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.
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Showing 5 of 59+ COTA jobs
- mileage
- 401(k)
- 401(k) matching
- Flexible schedule
Talin Home Healthcare is seeking a dedicated and compassionate Certified Occupational Therapy Assistant (COTA) to join our dynamic team. The COTA will work under the supervision of a licensed Occupational Therapist to provide high-quality care to patients across various settings, including pediatrics, outpatient services, skilled nursing facilities, and acute care environments. The ideal candidate will have a strong understanding of anatomy and physiology, as well as experience in developing and implementing care plans that enhance patients' functional abilities and improve their quality of life.
- Assist in the implementation of individualized treatment plans as directed by the Occupational Therapist.
- Provide therapeutic interventions to patients focusing on Activities of Daily Living (ADLs) to promote independence.
- Conduct assessments and document patient progress in accordance with established protocols.
- Collaborate with healthcare professionals to ensure comprehensive patient care.
- Educate patients and their families about treatment goals and strategies for home exercises.
- Maintain accurate records of patient treatments, progress notes, and any changes in condition.
- Adhere to safety protocols and maintain a clean and organized work environment.
- Certification as an Occupational Therapy Assistant from an accredited program.
- Knowledge of medical terminology related to occupational therapy practices.
- Experience or familiarity with home healthcare, outpatient therapy, skilled nursing facilities, or acute care settings is preferred.
- Strong understanding of anatomy and physiology relevant to therapeutic practices.
- Ability to implement effective care plans tailored to individual patient needs.
- Excellent communication skills for interacting with patients, families, and interdisciplinary teams.
- Compassionate demeanor with a commitment to providing quality patient-centered care.
- 401(k)
- Flexible schedule
- Referral program
- Travel reimbursement
- Home Health
- Occupational Therapy Assistant License (Required)
- mileage
- 401(k)
- 401(k) matching
- Flexible schedule
Talin Home Healthcare is seeking a dedicated and compassionate Certified Occupational Therapy Assistant (COTA) to join our dynamic team. The COTA will work under the supervision of a licensed Occupational Therapist to provide high-quality care to patients across various settings, including pediatrics, outpatient services, skilled nursing facilities, and acute care environments. The ideal candidate will have a strong understanding of anatomy and physiology, as well as experience in developing and implementing care plans that enhance patients' functional abilities and improve their quality of life.
- Assist in the implementation of individualized treatment plans as directed by the Occupational Therapist.
- Provide therapeutic interventions to patients focusing on Activities of Daily Living (ADLs) to promote independence.
- Conduct assessments and document patient progress in accordance with established protocols.
- Collaborate with healthcare professionals to ensure comprehensive patient care.
- Educate patients and their families about treatment goals and strategies for home exercises.
- Maintain accurate records of patient treatments, progress notes, and any changes in condition.
- Adhere to safety protocols and maintain a clean and organized work environment.
- Certification as an Occupational Therapy Assistant from an accredited program.
- Knowledge of medical terminology related to occupational therapy practices.
- Experience or familiarity with home healthcare, outpatient therapy, skilled nursing facilities, or acute care settings is preferred.
- Strong understanding of anatomy and physiology relevant to therapeutic practices.
- Ability to implement effective care plans tailored to individual patient needs.
- Excellent communication skills for interacting with patients, families, and interdisciplinary teams.
- Compassionate demeanor with a commitment to providing quality patient-centered care.
- 401(k)
- Flexible schedule
- Referral program
- Travel reimbursement
- Home Health
- Occupational Therapy Assistant License (Required)
See All 59 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
- Continuum Therapy Partners10
- Talin Home Healthcare6
- Powerback Rehabilitation6
- Saber Healthcare3
- Enhabit Home Health & Hospice3
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 Continuum Therapy Partners, Talin Home Healthcare, and Powerback Rehabilitation, per current listings on Migrate Mate as of October 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 Fredericksburg, Norfolk, and Williamsburg. 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 14% of cota openings tied to Virginia are remote or hybrid as of October 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 59 COTA Jobs in Virginia
Find roles in Virginia that match your experience and apply in just a few clicks.
Find COTA Jobs