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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PRN opportunity!:
The Certified Occupational Therapist Assistant assumes clinical responsibility in an assigned facility. This is a professional position with the primary responsibility of direct patient care under the supervision of the Occupational Therapist. Additional duties of an administrative nature are to be performed as assigned.:
You will:
- Under the supervision of a Occupational Therapist, is at all times responsible to follow all state specific laws governing the provision of occupational therapy in home care
- Follow the treatment set only as defined by the Occupational Therapist; to perform only those procedures that the COTA is qualified and trained to perform
- Make all recommendations for changes in the plan of care to the supervising Occupational Therapist.
- Aligned Mission and Values - Shared company values of Integrity, Respect, Commitment to Excellence, Accountability, and Teamwork. Foster a culture of excellence and collaboration between departments - focusing on individualized care for the residents.
- Enhanced Quality of Care - Deliver consistent, personalized care through dedicated in-house teams, ensuring resident needs are met by tailored programs and a collaborative Rehab Care Model approach.
- Perks - Offer robust benefits, including continuing education funding (up to $750 annually with up to 2 days paid time off for CE course/training), license renewal, EPA program, in-house training, generous PTO including double-time holiday pay if worked for 8 recognized holidays, and leadership development through NARA and Management initiatives.
- Possess a degree in Occupational Therapy Assistant from an accredited program.
- Possess, prior to, onboarding and maintain a current, unrestricted license to practice as a Certified Occupational Therapy Assistant in assigned state.
- Adaptability, compassion, detail oriented, friendly courteous.
- A moderate degree of physical strength is needed because of the exertion required to assist patients.
- Ability to kneel, stoop and stand for long periods of time with or without accommodation.
- Medical / Dental / Vision Insurance
- Prescription Drug Coverage
- Vacation/Sick/Paid Time Off (PTO) - Based on State
- Paid Life Insurance
- Employee Assistance Program (EAP)
- Employee Discounts (movies, restaurants, gifts, more)
- 401-K
PRN opportunity!:
The Certified Occupational Therapist Assistant assumes clinical responsibility in an assigned facility. This is a professional position with the primary responsibility of direct patient care under the supervision of the Occupational Therapist. Additional duties of an administrative nature are to be performed as assigned.:
You will:
- Under the supervision of a Occupational Therapist, is at all times responsible to follow all state specific laws governing the provision of occupational therapy in home care
- Follow the treatment set only as defined by the Occupational Therapist; to perform only those procedures that the COTA is qualified and trained to perform
- Make all recommendations for changes in the plan of care to the supervising Occupational Therapist.
- Aligned Mission and Values - Shared company values of Integrity, Respect, Commitment to Excellence, Accountability, and Teamwork. Foster a culture of excellence and collaboration between departments - focusing on individualized care for the residents.
- Enhanced Quality of Care - Deliver consistent, personalized care through dedicated in-house teams, ensuring resident needs are met by tailored programs and a collaborative Rehab Care Model approach.
- Perks - Offer robust benefits, including continuing education funding (up to $750 annually with up to 2 days paid time off for CE course/training), license renewal, EPA program, in-house training, generous PTO including double-time holiday pay if worked for 8 recognized holidays, and leadership development through NARA and Management initiatives.
- Possess a degree in Occupational Therapy Assistant from an accredited program.
- Possess, prior to, onboarding and maintain a current, unrestricted license to practice as a Certified Occupational Therapy Assistant in assigned state.
- Adaptability, compassion, detail oriented, friendly courteous.
- A moderate degree of physical strength is needed because of the exertion required to assist patients.
- Ability to kneel, stoop and stand for long periods of time with or without accommodation.
- Medical / Dental / Vision Insurance
- Prescription Drug Coverage
- Vacation/Sick/Paid Time Off (PTO) - Based on State
- Paid Life Insurance
- Employee Assistance Program (EAP)
- Employee Discounts (movies, restaurants, gifts, more)
- 401-K
See All 28 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
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 Powerback Rehabilitation, HiredFirst, and Regency Pacific and others right now, based on current listings on Migrate Mate as of October 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, Tacoma, and Everett 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 October 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 28 COTA Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
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