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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Certified Occupational Therapy Assistant
Springfield and surrounding areas
Haven Home Health & Hospice is looking for a Certified Occupational Therapy Assistant (COTA) to join our locally owned, clinician-led team serving Springfield and the surrounding communities. At Haven, we know what it’s like to be a clinician in the field because we are one of you.
As part of our team, you’ll enjoy the flexibility of home health and the opportunity to work with a lower patient ratio than in most facilities, giving you the time and space to focus on what really matters, your patients.
Why Choose Haven?
Locally owned and operated
Clinician-owned leadership that puts care quality first
Competitive compensation
Robust benefits package, including PTO
401(k) with generous company match
Flexible scheduling to support work/life balance
What You’ll Do:
Deliver direct occupational therapy services
Carry out individualized plans of care under OT supervision
Coordinate with the OT and other healthcare professionals as needed
Support patients and families through education and communication
What We’re Looking For:
Active Missouri COTA license and certification in good standing
At least 1 year of experience as a COTA within the last 3 years
Strong clinical judgment, communication, and time management skills
Home health experience is a plus
As a COTA with Haven, you will support our core values of dedication to clarity through honest communication, being accountable and committed, doing what is right not what is easy, being forward focused, working in the same direction, and seeking personal and professional growth.
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Certified Occupational Therapy Assistant
Springfield and surrounding areas
Haven Home Health & Hospice is looking for a Certified Occupational Therapy Assistant (COTA) to join our locally owned, clinician-led team serving Springfield and the surrounding communities. At Haven, we know what it’s like to be a clinician in the field because we are one of you.
As part of our team, you’ll enjoy the flexibility of home health and the opportunity to work with a lower patient ratio than in most facilities, giving you the time and space to focus on what really matters, your patients.
Why Choose Haven?
Locally owned and operated
Clinician-owned leadership that puts care quality first
Competitive compensation
Robust benefits package, including PTO
401(k) with generous company match
Flexible scheduling to support work/life balance
What You’ll Do:
Deliver direct occupational therapy services
Carry out individualized plans of care under OT supervision
Coordinate with the OT and other healthcare professionals as needed
Support patients and families through education and communication
What We’re Looking For:
Active Missouri COTA license and certification in good standing
At least 1 year of experience as a COTA within the last 3 years
Strong clinical judgment, communication, and time management skills
Home health experience is a plus
As a COTA with Haven, you will support our core values of dedication to clarity through honest communication, being accountable and committed, doing what is right not what is easy, being forward focused, working in the same direction, and seeking personal and professional growth.
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See All 42 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
- Staffing & Recruiting
- Healthcare & Medical Services
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 Aspire Senior Living, Lifepoint Health, and American Traveler, per current listings on Migrate Mate as of October 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 Springfield 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 0% of cota openings tied to Missouri are remote or hybrid as of October 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 42 COTA Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
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