Occupational Therapy Assistant Jobs
Occupational Therapy Assistant jobs are open across hospitals, skilled nursing facilities, schools, outpatient clinics, and home health agencies, from entry-level to senior and lead roles, with specializations in pediatrics, geriatrics, and physical rehabilitation. Find a role that fits from the openings below and apply directly.
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Showing 5 of 3,519+ Occupational Therapy Assistant jobs







$2,500 Bonus Eligible!
Experience a Certified Occupational Therapy Assistant career that’s full of joy, purpose, and opportunities to grow. We’re seeking talented, creative, and compassionate professionals who enjoy building relationships with patients, learning new ways to deliver care, and being part of a team dedicated to helping senior patients live their best lives.
- Share your skills and training as a valued member of our on-site rehabilitative care team by assisting with rehabilitative services for patients under specific medical orders as part of a coordinated team.
- Provide attentive one-on-one therapy services for residents, administering functional treatments that emphasize a holistic, patient-centered approach to care.
- Get mentorship and valuable hands-on experience utilizing innovative technologies and therapeutic treatments.
- Advance your career, pursue clinical interests, and develop subject matter expertise.
Your Legacy career offers great experiences, work/life balance, and excellent rewards, including::
- Desirable Monday—Friday schedule with no weekend or holiday requirements
- 401(k)
- Medical/dental/vision/prescription/pet insurance
- Paid time off (PTO) with rollover and buyout options at year’s end
- Company-paid group life
- Flex spending account
- Voluntary life, short-term disability, and long-term disability insurance
- Licensure reimbursement
- Company-provided CEUs and unlimited online CEUs for full-time employees
- Career advancement opportunities
- Our not-for-profit organization offers personalized therapeutic care for residents within senior living communities, offering rehabilitative care that helps improve their quality of life.
- Our organization was founded by and continues to be led by therapists.
- We are one of the largest providers of on-site senior therapy care in the country, serving nearly 500 senior living communities throughout the U.S. and growing!
- We are leaders in innovation and personalized care, which makes us a preferred provider for senior adults residing in the communities we serve.
Position requirements::
- Associates of applied science degree in area of discipline
- Current occupational therapy assistant license in state of practice, or ability to obtain one prior to starting
- Excellent interpersonal, fiscal, and clinical skills
- Computer proficiency
Occupational Therapy Assistant Jobs by Experience Level
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Find JobsOccupational Therapy Assistant Job Market
Who's Hiring
- Continuum Therapy Partners158

- Evolve Therapy Services155

- HiredFirst148H
- Reliant Rehabilitation127

- Broad River Rehab123

Top Industries Hiring
- Healthcare & Medical Services46
- Insurance7
- Education4
What Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs.
- Associate degree from an ACOTE-accredited occupational therapy assistant program
- Active COTA certification through NBCOT and current state licensure
- Experience with electronic medical record systems such as Epic, Optima, or WebPT
- Ability to complete fieldwork hours in a supervised clinical setting
- Physical ability to assist patients with transfers, mobility, and therapeutic exercises
- Strong documentation skills for progress notes, daily records, and treatment plans
Tips for Your Occupational Therapy Assistant Job Search
Tailor your resume to the setting
Acute care employers want to see different skills than school-based or SNF employers. Reorganize your experience section so the setting you're targeting appears first, and use vocabulary from that specific environment, not generic OTA language.
Verify your COTA credential before applying
Most job postings require a current COTA certification from NBCOT plus an active state license. Confirm both are in good standing and list your NBCOT ID and license number directly on your resume so hiring managers don't have to ask.
Apply early to roles that fit
Migrate Mate lists occupational therapy assistant openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight documentation systems you know
Employers screen for experience with specific EMR platforms like Epic, Optima, or WebPT. Name the system and the setting where you used it. Vague references to 'electronic documentation' rarely pass an initial screen.
Prepare for a skills demonstration in interviews
Many OTA interviews include a practical component where you demonstrate a transfer, an ADL technique, or equipment setup. Practice explaining your clinical reasoning out loud while you demonstrate, because supervisors evaluate both technique and communication.
Negotiate your caseload, not just your pay
Before accepting an offer, ask about expected daily caseload, productivity benchmarks, and documentation time. These factors affect your license and your job satisfaction more directly than starting compensation and are fair to raise before you sign.
Occupational Therapy Assistant Jobs: Frequently Asked Questions
Which companies are hiring the most occupational therapy assistants?
The companies hiring the most occupational therapy assistants right now include Continuum Therapy Partners, Evolve Therapy Services, and HiredFirst, with the largest share of openings in Florida, California, and Texas, based on current listings on Migrate Mate as of November 2026. Skilled nursing facilities and home health agencies consistently account for a large portion of active postings.
How many occupational therapy assistant jobs are remote?
About 7% of occupational therapy assistant openings are fully remote or hybrid as of November 2026, which is lower than many other healthcare roles because most OTA work requires hands-on patient care. Telehealth roles do exist, primarily in home health consultation, early intervention, and school-based support coordination, where documentation or care planning can be done off-site.
How do you become an occupational therapy assistant?
You complete an associate degree from a program accredited by ACOTE, finish required fieldwork hours in supervised clinical placements, pass the NBCOT certification exam to earn the COTA credential, and then apply for licensure in your state. Each state sets its own licensing requirements, so confirm your state board's rules before you begin the application process.
How do you get hired as an occupational therapy assistant with little or no experience?
Your fieldwork rotations are your primary experience, so document the settings, patient populations, and interventions you practiced during those placements and list them specifically on your resume. Targeting entry-level openings at SNFs, home health agencies, or school districts gives you the broadest options, and applying during your final semester while your NBCOT application is pending is common and widely accepted by employers.
What does the occupational therapy assistant interview process look like?
Most OTA interviews begin with a phone or video screen focused on your clinical background and licensure status, followed by an in-person interview with the supervising OT and sometimes a department manager. Many employers include a practical skills component or case scenario to assess clinical reasoning. References from fieldwork supervisors or former clinical instructors are typically requested before a final offer is extended.
Where can I find and apply to occupational therapy assistant jobs?
You can find and apply to occupational therapy assistant jobs on Migrate Mate, which lists current openings from across the United States. Search the available roles, find positions that match your credentials, preferred setting, and location, and apply directly to each listing that fits.
See All 3,519+ Occupational Therapy Assistant Jobs
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