Occupational Therapy Assistant Jobs in Massachusetts
Occupational Therapy Assistant jobs in Massachusetts are consistently in demand, concentrated in hospital systems, skilled nursing facilities, pediatric clinics, and school-based settings, with openings available from entry-level positions through senior and lead roles. The busiest hiring markets are Boston, Worcester, and Springfield, where large employers such as Mass General Brigham, UMass Memorial Health, and Baystate Health regularly post openings. The most sought-after specialties in Massachusetts are pediatrics, geriatric rehabilitation, and hand therapy. Find a role that fits below and apply directly.
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Showing 4 of 85+ Occupational Therapy Assistant jobs
Certified Occupational Therapy Assistant (COTA) – Full-Time
Advocate Healthcare Center of East Boston
111 Orient Ave, Boston, MA 02128
Pay Rate: $40–$44 per hour
Job Type: Full-Time
Schedule: Day shift; consistent full-time hours
Job Summary
Advocate Healthcare Center of East Boston is seeking a motivated and compassionate Certified Occupational Therapy Assistant (COTA) to join our Skilled Nursing and Rehabilitation team. The COTA will work under the supervision of a licensed Occupational Therapist to provide high-quality, resident-focused therapy services. This position is full-time and open to new graduates as well as candidates with Skilled Nursing Facility (SNF) experience.
Essential Duties and Responsibilities
Provide occupational therapy treatments in accordance with established plans of care under the supervision of a licensed Occupational Therapist
Assist residents in improving independence with activities of daily living (ADLs), functional mobility, strength, coordination, and cognitive skills
Monitor and document resident progress, responses to treatment, and any changes in condition
Communicate effectively with the supervising Occupational Therapist and interdisciplinary care team
Maintain accurate, timely documentation in compliance with facility policies and state and federal regulations
Educate residents and caregivers on therapeutic techniques, adaptive equipment, and safety strategies
Maintain a clean, safe, and organized treatment environment
Adhere to all infection control, safety, and HIPAA standards
Qualifications
Required
Associate degree from an ACOTE-accredited Occupational Therapy Assistant program
Current NBCOT certification as a Certified Occupational Therapy Assistant
Active Massachusetts COTA license or eligibility to obtain prior to start date
Ability to work under the supervision of a licensed Occupational Therapist
Strong communication, documentation, and interpersonal skills
Ability to meet physical requirements of the position, including assisting residents with mobility and transfers
Preferred
Experience in a Skilled Nursing Facility (SNF), rehabilitation, or post-acute care setting
Familiarity with electronic medical records (EMR)
BLS/CPR certification (or willingness to obtain upon hire)
Experience
New graduates are encouraged to apply
SNF or post-acute care experience preferred but not required
Relevant clinical fieldwork experience will be considered
Compensation and Benefits
Hourly pay range: $40–$44 per hour
Comprehensive benefits package
Paid time off (PTO) and sick leave
Supportive and experienced leadership team
Career growth and advancement opportunities
Warm, professional, and resident-focused work environment
Convenient East Boston location with easy access to public transportation
Weekly Pay with Secure Online Payroll Access
View pay stubs anytime
Track hours worked
Access upcoming pay dates
Download W-2 and tax documents
Update direct deposit information
Eligible to cash out up to 50% of earned wages daily
Shift differentials, including higher weekend rates
Legal and Compliance Requirements
Must meet all Massachusetts licensure requirements for Certified Occupational Therapy Assistants
Must comply with all applicable state and federal healthcare regulations, including HIPAA
Successful completion of background check, drug screening, and health clearance (including TB testing) required prior to employment
Must maintain licensure and certification in good standing throughout employment
Certified Occupational Therapy Assistant (COTA) – Full-Time
Advocate Healthcare Center of East Boston
111 Orient Ave, Boston, MA 02128
Pay Rate: $40–$44 per hour
Job Type: Full-Time
Schedule: Day shift; consistent full-time hours
Job Summary
Advocate Healthcare Center of East Boston is seeking a motivated and compassionate Certified Occupational Therapy Assistant (COTA) to join our Skilled Nursing and Rehabilitation team. The COTA will work under the supervision of a licensed Occupational Therapist to provide high-quality, resident-focused therapy services. This position is full-time and open to new graduates as well as candidates with Skilled Nursing Facility (SNF) experience.
