Occupational Therapy Assistant Jobs in Washington
Occupational Therapy Assistant jobs in Washington are in strong and steady demand, with openings concentrated in hospital systems, skilled nursing facilities, school districts, and pediatric outpatient clinics, and roles available from entry-level to senior and lead positions. Seattle, Spokane, and Tacoma are the primary hiring hubs, with well-established employers like Providence Health and Services, MultiCare Health System, and Seattle Children's consistently recruiting occupational therapy assistants. The most in-demand specialties are pediatrics, geriatric rehabilitation, and school-based therapy. Find a role that fits below and apply directly.
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General Purpose
The Staff Occupational Therapist Assistant assists the Staff Occupational Therapist with resident related activities and direct resident care.
Essential Duties
- Treat residents as directed by the Occupational Therapist.
- Complete timely, accurate, and compliant documentation in accordance with facility, governmental, and third-party payer requirements.
- Maintain a safe treatment environment by following infection control, safety, and equipment maintenance protocols.
- Participate in Resident Care conferences and/or Rehabilitation meetings, as needed.
- Assist nursing department with training of Restorative Aides.
- Communicates routinely with the supervising occupational therapist to ensure timely updates to physicians, nursing staff, the interdisciplinary team, residents, and families regarding progress, goals, and discharge planning.
- Provides in-services on training programs for other staff in the facility as needed.
- Educate residents, families, and caregivers on treatment goals, home exercise programs, maintenance programs, safety techniques, and fall prevention strategies.
- Recommend and facilitate the ordering of necessary durable medical equipment for residents to facilitate independence in ADLs; i.e., adaptive equipment, splints, assistive devices, elevated toilet seats, and grab bars.
- Must maintain confidentiality of residents' information as well as company information.
- Report any problems with department equipment so that it is maintained in good working order.
- Contribute to quality assurance, performance improvement initiatives, and facility rehabilitation program development as assigned.
- Ability to relate positively, effectively, and appropriately with residents/residents, families, staff and professional colleagues.
Qualification
Education and/or Experience
Associate Degree from an accredited COTA program. Proficient in computer skills such as inputting data into programs for Net Health and Point Click Care.
Language Skills
Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond
to questions from managers, coworkers and families.
Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Reasoning Ability
Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Certificates, Licenses, Registrations
Licensed as an Occupational Therapist Assistant in the state. Employee must
meet continuing education requirements per state practices. Must maintain a license in good standing at all time with the state board. Determine additional certification as appropriate per facility. CPR certification, if required by licensure.
Physical Demands
The essential functions of this position require the ability to stand and walk frequently and sit occasionally, as well as occasionally climb, balance, stoop, kneel, crouch, or crawl as needed to provide resident care and operate equipment. The position requires the ability to reach, push, pull, lift, and manipulate objects and equipment, with exertion that may occasionally exceed 100 pounds, frequently exceed 50 pounds, or constantly exceed 20 pounds to safely move residents or equipment. Effective communication, including talking and hearing, is required to interact with residents, families, and the healthcare team. The ability to perceive and respond to environmental cues, including tactile, auditory, and visual information, is essential for safe and effective resident care. Other essential functions include assisting, supporting, and transporting residents in accordance with safe resident handling practices.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job, in compliance with applicable federal and state laws.
The noise level in the work environment is usually low to moderate.
Summary of Benefits
We are proud to offer our staff low monthly premium payments for employees and dependents will be as follows:
Medical, Dental, Vision
401(k) plan with employer match
Generous paid time off for vacation accruing at 4 hours a month, 48 FT or 40 PT annually recurring sick day hours prorated based on hire date, and 7 paid Holidays each year.
EOE/M/F/VETS/DISABLED – At Sullivan Park Care Center, it is our promise to personally touch lives every day. It is a philosophy of caring based on our core values Excellence, Trust, Accountability, Mutual Respect, and Love, that are at the center of all that we do. We are committed to a diverse and inclusive workforce that represents all of us, coming from different experiences, cultures, backgrounds, and viewpoints. Inclusion is the way we treat one another and how we celebrate what makes us different.
Pay: $40.00 per hour depending on experience and education.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.
See All 67 Occupational Therapy Assistant Jobs in Washington
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Find JobsOccupational Therapy Assistant Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Occupational Therapy Assistant Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
- HiredFirst16H
- Powerback Rehabilitation8
- Reliant Rehabilitation7
- Infinity Rehab3
- Independence Rehab3
Top Industries Hiring
- Healthcare & Medical Services
What Washington Employers Look For
The qualifications that appear most often in occupational therapy assistant jobs across Washington.
- Active Washington State occupational therapy assistant license issued by the WADOH
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Current NBCOT COTA certification in good standing
- Experience or clinical placement in pediatric, geriatric, or rehabilitation settings
- Ability to document therapy progress accurately in electronic health record systems
- Valid CPR and Basic Life Support certification current at time of hire
Occupational Therapy Assistant Jobs in Washington: Frequently Asked Questions
How do you become a occupational therapy assistant in Washington?
To work as an occupational therapy assistant in Washington, you must hold an active license issued by the Washington State Department of Health, Occupational Therapy Practice section. You need to complete an associate degree from an ACOTE-accredited occupational therapy assistant program and pass the NBCOT COTA certification exam before applying for your Washington license. The Department of Health oversees applications, renewals, and continuing education requirements.
How much do occupational therapy assistants make in Washington?
Occupational therapy assistants in Washington earn a median of about $77,590 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $62,960 for the lowest 10% to over $88,250 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapy assistants in Washington?
Employers hiring occupational therapy assistants in Washington right now include HiredFirst, Powerback Rehabilitation, and Reliant Rehabilitation, based on current listings on Migrate Mate as of August 2026. Washington's mix of large integrated health systems, public school districts, and long-term care networks means openings appear across a wide range of settings throughout the state.
Which Washington cities have the most occupational therapy assistant jobs?
Spokane, Seattle, and Colfax have the most occupational therapy assistant openings in Washington. Seattle's concentration of major hospital systems and pediatric specialty centers drives the largest share of listings, while Spokane and Tacoma support consistent demand through regional medical centers, school districts, and skilled nursing facilities serving their surrounding communities.
Are there remote occupational therapy assistant jobs in Washington?
Yes, but they're rare. Occupational therapy assistants work directly with patients on physical tasks, so the role is almost entirely hands-on and on-site. About 0% of occupational therapy assistant openings tied to Washington are remote or hybrid as of August 2026, and those positions typically involve documentation, care coordination, or telehealth supervision components rather than direct therapy delivery.
How can I get hired as a occupational therapy assistant in Washington with little or no experience?
The most realistic entry path is applying for new-graduate positions at Washington's large health systems, which regularly onboard recent COTA graduates, including Providence Health and Services and MultiCare. School districts across the state also hire entry-level occupational therapy assistants for school-year positions, which offer structured onboarding. Candidates coming from roles like rehabilitation aide, therapy technician, or home health aide have a concrete advantage, and holding an active Washington Department of Health license on day one removes the most common hiring barrier for new grads.
Where can I find and apply to occupational therapy assistant jobs in Washington?
You can find and apply to occupational therapy assistant jobs in Washington on Migrate Mate, which lists current Washington openings across hospital systems, outpatient clinics, school districts, and long-term care facilities. Find roles that fit your experience and location and apply directly to each employer.
See All 67 Occupational Therapy Assistant Jobs in Washington
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