Green Card COTA Jobs
COTA jobs with green card sponsorship exist across hospital systems, outpatient clinics, and school districts that file PERM labor certifications under EB-3 for skilled allied health workers. Employers must document recruitment efforts, obtain a prevailing wage determination, and file I-140 petitions, making sponsorship a deliberate process that rewards candidates who understand it.
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INTRODUCTION
Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
As the Per Diem Occupational Therapy Assistant (OTA) you will provide skilled therapeutic services to patients in their homes to support functional independence and improve daily living skills. Working under the supervision of a licensed Occupational Therapist, the OTA implements individualized treatment plans, monitors patient progress, and documents outcomes in compliance with physician orders and regulatory requirements. This role emphasizes patient-centered care, safety, and effective rehabilitation in the home care environment.
Primary Responsibilities:
- Provides skilled interventions in accordance with the physician approved plan of care and under the direction and supervision of an occupational therapist
- Provides documentation of each visit according to AOTA documentation guidelines and accepted regulatory standards for inclusion in the patient's clinical record
- Observes, records and reports the patient's response to treatment and any change in the patient's condition to the supervising OT, physician and other appropriate clinical staff
- Provides patient/caregiver resources for future ADL/IADL needs
- Promotes wellness and prevention by promotion of occupational engagement
- Demonstrates knowledge of available community resources/services
- Makes recommendations for follow-up care in coordination with the care center that admitted the patient/client
- Keeps abreast of occupational therapy trends and knowledge for the service provision, documentation skills and care coordination
- Other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
BASIC QUALIFICATIONS
- Graduate of an occupational therapy assistant program, accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association, Inc. (AOTA), or successor organizations of ACOTE
- Current license to practice as an occupational therapy assistant, specific to the state you are assigned to work
- Current CPR certification
- Eligible to take, or has successfully completed, the entry-level certification examination for occupational therapy assistants, developed and administered by the National Board for Certification in Occupational Therapy, Inc. (NBCOT)
- 1+ years of related occupational therapy assistant experience to ensure knowledge and skills are sufficient to safely provide occupational therapy services to patients
- If less than one year of experience, then approval from regional clinical leaders required as well as appropriate mentoring and/or residency program established
COMPENSATION
- Pay Range: $50,852 - $76,277 annual total cash target pay
- $29.34 - $44.01 per visit point
- $24.45 - $36.67 hourly rate
Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Get Access To All JobsTips for Finding Green Card Sponsorship in COTA
Get your COTA credentials verified early
State licensure and the NBCOT certification are both required before a PERM filing can proceed. Confirm your credentials transfer to your target state, since reciprocity rules vary and delays here stall the entire sponsorship timeline.
Target school districts and rehabilitation networks
School districts and multi-site rehab networks file PERM petitions regularly for COTA roles because turnover in these settings is high and workforce shortages are documented. These employers already know the process and are far more likely to sponsor than single-practice outpatient clinics.
Search PERM-filing employers using Migrate Mate
Migrate Mate surfaces employers with active EB-3 sponsorship history for allied health roles, so you can target COTA openings at organizations that have already committed to the PERM process rather than cold-applying and hoping for sponsorship.
Understand how prevailing wage affects your offer
The DOL requires your offered wage to meet the prevailing wage for your specific SOC code and work location. Use the OFLC Wage Search before you negotiate to confirm your offer clears the threshold, since falling below it will invalidate the PERM filing.
Ask employers about their I-140 filing timeline
PERM approval does not lock in your priority date for permanent residency. Filing the I-140 petition with USCIS as soon as possible after PERM certification does. Ask hiring managers whether they file the I-140 concurrently or delay it, since that gap can cost you months on the waiting list.
Distinguish EB-3 sponsorship from H-1B before you apply
PERM-based EB-3 sponsorship leads directly to permanent residency with no annual lottery and no status expiration, unlike H-1B visa. Clarify with employers upfront whether they're offering EB-3 green card sponsorship or a temporary work visa, since the two processes involve completely different timelines and commitments.
Green Card COTA: Frequently Asked Questions
Do COTA roles qualify for EB-3 green card sponsorship?
Yes. COTA positions qualify under the EB-3 skilled worker category, which covers roles that require at least two years of training or education. The employer must complete PERM labor certification with the DOL, demonstrating that no qualified U.S. worker is available, and then file an I-140 petition with USCIS to initiate the permanent residency process on your behalf.
How does EB-3 green card sponsorship differ from H-1B for COTAs?
EB-3 sponsorship is the more direct path for COTAs. H-1B requires annual lottery selection, is temporary, and must be renewed. EB-3 via PERM has no lottery, no annual cap concerns at the skilled worker category level for many countries, and leads to permanent residency. The tradeoff is that PERM involves a longer employer-side process before you're eligible to file for adjustment of status.
Which types of employers sponsor COTAs for green cards?
Hospital systems, inpatient rehabilitation facilities, school districts, and large outpatient therapy networks are the most consistent PERM filers for COTA roles. These employers have dedicated HR infrastructure and documented workforce shortages that satisfy the DOL's labor market test. Smaller private practices rarely sponsor because the administrative and legal costs of PERM are harder to justify for a single hire.
How can I find COTA jobs that include EB-3 green card sponsorship?
Most job postings don't specify PERM or EB-3 sponsorship upfront, so filtering by job title alone won't surface sponsoring employers. Migrate Mate is built specifically for this search, letting you find COTA openings at employers with verified green card sponsorship history so you can focus your applications where sponsorship is already part of the process.
How long does the PERM-to-green-card process take for a COTA?
The full timeline from PERM filing to a green card typically spans two to five years, depending on your country of birth and how backed up USCIS processing is. PERM itself averages 12 to 18 months at DOL. After PERM approval, your employer files the I-140 with USCIS, and then you wait for your priority date to become current before filing for adjustment of status or consular processing.