COTA Jobs in West Virginia
COTA jobs in West Virginia are concentrated in skilled nursing facilities, inpatient rehabilitation, school-based therapy, and home health, with steady hiring at every level from new graduate to experienced clinician. The busiest markets are Charleston, Huntington, and Morgantown, where employers like WVU Medicine, Thomas Health, and Cabell Huntington Hospital maintain consistent cota staffing. Pediatric, geriatric, and hand therapy specialties see the strongest demand across the state. Scan the live roles below and apply to whichever ones fit.
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At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
Continuing Education: Keep growing with free CEUs through Medbridge.
H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Location/work environment: In facility
Reporting structure: Reporting to Director of Rehab
As an Occupational Therapy Assistant, you help patients get well. You are the person who can bring their power back. In doing this, you will implement occupational therapy programs and activities, follow developed recovery plans, and deliver therapy treatments.
Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated and individualized solutions. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back. It's patient-centered care that provides a sustainable way of feeling better, moving better, breathing better, and living better.
Working in a company that values growth and understands what it means to be a caregiver is refreshing. Our CEO is a former staff therapist. We offer growth, paths forward, and we are committed to patient-centered care. We are growing, stable, and need people like you, who have a calling to help people thrive.
2. You'll hear back from us within 1 business day.
3. If you meet the qualifications, a recruiter will call you for a 10-minute conversation within 2-3 business days, depending on your availability.
4. You will then be presented to the hiring manager
5. The hiring manager will reach out within a business day to schedule the interview.
This all happens within 1-5 business days from the phone screen.
7. If the hiring manager wants to move forward, you will hear from us within a business day, because we are excited to get you started!
2. Initial certification obtained from the National Board for Certification in Occupational Therapy.
3. They must be licensed and/or eligible for licensure as required in the state of practice.
See All 14 COTA Jobs in West Virginia
Find roles in West Virginia that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in West Virginia
Where West Virginia roles are concentrated, by current openings.
COTA Job Market in West Virginia
A snapshot from current West Virginia openings, updated as new roles post.
Who's Hiring



What West Virginia Employers Look For
The qualifications that appear most often in COTA jobs across West Virginia.
- Active West Virginia COTA license issued by the West Virginia Board of Occupational Therapy
- Graduation from an ACOTE-accredited occupational therapy assistant program
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- Minimum one year of clinical experience in a relevant care setting preferred
- Ability to document patient progress in an electronic health record system
- Valid CPR and Basic Life Support certification from an accredited provider
COTA Jobs in West Virginia: Frequently Asked Questions
How do you become a cota in West Virginia?
To work as a cota in West Virginia, you must hold an active license issued by the West Virginia Board of Occupational Therapy. The path begins with completing an ACOTE-accredited occupational therapy assistant associate degree program, then passing the NBCOT certification exam. After passing, you apply for licensure through the West Virginia Board of Occupational Therapy and must renew that license on a regular continuing education cycle to maintain active status.
Which companies hire cotas in West Virginia?
Employers hiring cotas in West Virginia right now include Powerback Rehabilitation, CommuniCare Health Services, and Odyssey Rehabilitation, based on current listings on Migrate Mate as of October 2026. West Virginia's mix of rural health systems, long-term care networks, and school districts creates consistent openings for cotas well beyond the major metros.
Which West Virginia cities have the most cota jobs?
Belmont, Martinsburg, and Logan have the most cota openings in West Virginia. Charleston anchors the market as the state capital and home to its largest hospital networks, Morgantown draws demand from WVU Medicine and the university health sciences campus, and Huntington's concentration of rehabilitation and long-term care facilities sustains steady hiring for cotas in that corridor.
How can I get hired as a cota in West Virginia with little or no experience?
The most realistic entry path is applying to Level II fieldwork placements and new-graduate positions at West Virginia skilled nursing facilities and rehabilitation centers, which routinely hire cotas straight out of accredited programs. WVU Medicine and larger long-term care networks in the Charleston and Huntington areas often onboard new graduates with structured mentorship. Passing your NBCOT exam and securing your West Virginia Board of Occupational Therapy license before you apply gives you an immediate edge over candidates who are still pending credentials.
Where can I find and apply to cota jobs in West Virginia?
You can find and apply to cota jobs in West Virginia on Migrate Mate, which lists current openings from employers actively hiring in the state. Search the listings to find roles that match your experience level, specialty, and preferred location, then apply directly to the ones that fit.
See All 14 COTA Jobs in West Virginia
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