Mid Level Occupational Therapy Assistant Jobs
Mid level occupational therapy assistant jobs go to clinicians ready to manage their own caseloads, guide newer staff through clinical challenges, and apply evidence-based interventions with confidence. Openings run predominantly on-site across Education, Science & Research, and Staffing & Recruiting, with employers like Jobot, Legacy Health, and Radford University hiring at this level now.
Find JobsOverview
Showing 5 of 6+ Mid Level Occupational Therapy Assistant jobs











Whether you are working with children, adults, or geriatric patients, your compassion and clinical skill help ensure the highest quality occupational therapy. As you assist in developing programs and supporting departmental initiatives, you continue to grow professionally while building meaningful, long-term relationships with patients and colleagues. If this sounds like an opportunity where you could thrive, we invite you to consider joining the Legacy community as a Certified Occupational Therapy Assistant.
Responsibilities
- Under the direction of the Registered Occupational Therapist, the Certified Occupational Therapist Assistant is primarily responsible for administering occupational therapy patient care programs for neonate infant, child, adolescent, adult and geriatrics.
- Administers therapy according to the established plan of the OTR, utilizing appropriate procedures, equipment and techniques within the scope of practice of the Occupational Therapy Assistant.
- Educates the patient and the caregiver about the goals of the occupational therapy program, methods of accomplishing goals, how to perform the home program and injury prevention.
- Recommends equipment, completes the equipment justification forms and arranges for the delivery of the equipment.
- Monitors patient progress and makes recommendations regarding discharge to therapist.
- Consults and co-treats with therapists from other disciplines.
- Provides documentation of patient care according to established criteria.
- Participates in continuous quality improvement projects.
- Supervises the patient care activities of aides and volunteers.
- Participates in in-services, medical conferences, staff meetings, continuing education courses, team meetings and other related activities.
- Assists with departmental maintenance and supplies.
- Provides in-services for staff, other departments and the community.
- Fabricates splints as needed.
- Provides therapeutic interventions according to department and practice standards.
Qualifications
Education:
- Associate Degree from an accredited Occupational Therapy Assistant program.
Experience
- 3-5 years’ experience preferred.
Skills
- Teamwork.
- Group facilitation.
- Oral and written communication.
- Computer skills.
Licensure
- Current license as a Certified Occupational Therapy Assistant (COTA) required for applicable state.
- American Heart Association BLS for Providers certification required.
Pay Range
- USD $32.96 - USD $47.12 /Hr.
Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
See All 6 Mid Level Occupational Therapy Assistant Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsMid Level Occupational Therapy Assistant Job Market
Who's Hiring



Top Industries Hiring
- Education
- Science & Research
- Staffing & Recruiting
- Healthcare & Medical Services
Mid Level Occupational Therapy Assistant Jobs: Frequently Asked Questions
How do I get a mid level occupational therapy assistant job?
Position yourself by emphasizing the clinical depth and independence you have built since your first role. Highlight specific populations you have treated, equipment or modalities you have mastered, and outcomes you have driven without close supervision. Tailor your resume to show ownership of a full caseload, familiarity with documentation systems, and any informal mentorship of newer staff or students.
Which companies hire mid level occupational therapy assistants?
Companies hiring mid level occupational therapy assistants right now include Jobot, Legacy Health, and Radford University, based on current listings on Migrate Mate as of November 2026. Hiring at this level covers skilled nursing facilities, outpatient rehabilitation clinics, school districts, and home health agencies that need clinicians who can operate with a high degree of autonomy.
Are there remote mid level occupational therapy assistant jobs?
Yes, though fully remote roles are limited given the hands-on nature of the work. About 0% of mid level occupational therapy assistant openings are remote or hybrid as of November 2026, and those that exist typically involve telehealth sessions, care coordination, or administrative oversight rather than direct bedside treatment.
How do I move up to a mid level occupational therapy assistant role?
Growth from entry level to mid level comes from accumulating consistent clinical responsibility over your first few years. Focus on expanding the populations and settings you treat, taking ownership of complex cases, contributing to treatment planning discussions, and building measurable outcomes you can speak to clearly. Seeking out formal supervision of students or new hires also signals readiness for mid level expectations.
Which industries hire the most mid level occupational therapy assistants?
Mid Level occupational therapy assistant roles concentrate in Education, Science & Research, and Staffing & Recruiting, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they serve patient populations with ongoing rehabilitation needs that benefit from experienced clinicians who can manage caseloads independently.