Occupational Therapy Assistant Jobs in Maryland
Occupational Therapy Assistant jobs in Maryland are consistently active, with strong demand concentrated in hospital systems, skilled nursing facilities, pediatric outpatient clinics, and school-based settings. Most openings are in the Baltimore metro, the Washington D.C. suburbs, and the Annapolis area, where large employers like MedStar Health, Johns Hopkins Medicine, and Kennedy Krieger Institute maintain ongoing hiring. The most sought-after specialties in Maryland are pediatrics, geriatric rehabilitation, and early intervention. See the openings below and apply to the ones that match your experience.
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Occupational Therapy Assistant (OTA/COTA) - PRN
Our new administrator is extremely engaged in promoting a vibrant and compassionate work environment for our caregivers and maintains a committed open-door policy.
We are proud of our facility and the culture that we provide for both our staff and residents, please click this Link to get a glimpse of the wholesome work environment at Adelphi Nursing and Rehabilitation Center.
As an Adelphi Nursing & Rehab Center employee, you will enjoy working in an environment that promotes professional growth and development that offers competitive wages, PTO, and insurance plans. We are looking for COTAs who are dependable, self-motivated team players. COTAs are the eyes and ears for our Residents and play a very important role.
Benefits:
Medical, Vision and Dental Insurance Including Family Plans
401k
Attendance Bonuses
Referral Bonuses
Shift Differentials
Extra Paid Holidays
Employee Recognition Programs
In-Facility Training & In-services
Duties and Responsibilities:
Providing direct patient care to assess their medical condition, functional capabilities, limitations and restrictions and potential for rehabilitation.
Administer a treatment program with specific goals determined according to the patient’s capacity and tolerance under the direction of the Physician.
Document and record the patients’ condition and educate patients and families in an appropriate physical therapy method.
Collaborates with all disciplines to provide best patient centered treatment and care.
Requirements/Qualifications:
Must have a valid professional license and registration for state of practice.
Experience with long-term care and/or geriatric care is preferred
Are you a Occupational Therapist assistants (COTA) looking to start working immediately?
Are you a Occupational Therapist assistants (COTA) looking to work close to your home with a flexible schedule?
If you answered yes to any of these questions, then Adelphi Nursing & Rehab is the place you want to be!
We would love to connect with you so that we can share with you why so many of your Occupational Therapist assistants (COTA) peers are so proud to be part of the Adelphi Nursing & Rehab family.
Please apply here and we will be glad to reach out to you to schedule an interview for the Occupational Therapist assistants (COTA) position with Adelphi Nursing & Rehab.
See All 65 Occupational Therapy Assistant Jobs in Maryland
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Find JobsOccupational Therapy Assistant Jobs by City in Maryland
Where Maryland roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Maryland
A snapshot from current Maryland openings, updated as new roles post.
Who's Hiring

Top Industries Hiring
- Healthcare & Medical Services
What Maryland Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Maryland.
- Active Maryland occupational therapy assistant license issued by the Maryland Board of Occupational Therapy Practice
- Associate degree in occupational therapy assistant from an ACOTE-accredited program
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- CPR and Basic Life Support certification required prior to clinical placement
- Experience working in skilled nursing, acute care, or outpatient rehabilitation settings
- Strong documentation skills and familiarity with electronic health record systems
Occupational Therapy Assistant Jobs in Maryland: Frequently Asked Questions
How do you become a occupational therapy assistant in Maryland?
To become an occupational therapy assistant in Maryland, you must complete an associate degree from an ACOTE-accredited program, pass the NBCOT Certified Occupational Therapy Assistant exam, then apply for a state license through the Maryland Board of Occupational Therapy Practice. Maryland requires a license before you can work in any clinical setting. The board reviews your exam results and transcripts as part of the application, and most candidates complete the full process within a few months of graduation.
How much do occupational therapy assistants make in Maryland?
Occupational therapy assistants in Maryland earn a median of about $82,010 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $62,380 for the lowest 10% to over $95,520 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Maryland?
Companies currently hiring occupational therapy assistants in Maryland include Powerback Rehabilitation, HiredFirst, and REHAB ADVISORS, per current listings on Migrate Mate as of October 2026. Maryland's concentration of large health systems, long-term care networks, and pediatric specialty centers makes it one of the more active hiring markets for this role on the East Coast.
Which Maryland cities have the most occupational therapy assistant jobs?
Baltimore, Rockville, and Silver Spring have the most occupational therapy assistant openings in Maryland. Baltimore drives the largest share of listings because of its dense concentration of hospital systems, rehabilitation centers, and specialty clinics, while the suburban D.C. corridor in Montgomery and Prince George's counties generates steady school-based and outpatient demand tied to large pediatric and geriatric service providers.
Are there remote occupational therapy assistant jobs in Maryland?
Yes, but they're rare. Occupational therapy assistant work is hands-on by nature, so most positions require an on-site or clinical presence. About 0% of occupational therapy assistant openings tied to Maryland are remote or hybrid as of October 2026, and those roles tend to involve telehealth screenings, care coordination, or documentation support rather than direct patient treatment.
How can I get hired as a occupational therapy assistant in Maryland with little or no experience?
The most realistic entry path is applying to new-graduate positions at Maryland's large rehabilitation networks and long-term care facilities, which regularly onboard newly licensed candidates. MedStar Health and Genesis Healthcare facilities in Maryland are known for structured mentorship for early-career occupational therapy assistants. Candidates who held rehab aide or therapy technician roles during school have a clear advantage, as those positions demonstrate clinical exposure. Having your NBCOT certification and Maryland license in hand before you apply removes the main hiring barrier, and pediatric or geriatric fieldwork experience from your program strengthens any application.
Where can I find and apply to occupational therapy assistant jobs in Maryland?
You can find and apply to occupational therapy assistant jobs in Maryland on Migrate Mate, which lists current Maryland openings across health systems, outpatient clinics, schools, and long-term care settings. Search the listings to find roles that fit your experience and credentials, then apply directly to the ones that match.
See All 65 Occupational Therapy Assistant Jobs in Maryland
Find roles in Maryland that match your experience and apply in just a few clicks.
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