse
- Complete daily progress notes and participates in discharge notes including recommendations after OT services are completed.
- Complete all paperwork in appropriate time and uploads all evaluations/progress notes onto server daily.
- Provide standardized assessments and evaluations in home and community for the clients
- Monitor and document client performance, behavior, and progress toward goals
- Participate in interdisciplinary treatment team meetings providing a comprehensive summary of OT services being provided to client such as current goals and current progression towards goals.
- Collaborating with clinical team and clients to create therapy clinical schedule.
- Weekly written updates describing summary of tasks completed throughout week
- Weekly work log recording working hours for payroll department.
- Activity log weekly to report on tasks/sessions completed daily.
- Monthly update counts (utilizing therapy tracker) reporting how many therapy sessions each client attended.
Qualifications:
- Master's degree in Occupational Therapy from an accredited university required.
- Associate degree from an accredited Occupational Therapy Assistant program
- Current Michigan COTA license in good standing
- Knowledge and experience of occupational issues related to TBI patients.
- Ability to perform all duties and responsibilities of the job description.
- Suitable personal appearance, behavior, attitude and integrity.
- Able to problem solve, make decisions, set priorities and document in an effective and timely manner.
- Current licensure to practice Occupational therapy in the State of Michigan.
- Reliable means of transportation; current Michigan’s driver’s license, automobile insurance.
- Has prior work experience with demonstrated competency in job duties.
- Communicate effectively and efficiently, both verbally and in writing as well as keep accurately and orderly records.
- Able to work effectively within a team approach as well as independently.
- Computer and software literate.
- Ability to pass a background and drug screen
This Company Describes Its Culture as:
- Detail-oriented -- quality and precision-focused
- Outcome-oriented -- results-focused with strong performance culture
- People-oriented -- supportive and fairness-focused
- Team-oriented -- cooperative and collaborative
Specialty:
- Neurological
- Mental health
Employment Type:
- Full-Time
Patient Populations:
- Adults
Work Remotely
- No
Job Type: Full-time
Join us in delivering exceptional occupational therapy services that transform lives! We are committed to fostering a supportive environment where your skills can thrive while making a positive impact on the communities we serve.
Benefits:
- 401(k) matching
- Continuing education credits
- Dental insurance
- Disability insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Pay: From $25.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k) matching
- Continuing education credits
- Dental insurance
- Disability insurance
- Health insurance
- Health savings account
- Life insurance
- Opportunities for advancement
- Paid time off
- Vision insurance
Work Location: In person
See All 35 COTA Jobs in Michigan
Find roles in Michigan that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in Michigan
Where Michigan roles are concentrated, by current openings.
COTA Job Market in Michigan
A snapshot from current Michigan openings, updated as new roles post.
Who's Hiring



What Michigan Employers Look For
The qualifications that appear most often in COTA jobs across Michigan.
- Active Michigan COTA license issued by the Michigan Board of Occupational Therapy
- Associate degree from an ACOTE-accredited occupational therapy assistant program
- Current NBCOT certification in good standing
- CPR and Basic Life Support certification required at time of hire
- Minimum one year of clinical experience in a skilled nursing or rehabilitation setting
- Demonstrated documentation skills using electronic health record systems such as Epic or Therapyworks
COTA Jobs in Michigan: Frequently Asked Questions
How do you become a cota in Michigan?
To work as a cota in Michigan, you must hold an active license issued by the Michigan Board of Occupational Therapy. The path begins with completing an associate degree from an accredited occupational therapy assistant program, followed by fieldwork hours and passing the NBCOT certification exam. Once certified, you apply directly to the Michigan Board of Occupational Therapy for licensure before practicing in the state.
Which companies hire cotas in Michigan?
Employers hiring cotas in Michigan right now include Therapy Management, Ovation Rehabilitation Services, and Concept Rehab, based on current listings on Migrate Mate as of October 2026. Michigan's large integrated health systems, skilled nursing networks, and school districts are the most consistent sources of full-time cota openings across the state.
Which Michigan cities have the most cota jobs?
The Michigan cities with the most cota openings are Detroit, Livonia, and Kalamazoo. Detroit leads due to the concentration of major health systems and post-acute rehabilitation facilities in the metro, while Grand Rapids and Lansing draw demand from regional hospital networks, outpatient clinics, and school districts that serve large surrounding communities.
Are there remote cota jobs in Michigan?
Yes, but they're rare. Cota work is inherently hands-on, and the large majority of Michigan openings require in-person patient care. About 0% of cota openings tied to Michigan are remote or hybrid as of October 2026, and those positions typically involve telehealth consultations, care coordination, or supervisory roles rather than direct treatment.
How can I get hired as a cota in Michigan with little or no experience?
The most realistic entry path is applying to new-graduate positions at skilled nursing facilities and inpatient rehabilitation units, which Michigan employers such as Henry Ford Health and Spectrum Health regularly post for candidates finishing their fieldwork. School districts across Michigan also hire entry-level cotas under provisional arrangements while licensure finalizes. Having your NBCOT certification and Michigan license in hand before you apply gives you a clear edge over candidates still awaiting results.
Where can I find and apply to cota jobs in Michigan?
You can find and apply to cota jobs in Michigan on Migrate Mate, which lists current Michigan openings across health systems, outpatient clinics, school districts, and skilled nursing facilities. Search for roles that fit your specialty and experience level, then apply directly to the ones that match.
See All 35 COTA Jobs in Michigan
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