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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Overview

Open roles3,423+
Top stateCalifornia
Top employerHiredFirst
Top cityHayward, CA
Work type94% On-site
Top industryHealthcare

Showing 5 of 3,423+ Occupational Therapy Assistant jobs

Preferred Therapy Solutions
Certified Occupational Therapy Assistant / COTA / OTA - Full Time
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Preferred Therapy Solutions
Added 1d ago
Certified Occupational Therapy Assistant / COTA / OTA - Full Time
Preferred Therapy Solutions
Rockland, Maine
Caregiving & Elderly Support
Healthcare Administration
Patient Services & Wellbeing
$28 - $35/hr
1,001-5,000

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NORTH MISSISSIPPI HEALTH SERVICES
Certified Occupational Therapy Assistant
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NORTH MISSISSIPPI HEALTH SERVICES
Added 1d ago
Certified Occupational Therapy Assistant
NORTH MISSISSIPPI HEALTH SERVICES
Tupelo, Mississippi
Healthcare Administration
Patient Services & Wellbeing
Public Health
CPR Certification
5,001-10,000

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INTEGRIS Health
Certified Occupational Therapy Assistant / COTA
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INTEGRIS Health
Added 1d ago
Certified Occupational Therapy Assistant / COTA
INTEGRIS Health
Oklahoma City, Oklahoma
Clinical Support
Healthcare Administration
Patient Services & Wellbeing
Associate's degree in occupational therapy
10,000+

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ClearSky Health
Certified Occupational Therapy Assistant (COTA) - PRN
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ClearSky Health
Added 1d ago
Certified Occupational Therapy Assistant (COTA) - PRN
ClearSky Health
Mansfield, Texas
Healthcare Administration
Patient Services & Wellbeing
Public Health
CPR Certification

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T
PRN Home Health Certified Occupational Therapy Assistant COTA Scottsdale
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T
Added 1d ago
PRN Home Health Certified Occupational Therapy Assistant COTA Scottsdale
True Promise Home Health
Scottsdale, Arizona
Caregiving & Elderly Support
Healthcare Administration
Patient Services & Wellbeing
$70 - $75/hr
CPR Certification

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Occupational Therapy Assistant Job Market

Who's Hiring

  • H
    HiredFirst370
  • Reliant Rehabilitation
    Reliant Rehabilitation140
  • Enhance Rehabilitation
    Enhance Rehabilitation89
  • Powerback Rehabilitation
    Powerback Rehabilitation86
  • Summit Care
    Summit Care65

Top Industries Hiring

  • Healthcare & Medical Services
  • Education

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 HiredFirst, Reliant Rehabilitation, and Enhance Rehabilitation, with the largest share of openings in California, Texas, and Arizona, based on current listings on Migrate Mate as of September 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 6% of occupational therapy assistant openings are fully remote or hybrid as of September 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 3,423+ Occupational Therapy Assistant Jobs

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