COTA Jobs in Virginia
COTA jobs in Virginia are concentrated in the Richmond, Northern Virginia, and Hampton Roads metro areas, where school systems, rehabilitation networks, and skilled nursing facilities generate consistent openings at every level from new graduates to lead clinicians. Large employers with a lasting footprint in the state include Sentara Healthcare, Inova Health System, and Virginia Commonwealth University Health System, all of which maintain ongoing cota hiring across inpatient rehab, pediatric, and geriatric settings. Pediatric school-based therapy and skilled nursing facility care are the most in-demand specialties across Virginia right now. Scan the live roles below and apply to whichever ones fit.
Find COTA JobsOverview
Showing 5 of 71+ COTA jobs
State of Location:
VirginiaPosition Summary:
As an outpatient pediatric clinician, you will have the chance to work with many children from birth to age twenty-one. Our teammates are dedicated to the treatment of our young patients, providing individualized one-to-one attention and customized plans of care to meet your child’s needs. Parents and caregivers are encouraged to attend sessions so they can carry skills and home exercises into their child's daily life. Ivy's rewarding work environment allows multi-disciplinary collaboration and mentorship while maintaining autonomy and growth that is specific to each of our clinician's passions and expertise.Job Description:
Pediatric Occupational Therapy Assistant
Full Time, Hourly
Compensation Range: $30 – $38 per hour
Full Benefits in Your First 30 Days:
- Medical, dental, vision insurance
- 401k with company matching contribution
- Disability & life insurance
- Pet insurance discounts for your fur babies
- Paid parental leave and maternity leave
- Gym and wellness discounts
- Free mental health + financial services
- Annual CEU allowance + paid CEU days annually
- Generous PTO Program & 6 paid holidays annually
Additional compensation
This position is also eligible for: bonus
At Ivy Rehab for Kids, you are not just an employee - you are a valued teammate!
We are seeking an outpatient pediatric therapist, who is a big kid at heart, to join our dedicated team at Ivy Rehab. Let’s come together to provide patients with access to world-class care and outcomes for those in need of physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. By promoting authenticity, inclusion, growth, community, and a passion for providing exceptional care to every single patient, we provide the resources and support necessary to invest in our clinicians.
Why Choose Ivy?
Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
Innovative Resources & Mentorship: Access to abundant resources, robust mentorship, and career advice for unparalleled success.
Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Bi-weekly productivity bonuses, generous PTO (Paid Time Off) plans, paid holidays, and annual CEU (Continuing education) incentives. Tax free student loan repayment options, sign-on bonus, or relocation assistance.
Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
Commitment to Clinical Excellence:
We take pride in the extraordinary accomplishments of our clinicians. How will Ivy Rehab invest in you?
Exceptional Support: Many opportunities for mentorship and peer-to-peer learning. Professional Education Planning (PEP) using specialization road maps.
Limitless CEU Learning: Live and on-demand subscriptions, free course seats, generous discounts, and annual CEU reimbursement. Multiple in-house hosted courses offered for our pediatric and orthopedic clinicians.
Growth & Development: Reward and recognition for skill development and professional accomplishments through our Clinical Career Ladder. Multiple leadership programs to provide the tools necessary for career growth.
Residency Programs: Build your expertise and specialization with multiple program options including pediatric-focused residencies for PT, OT, and SLP. Learn more here!
Partnership Opportunity: Industry leading De Novo equity partnership model. Fully supported and backed by Ivy, open your own clinic(s) in your local community!
Patient-First Mentality: Reasonable caseloads so you can spend more time with your patients focusing on their individualized treatment plan.
At Ivy, we foster a culture of lifelong learning. Experienced teammates are encouraged to become certified clinical instructors and mentor students.
Position Qualifications:
Graduate from an accredited Occupational Therapy Assistant program.
Current or pending licensure as an Occupational Therapy Assistant within the respective state.
- Dedication to exceptional patient outcomes and quality of care.
The compensation range listed reflects the good faith estimate of pay this organization reasonably expects to offer for this position at the time of posting. Actual compensation will be determined based on relevant factors including skills, experience, qualifications, and work location. This range applies to the base salary or hourly rate only and does not include bonuses, benefits, or other forms of compensation that may be offered.
We do not inquire about salary history as part of our hiring process.
#LI-HE1
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyhealth.com
State of Location:
VirginiaPosition Summary:
As an outpatient pediatric clinician, you will have the chance to work with many children from birth to age twenty-one. Our teammates are dedicated to the treatment of our young patients, providing individualized one-to-one attention and customized plans of care to meet your child’s needs. Parents and caregivers are encouraged to attend sessions so they can carry skills and home exercises into their child's daily life. Ivy's rewarding work environment allows multi-disciplinary collaboration and mentorship while maintaining autonomy and growth that is specific to each of our clinician's passions and expertise.Job Description:
Pediatric Occupational Therapy Assistant
Full Time, Hourly
Compensation Range: $30 – $38 per hour
Full Benefits in Your First 30 Days:
- Medical, dental, vision insurance
- 401k with company matching contribution
- Disability & life insurance
- Pet insurance discounts for your fur babies
- Paid parental leave and maternity leave
- Gym and wellness discounts
- Free mental health + financial services
- Annual CEU allowance + paid CEU days annually
- Generous PTO Program & 6 paid holidays annually
Additional compensation
This position is also eligible for: bonus
At Ivy Rehab for Kids, you are not just an employee - you are a valued teammate!