Essential Duties and Responsibilities
Provide occupational therapy treatments in accordance with established plans of care under the supervision of a licensed Occupational Therapist
Assist residents in improving independence with activities of daily living (ADLs), functional mobility, strength, coordination, and cognitive skills
Monitor and document resident progress, responses to treatment, and any changes in condition
Communicate effectively with the supervising Occupational Therapist and interdisciplinary care team
Maintain accurate, timely documentation in compliance with facility policies and state and federal regulations
Educate residents and caregivers on therapeutic techniques, adaptive equipment, and safety strategies
Maintain a clean, safe, and organized treatment environment
Adhere to all infection control, safety, and HIPAA standards
Qualifications
Required
Associate degree from an ACOTE-accredited Occupational Therapy Assistant program
Current NBCOT certification as a Certified Occupational Therapy Assistant
Active Massachusetts COTA license or eligibility to obtain prior to start date
Ability to work under the supervision of a licensed Occupational Therapist
Strong communication, documentation, and interpersonal skills
Ability to meet physical requirements of the position, including assisting residents with mobility and transfers
Preferred
Experience in a Skilled Nursing Facility (SNF), rehabilitation, or post-acute care setting
Familiarity with electronic medical records (EMR)
BLS/CPR certification (or willingness to obtain upon hire)
Experience
New graduates are encouraged to apply
SNF or post-acute care experience preferred but not required
Relevant clinical fieldwork experience will be considered
Compensation and Benefits
Hourly pay range: $40–$44 per hour
Comprehensive benefits package
Paid time off (PTO) and sick leave
Supportive and experienced leadership team
Career growth and advancement opportunities
Warm, professional, and resident-focused work environment
Convenient East Boston location with easy access to public transportation
Weekly Pay with Secure Online Payroll Access
View pay stubs anytime
Track hours worked
Access upcoming pay dates
Download W-2 and tax documents
Update direct deposit information
Eligible to cash out up to 50% of earned wages daily
Shift differentials, including higher weekend rates
Legal and Compliance Requirements
Must meet all Massachusetts licensure requirements for Certified Occupational Therapy Assistants
Must comply with all applicable state and federal healthcare regulations, including HIPAA
Successful completion of background check, drug screening, and health clearance (including TB testing) required prior to employment
Must maintain licensure and certification in good standing throughout employment
See All 85 Occupational Therapy Assistant Jobs in Massachusetts
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Find JobsOccupational Therapy Assistant Jobs by City in Massachusetts
Where Massachusetts roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Massachusetts
A snapshot from current Massachusetts openings, updated as new roles post.
Who's Hiring
- HiredFirst15H
- Powerback Rehabilitation8
- Reliant Rehabilitation7
- Preferred Therapy Solutions7
- Evolve Therapy Services3
Top Industries Hiring
- Education
- Healthcare & Medical Services
What Massachusetts Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Massachusetts.
- Active Massachusetts COTA license issued by the Board of Allied Health Professions required
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Current NBCOT Certified Occupational Therapy Assistant credential in good standing
- One or more years of clinical experience in a relevant care setting preferred
- CPR and Basic Life Support certification current at time of hire
- Strong documentation skills and familiarity with electronic health record systems
Occupational Therapy Assistant Jobs in Massachusetts: Frequently Asked Questions
How do you become a occupational therapy assistant in Massachusetts?
To work as an occupational therapy assistant in Massachusetts, you must hold an active license issued by the Massachusetts Board of Allied Health Professions. The path starts with completing an associate degree from an ACOTE-accredited occupational therapy assisting program, then passing the NBCOT Certified Occupational Therapy Assistant exam. Once you have your NBCOT credential, you apply to the Board for your Massachusetts license before practicing independently.
How much do occupational therapy assistants make in Massachusetts?
Occupational therapy assistants in Massachusetts earn a median of about $75,040 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $42,120 for the lowest 10% to over $82,180 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Massachusetts?
Employers hiring occupational therapy assistants in Massachusetts right now include HiredFirst, Powerback Rehabilitation, and Reliant Rehabilitation, based on current listings on Migrate Mate as of August 2026. Massachusetts's large academic medical systems and regional skilled nursing networks generate consistent openings throughout the year, making the state one of the more active markets for this role in New England.
Which Massachusetts cities have the most occupational therapy assistant jobs?
Worcester, Boston, and Lowell have the most occupational therapy assistant openings in Massachusetts. Boston drives the highest volume thanks to its dense concentration of academic medical centers, rehabilitation hospitals, and pediatric specialty practices, while Worcester and Springfield reflect strong regional demand from community hospitals and long-term care networks anchored in those metro areas.
Are there remote occupational therapy assistant jobs in Massachusetts?
Yes, but they're rare. Occupational therapy assisting is a hands-on clinical role that almost always requires in-person patient care, so the vast majority of openings are on-site. About 0% of occupational therapy assistant openings tied to Massachusetts are remote or hybrid as of August 2026, and those positions typically involve documentation support, care coordination, or telehealth consultation rather than direct treatment sessions.
How can I get hired as a occupational therapy assistant in Massachusetts with little or no experience?
The most realistic entry path is applying to new-graduate positions at Massachusetts skilled nursing facilities and pediatric outpatient clinics, which regularly bring on COTAs with no post-graduate experience. Large employers such as Mass General Brigham and UMass Memorial Health run structured clinical onboarding for new-grad allied health staff. Candidates who complete fieldwork rotations in Massachusetts settings and hold a current NBCOT certification and active state license before applying have a clear edge over those still awaiting credentialing.
Where can I find and apply to occupational therapy assistant jobs in Massachusetts?
You can find and apply to occupational therapy assistant jobs in Massachusetts on Migrate Mate, which lists current Massachusetts openings across hospital systems, rehabilitation facilities, schools, and outpatient clinics. Find roles that fit your experience and credentials and apply directly.
See All 85 Occupational Therapy Assistant Jobs in Massachusetts
Find roles in Massachusetts that match your experience and apply in just a few clicks.
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