COTA Jobs in Missouri
COTA jobs in Missouri are in consistent demand, with steady hiring running through healthcare systems, skilled nursing facilities, school districts, and outpatient rehabilitation clinics serving both urban centers and rural communities. The strongest hiring concentrations are in Kansas City, St. Louis, and Springfield, where employers like SSM Health, Mercy Health, and BJC HealthCare maintain large therapy staffing operations. Hand therapy, pediatric rehabilitation, and geriatric care are the most in-demand specialties for cotas across the state. Scan the live roles below and apply to whichever ones fit.
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The COTA Certified Occupational Therapist Assistant provides direct rehab care in occupational therapy to patients upon physician referral under the supervision of a licensed Occupational Therapist (OT) in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements:
- NBCOT certified upon hire, but renewal is optional going forward
- Graduate of an accredited program in occupational therapy (ASOT)
- Currently registered/licensed in applicable State. Must maintain an active license in good standing throughout employment.
- One (1) year experience preferred; new grads welcome to apply
- CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.
- Participates in community health matters/projects as appropriate
- Proficient in Microsoft Word, Excel, and e mail
- Liaisons with patients, families, support departments, etc., to adequately plan for patient needs
- Demonstrate good body mechanics at all times
- Make independent decisions when circumstances warrant such action
- Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
- Implement and interpret the programs, goals, objectives, policies, and procedures of the department
- Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
- Maintains professional working relationships with all associates, vendors, etc.
- Maintains confidentiality of all proprietary and/or confidential information
- Understand and follow company policies including harassment and compliance procedures
- Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
- Follow occupational treatment plans for patients under the direction of the supervising OT
- Chart appropriately and timely
- Utilize therapy software appropriately and accurately
- Exhibit excellent customer service and a positive attitude towards patients
- Assist in the evacuation of patients
- Demonstrate dependable, regular attendance
- Concentrate and use reasoning skills and good judgment
- Communicate and function productively on an interdisciplinary team
- Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
- Read, write, speak, and understand the English language
The COTA Certified Occupational Therapist Assistant provides direct rehab care in occupational therapy to patients upon physician referral under the supervision of a licensed Occupational Therapist (OT) in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements:
- NBCOT certified upon hire, but renewal is optional going forward
- Graduate of an accredited program in occupational therapy (ASOT)
- Currently registered/licensed in applicable State. Must maintain an active license in good standing throughout employment.
- One (1) year experience preferred; new grads welcome to apply
- CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment.
- Participates in community health matters/projects as appropriate
- Proficient in Microsoft Word, Excel, and e mail
- Liaisons with patients, families, support departments, etc., to adequately plan for patient needs
- Demonstrate good body mechanics at all times
- Make independent decisions when circumstances warrant such action
- Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
- Implement and interpret the programs, goals, objectives, policies, and procedures of the department
- Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
- Maintains professional working relationships with all associates, vendors, etc.
- Maintains confidentiality of all proprietary and/or confidential information
- Understand and follow company policies including harassment and compliance procedures
- Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
- Follow occupational treatment plans for patients under the direction of the supervising OT
- Chart appropriately and timely
- Utilize therapy software appropriately and accurately
- Exhibit excellent customer service and a positive attitude towards patients
- Assist in the evacuation of patients
- Demonstrate dependable, regular attendance
- Concentrate and use reasoning skills and good judgment
- Communicate and function productively on an interdisciplinary team
- Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
- Read, write, speak, and understand the English language
See All 52 COTA Jobs in Missouri
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Find COTA JobsCOTA Jobs by City in Missouri
Where Missouri roles are concentrated, by current openings.
COTA Job Market in Missouri
A snapshot from current Missouri openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Staffing & Recruiting
What Missouri Employers Look For
The qualifications that appear most often in COTA jobs across Missouri.
- Active Missouri COTA license issued by the Missouri State Board of Occupational Therapy
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- At least one year of clinical experience in a rehabilitation or skilled nursing setting
- Ability to document treatment progress accurately in electronic health record systems
- Valid CPR and Basic Life Support certification current at time of hire
COTA Jobs in Missouri: Frequently Asked Questions
How do you become a cota in Missouri?
To become a cota in Missouri, you must complete an associate degree from an ACOTE-accredited occupational therapy assistant program, pass the NBCOT certification exam, and then apply for licensure through the Missouri State Board of Occupational Therapy. Missouri requires an active state license before you can practice. Many community colleges in Missouri, including St. Louis Community College and Ozarks Technical Community College, offer accredited programs that lead directly to licensure eligibility.
Which companies hire cotas in Missouri?
Companies currently hiring cotas in Missouri include Voyage Health, EmpowerMe Wellness, and Aspire Senior Living, per current listings on Migrate Mate as of August 2026. Missouri's large integrated health systems, long-term care networks, and school districts consistently maintain some of the highest cota hiring volume in the state.
Which Missouri cities have the most cota jobs?
St. Louis, Kansas City, and Saint Joseph are the Missouri cities with the most cota openings. Kansas City and St. Louis lead because of their dense concentrations of hospital systems, outpatient rehab groups, and skilled nursing facilities, while Springfield supports strong demand through Mercy Health and CoxHealth anchoring the southwest region's rehabilitation services.
Are there remote cota jobs in Missouri?
Yes, but they're rare. Cota work is fundamentally hands-on and requires direct patient contact, which limits remote options significantly. About 8% of cota openings tied to Missouri are remote or hybrid as of August 2026, and those roles typically involve documentation review, care coordination, or telehealth-based consultations rather than direct treatment.
How can I get hired as a cota in Missouri with little or no experience?
The most realistic entry path is applying for new-graduate positions at skilled nursing facilities or inpatient rehabilitation units, where Missouri employers like Mercy Rehab and SSM Health regularly onboard cotas without prior post-licensure experience. School districts across Missouri also hire entry-level cotas for pediatric settings, often providing structured mentorship. Completing your fieldwork rotations at a Missouri facility often leads directly to a job offer, and holding an active Missouri license at the time of application gives you a clear edge over candidates still awaiting results.
Where can I find and apply to cota jobs in Missouri?
You can find and apply to cota jobs in Missouri on Migrate Mate, which lists current openings from employers hiring across the state. Search the roles available, find the ones that match your experience and preferred location, and apply directly to the ones that fit.
See All 52 COTA Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
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