COTA Jobs in Washington

COTA jobs in Washington concentrate in school districts, skilled nursing facilities, pediatric clinics, and acute rehabilitation settings, with demand running consistently high from entry-level assistants to senior clinicians across the Seattle-Tacoma corridor, Spokane, and the Tri-Cities area. Large employers with an established presence include Providence Health and Services, MultiCare Health System, and Yakima Valley Farm Workers Clinic, all of which maintain ongoing cota hiring across the state. The most in-demand specialties are pediatric therapy, geriatric rehabilitation, and school-based occupational therapy services. Find a role that fits below and apply directly.

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Overview

Open roles45
Top employerHiredFirst
Top citySeattle, WA
Cities hiring28
Work type100% On-site
Top industryHealthcare

Showing 4 of 45+ COTA jobs

EmpowerMe Wellness
Licensed Certified Occupational Therapy Assistant (COTA) Part-Time
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EmpowerMe Wellness
Added 2d ago
Licensed Certified Occupational Therapy Assistant (COTA) Part-Time
EmpowerMe Wellness
Mercer Island, Washington
Healthcare Administration
Patient Services & Wellbeing
Public Health
$33 - $41/hr
1,001-5,000

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H
Certified Occupational Therapy Assistant (COTA)
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H
Added 2d ago
Certified Occupational Therapy Assistant (COTA)
HiredFirst
Seattle, Washington
Healthcare Administration
Patient Services & Wellbeing
Public Health

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Virginia Mason Franciscan Health Rehabilitation Hospital
Occupational Therapist Assistant, (COTA)
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Virginia Mason Franciscan Health Rehabilitation Hospital
Added 1w ago
Occupational Therapist Assistant, (COTA)
Virginia Mason Franciscan Health Rehabilitation Hospital
Tacoma, Washington
Executive Leadership & C-Suite
Program Management
Project Management
$36.72 - $54.05/hr
CPR Certification

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Powerback Rehabilitation
Occupational Therapy Assistant (COTA)
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Powerback Rehabilitation
Added 1w ago
Occupational Therapy Assistant (COTA)
Powerback Rehabilitation
Tacoma, Washington
Clinical Support
Healthcare Administration
Human Resources
Nursing
$37 - $42/hr
5,001-10,000

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COTA Jobs by City in Washington

Where Washington roles are concentrated, by current openings.

Seattle
4 jobs
Colfax
3 jobs
Tacoma
3 jobs
Aberdeen
3 jobs
Pasco
2 jobs
Everett
2 jobs
Spokane
2 jobs
Longview
2 jobs
Puyallup
2 jobs

COTA Job Market in Washington

A snapshot from current Washington openings, updated as new roles post.

Who's Hiring

  • H
    HiredFirst17
  • Powerback Rehabilitation
    Powerback Rehabilitation8
  • Independence Rehab
    Independence Rehab3
  • Caldera Care
    Caldera Care2
  • EmpowerMe Wellness
    EmpowerMe Wellness2

Top Industries Hiring

  • Healthcare & Medical Services

What Washington Employers Look For

The qualifications that appear most often in COTA jobs across Washington.

  • Active Washington State occupational therapy assistant license issued by the Washington State Department of Health
  • Current NBCOT certification as a Certified Occupational Therapy Assistant
  • Associate degree in occupational therapy assisting from an ACOTE-accredited program
  • Ability to work under the supervision of a licensed occupational therapist as required by Washington State law
  • Basic Life Support or CPR certification current at time of hire
  • Experience or clinical fieldwork in pediatric, geriatric, or school-based occupational therapy settings

COTA Jobs in Washington: Frequently Asked Questions

How do you become a cota in Washington?

To become a cota in Washington, you must earn an associate degree from an ACOTE-accredited occupational therapy assistant program, pass the NBCOT Certified Occupational Therapy Assistant examination, and then apply for a Washington State occupational therapy assistant license through the Washington State Department of Health. The Department of Health requires proof of education, passing NBCOT scores, and a completed application before you can legally practice in the state.

Which companies hire cotas in Washington?

Washington cota roles are posted by HiredFirst, Powerback Rehabilitation, and Independence Rehab and others right now, based on current listings on Migrate Mate as of August 2026. Washington's large integrated health systems, school districts, and long-term care networks create consistent year-round demand for cotas across both urban and rural communities.

Which Washington cities have the most cota jobs?

Seattle, Colfax, and Tacoma have the most cota openings in Washington right now. Seattle and Tacoma drive volume through their dense concentration of health systems, pediatric clinics, and school districts, while Spokane anchors eastern Washington hiring through Providence Health, MultiCare, and a network of rural outreach programs that draw cotas to the region.

Are there remote cota jobs in Washington?

Yes, but they're rare. Cota work is inherently hands-on, requiring direct patient contact in clinics, schools, and facilities, so fully remote positions make up a small fraction of the market. About 0% of cota openings tied to Washington are remote or hybrid as of August 2026, and those that do exist tend to involve documentation, care coordination, or telehealth-supported supervision rather than direct therapy delivery.

How can I get hired as a cota in Washington with little or no experience?

The most realistic entry path is applying directly to school districts and skilled nursing facilities, which in Washington regularly hire new graduates completing their final fieldwork rotations. Providence Health and MultiCare Health System both onboard new cotas through structured clinical orientation programs. Candidates who hold an active Washington Department of Health license and current NBCOT certification have a clear advantage, and lateral moves from therapy aide or rehab tech roles at the same facility are a common way to step into a cota position without prior independent experience.

Where can I find and apply to cota jobs in Washington?

You can find and apply to cota jobs in Washington on Migrate Mate, which lists current Washington openings updated regularly. Search the listings, find roles that match your experience and preferred location, and apply directly to the employers posting them.

See All 45 COTA Jobs in Washington

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