COTA Jobs in Texas
COTA jobs in Texas are concentrated in Houston, Dallas-Fort Worth, and San Antonio, where large rehabilitation networks, hospital systems, and pediatric facilities maintain steady demand for occupational therapy assistants at every experience level. Major employers with an established Texas presence include CHRISTUS Health, Encompass Health, and U.S. Physical Therapy, alongside school districts and long-term care networks that hire cotas in volume. The most in-demand specialties in the state are pediatric OT, geriatric rehabilitation, and school-based therapy. Scan the live roles below and apply to whichever ones fit.
Find COTA Jobs in TexasOverview
Showing 5 of 140+ COTA jobs
HealthPro Heritage has a great Certified Occupational Therapy Assistant for PRN employment for Belmont at Lakeway in Lakeway, TX.
- Generous pay rates based on experience level
- Beautiful Assisted Living setting
- Flexible schedule
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.
HealthPro Heritage has a great Certified Occupational Therapy Assistant for PRN employment for Belmont at Lakeway in Lakeway, TX.
- Generous pay rates based on experience level
- Beautiful Assisted Living setting
- Flexible schedule
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 140+ COTA Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find COTA Jobs in TexasCOTA Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
COTA Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Care Options For Kids11
- Enhabit Home Health & Hospice6
- Angels of Care Pediatric Home Health6
- AccentCare5
- Fit For Work5
Top Industries Hiring
- Healthcare & Medical Services
- Chemicals & Materials
What Texas Employers Look For
The qualifications that appear most often in COTA jobs across Texas.
- Active Texas State Board of Occupational Therapy Examiners license required
- National Board for Certification in Occupational Therapy certification required
- Associate degree in occupational therapy assistant from an accredited program
- Demonstrated experience with pediatric, geriatric, or school-based OT populations
- Proficiency documenting treatment plans and progress notes in electronic health records
- Strong communication skills for coordinating care with supervising occupational therapists
COTA Jobs in Texas: Frequently Asked Questions
How do you become a cota in Texas?
To become a cota in Texas, you must complete an accredited associate degree program in occupational therapy assisting, pass the NBCOT Certified Occupational Therapy Assistant exam, and obtain an active license from the Texas State Board of Occupational Therapy Examiners. The board requires proof of your NBCOT certification and program completion before issuing a license. Texas does not currently participate in the OT Licensure Compact, so out-of-state cotas must apply for a Texas license directly.
Which companies hire cotas in Texas?
Companies currently hiring cotas in Texas include Care Options For Kids, Enhabit Home Health & Hospice, and Angels of Care Pediatric Home Health, per current listings on Migrate Mate as of October 2026. Texas's large school districts and pediatric rehabilitation networks also represent a consistent source of cota openings alongside the major health systems.
Which Texas cities have the most cota jobs?
Houston, San Antonio, and Dallas have the most cota openings in Texas. Houston and Dallas-Fort Worth drive the bulk of demand through their large hospital systems, pediatric networks, and senior living facilities, while San Antonio's concentration of military families and veteran rehabilitation centers creates additional steady volume for occupational therapy assistants.
Are there remote cota jobs in Texas?
Yes, but they're rare. The cota role is fundamentally hands-on, so most positions require in-person patient contact and cannot be performed remotely. About 6% of cota openings tied to Texas are remote or hybrid as of October 2026, and those tend to be documentation-support, care coordination, or telehealth-adjacent positions that supplement direct clinical work rather than replace it.
How can I get hired as a cota in Texas with little or no experience?
The most realistic entry path is applying to new-graduate positions at large Texas rehabilitation networks like Encompass Health or CHRISTUS Health, which regularly onboard cotas directly from accredited programs with close supervision built in. Texas school districts also hire new cotas for school-based therapy roles, where mentorship from a supervising occupational therapist is a structural part of the job. Having your Texas State Board license in hand before you apply and being open to roles in long-term care or pediatric outpatient settings significantly widens the pool of employers willing to hire without prior clinical experience.
Where can I find and apply to cota jobs in Texas?
You can find and apply to cota jobs in Texas on Migrate Mate, which lists current openings across the state. Search the listings to find roles that match your specialty and preferred location, then apply directly to the ones that fit your background.
See All 140+ COTA Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find COTA Jobs in Texas