We are seeking an outpatient pediatric therapist, who is a big kid at heart, to join our dedicated team at Ivy Rehab. Let’s come together to provide patients with access to world-class care and outcomes for those in need of physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. By promoting authenticity, inclusion, growth, community, and a passion for providing exceptional care to every single patient, we provide the resources and support necessary to invest in our clinicians.
Why Choose Ivy?
Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
Innovative Resources & Mentorship: Access to abundant resources, robust mentorship, and career advice for unparalleled success.
Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Bi-weekly productivity bonuses, generous PTO (Paid Time Off) plans, paid holidays, and annual CEU (Continuing education) incentives. Tax free student loan repayment options, sign-on bonus, or relocation assistance.
Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
Commitment to Clinical Excellence:
We take pride in the extraordinary accomplishments of our clinicians. How will Ivy Rehab invest in you?
Exceptional Support: Many opportunities for mentorship and peer-to-peer learning. Professional Education Planning (PEP) using specialization road maps.
Limitless CEU Learning: Live and on-demand subscriptions, free course seats, generous discounts, and annual CEU reimbursement. Multiple in-house hosted courses offered for our pediatric and orthopedic clinicians.
Growth & Development: Reward and recognition for skill development and professional accomplishments through our Clinical Career Ladder. Multiple leadership programs to provide the tools necessary for career growth.
Residency Programs: Build your expertise and specialization with multiple program options including pediatric-focused residencies for PT, OT, and SLP. Learn more here!
Partnership Opportunity: Industry leading De Novo equity partnership model. Fully supported and backed by Ivy, open your own clinic(s) in your local community!
Patient-First Mentality: Reasonable caseloads so you can spend more time with your patients focusing on their individualized treatment plan.
At Ivy, we foster a culture of lifelong learning. Experienced teammates are encouraged to become certified clinical instructors and mentor students.
Position Qualifications:
Graduate from an accredited Occupational Therapy Assistant program.
Current or pending licensure as an Occupational Therapy Assistant within the respective state.
- Dedication to exceptional patient outcomes and quality of care.
The compensation range listed reflects the good faith estimate of pay this organization reasonably expects to offer for this position at the time of posting. Actual compensation will be determined based on relevant factors including skills, experience, qualifications, and work location. This range applies to the base salary or hourly rate only and does not include bonuses, benefits, or other forms of compensation that may be offered.
We do not inquire about salary history as part of our hiring process.
#LI-HE1
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyhealth.com
See All 71 COTA Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in Virginia
Where Virginia roles are concentrated, by current openings.
COTA Job Market in Virginia
A snapshot from current Virginia openings, updated as new roles post.
Who's Hiring
- Ivy Rehab Network13
- HiredFirst11H
- Continuum Therapy Partners11
- Enhabit Home Health & Hospice7
- Voyage Health5V
Top Industries Hiring
- Healthcare & Medical Services
What Virginia Employers Look For
The qualifications that appear most often in COTA jobs across Virginia.
- Active Virginia occupational therapy assistant license issued by the Virginia Board of Medicine
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- Associate degree in occupational therapy assisting from an accredited program
- Experience working under the supervision of a licensed occupational therapist
- Familiarity with electronic health record systems such as Epic or Meditech
- Valid CPR and Basic Life Support certification from an accredited provider
COTA Jobs in Virginia: Frequently Asked Questions
How do you become a cota in Virginia?
To work as a cota in Virginia, you must hold an active occupational therapy assistant license issued by the Virginia Board of Medicine. That requires graduating from an accredited associate-level occupational therapy assistant program, completing your fieldwork hours, and passing the NBCOT certification exam. Once certified, you apply for licensure through the Virginia Board of Medicine before practicing in the state.
Which companies hire cotas in Virginia?
Companies currently hiring cotas in Virginia include Ivy Rehab Network, HiredFirst, and Continuum Therapy Partners, per current listings on Migrate Mate as of August 2026. Virginia's concentration of large health systems, school divisions contracting therapy services, and skilled nursing networks means cota demand is spread across both urban medical centers and suburban community care settings.
Which Virginia cities have the most cota jobs?
The Virginia cities with the most cota openings are Richmond, Charlottesville, and Suffolk. Richmond and Northern Virginia lead because of their large hospital systems, outpatient rehabilitation networks, and public school divisions with robust therapy service contracts, while Hampton Roads benefits from Sentara's regional footprint and a large population of older adults driving skilled nursing demand.
Are there remote cota jobs in Virginia?
Yes, but they're rare. Cota work is inherently hands-on, so the vast majority of roles require in-person patient contact. About 0% of cota openings tied to Virginia are remote or hybrid as of August 2026, and those positions are almost exclusively in documentation review, telehealth consultation, or supervisory roles that carry reduced direct patient care responsibilities.
How can I get hired as a cota in Virginia with little or no experience?
The most realistic entry path is applying directly to school-based therapy contract positions and skilled nursing facilities, both of which regularly onboard new graduates in Virginia. Large employers like Sentara Healthcare and Inova run structured new-graduate orientation tracks that pair cotas with supervising occupational therapists. Completing your NBCOT certification before applying and having your Virginia Board of Medicine license in hand removes the most common barrier hiring managers cite for entry-level candidates.
Where can I find and apply to cota jobs in Virginia?
You can find and apply to cota jobs in Virginia on Migrate Mate, which lists current Virginia openings across health systems, school-based settings, and rehabilitation facilities. Search the roles on this page, find the ones that match your license level and preferred setting, and apply directly to whichever positions fit.
See All 71 COTA Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find COTA Jobs