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.
Find COTA JobsOverview
Showing 4 of 45+ COTA jobs







This isn’t therapy as usual – it’s therapy reimagined.
Your Impact = Residents’ Independence
- Provide therapy and wellness services (physical, occupational, or speech) for older adults
- Conduct assessments, create personalized care plans, and deliver evidence-based interventions as part of a collaborative team
- Support care coordination with wellness check-ins, caregiver communication, and telehealth support
- Maintain professional and ethical standards in line with company initiatives
- Contribute to program development and continuous quality improvement
- Help residents maximize independence, confidence, and satisfaction
- Impact You Can See: Build meaningful relationships with residents while helping them stay active, safe, and out of the hospital.
- Balance You Can Count On: No late nights, no constant driving — predictable schedules that work for your life.
- Growth You Can Build On: Opportunities for leadership, specialty programs, and professional development.
- Variety Every Day: Therapy, care coordination, and wellness check-ins keep your role dynamic.
- A Supportive Culture: Therapists are celebrated here, not sidelined.
Benefits You’ll Love
Full-Time: Full medical, dental, vision • 401(k) with match • HSA, FSA, Life & Disability Insurance • Voluntary benefits • Flexible Paid Time Off
Part-Time: Voluntary benefits (Accident, Critical Illness, Hospital Indemnity, Employee Assistance Program, Pet Insurance) • 401(k) with match
- Current professional license in your therapy discipline (PT, PTA, OT, COTA, or SLP)
- Passion for empowering seniors to live their best lives
- Strong clinical skills with a collaborative spirit
- Love for teamwork, connection, and being visible in your community
Apply Now
About EmpowerMe Wellness
Guided by our mission of improving the lives of seniors and the communities they call home, our therapists are at the heart of this purpose — delivering care with meaning, building trusted relationships, and shaping the future of senior wellness every day.
$33.00 - $41.00
See All 45 COTA Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
COTA Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
- HiredFirst17H
- Powerback Rehabilitation8

- Independence Rehab3

- Caldera Care2

- 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
Find roles in Washington that match your experience and apply in just a few clicks.
Find COTA Jobs