Occupational Therapy Assistant Jobs in Texas
Occupational Therapy Assistant jobs in Texas are consistently active, with strong demand across pediatric clinics, skilled nursing facilities, school districts, and inpatient rehabilitation centers at levels from entry-level to senior clinical roles. Houston, Dallas, and San Antonio anchor most of the hiring, where large employers such as CHRISTUS Health, Encompass Health, and Texas Children's Hospital maintain ongoing need for occupational therapy assistants. Pediatric, geriatric, and school-based practice are among the most sought-after specialties statewide. Find a role that fits below and apply directly.
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Showing 5 of 25+ Occupational Therapy Assistant jobs
Do you have the career opportunities as a(an) Home Health Occupational Therapy Assistant COTA you want with your current employer? We have an exciting opportunity for you to join St. David's Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Job Summary and Qualifications
What qualifications you will need:
- (COTA) Certified Occupational Therapy Assistant
- (DL) Driver License
- Associate Degree, or Vocational School Graduate
Occasional/ Intermittent Required
No experience Required Years of Experience
Benefits
St. David's Healthcare at Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Home Health Occupational Therapy Assistant COTA opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Do you have the career opportunities as a(an) Home Health Occupational Therapy Assistant COTA you want with your current employer? We have an exciting opportunity for you to join St. David's Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Job Summary and Qualifications
What qualifications you will need:
- (COTA) Certified Occupational Therapy Assistant
- (DL) Driver License
- Associate Degree, or Vocational School Graduate
Occasional/ Intermittent Required
No experience Required Years of Experience
Benefits
St. David's Healthcare at Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Healthcare at Home is a service line from HCA healthcare. We are dedicated to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence. Healthcare at Home raises the bar on what quality healthcare looks like. Just like family, we pull together to care for, support and celebrate with each other being able to provide exceptional, expert care for patients.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Home Health Occupational Therapy Assistant COTA opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
See All 25 Occupational Therapy Assistant Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find JobsOccupational Therapy Assistant Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- HealthPRO Heritage5
- Believe Therapies4
- Optum4
- AccentCare2
- CHRISTUS Health2
Top Industries Hiring
- Healthcare & Medical Services20
- Consulting & Professional Services3
- Education2
What Texas Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Texas.
- Active Texas State Board of Examiners of Occupational Therapy license or license eligibility
- Associate degree in occupational therapy assistant from an ACOTE-accredited program
- Passing scores on the NBCOT Certified Occupational Therapy Assistant examination
- Experience or clinical fieldwork in a relevant practice setting such as SNF or pediatrics
- Basic Life Support certification issued by the American Heart Association or Red Cross
- Proficiency with electronic health records systems commonly used in Texas clinical settings
Occupational Therapy Assistant Jobs in Texas: Frequently Asked Questions
How do you become a occupational therapy assistant in Texas?
To become an occupational therapy assistant in Texas, you must earn an associate degree from an ACOTE-accredited program, complete the required supervised fieldwork hours, and pass the NBCOT Certified Occupational Therapy Assistant exam. You then apply for licensure through the Texas State Board of Examiners of Occupational Therapy, which issues the state license required to practice. Licensure must be renewed on a regular cycle with continuing education.
How much do occupational therapy assistants make in Texas?
Occupational therapy assistants in Texas earn a median of about $81,500 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,980 for the lowest 10% to over $95,900 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Texas?
Employers hiring occupational therapy assistants in Texas right now include HealthPRO Heritage, Believe Therapies, and Optum, based on current listings on Migrate Mate as of June 2026. Texas's large integrated health systems, rehabilitation hospital networks, and independent school districts generate steady, year-round demand across the state.
Which Texas cities have the most occupational therapy assistant jobs?
College Station, San Antonio, and Dallas have the most occupational therapy assistant openings in Texas. Houston and Dallas drive the largest share of listings because of their dense concentration of hospital systems, rehabilitation centers, and urban school districts, while San Antonio's substantial military and veterans health infrastructure adds consistent demand that keeps it competitive with the larger metros.
Are there remote occupational therapy assistant jobs in Texas?
Yes, but they're rare. Occupational therapy assistants work hands-on with patients, which means the vast majority of roles require an in-person clinical setting. About 0% of occupational therapy assistant openings tied to Texas are remote or hybrid as of June 2026, and those positions are almost exclusively administrative, documentation, or telehealth consultation roles rather than direct patient care.
How can I get hired as a occupational therapy assistant in Texas with little or no experience?
The most realistic entry path is applying directly to new-graduate positions at Texas skilled nursing facilities and inpatient rehabilitation hospitals, which regularly hire COTAs who have completed their ACOTE fieldwork hours but have limited post-graduation experience. Large Texas rehabilitation networks and school districts in the Houston and Dallas areas run structured mentorship programs for new graduates. Candidates who hold an active Texas SBEOTP license on their start date and have fieldwork experience in pediatric or geriatric settings move through hiring faster than those still awaiting licensure.
Where can I find and apply to occupational therapy assistant jobs in Texas?
You can find and apply to occupational therapy assistant jobs in Texas on Migrate Mate, which lists current Texas openings across clinical settings, school districts, and rehabilitation facilities. Find the roles that fit your experience and practice area and apply directly.
See All 25 Occupational Therapy Assistant Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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