OT Jobs in California
OT jobs in California are among the most active in the country, with strong demand concentrated in hospital systems, outpatient rehabilitation clinics, pediatric settings, school-based programs, and home health agencies from entry-level to senior practitioner. Los Angeles, San Francisco, and San Diego are the largest hiring metros, anchored by employers like Kaiser Permanente, Sutter Health, and Cedars-Sinai Medical Center. The most in-demand specialties are pediatric OT, neurological rehabilitation, and hand therapy. Find a role that fits below and apply directly.
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Responsibilities:
The Certified Occupational Therapist Assistant 2 (COTA2) is an expert clinician committed to continued growth in clinical expertise. Performs occupational therapy procedures as delegated by a Licensed Occupational Therapist to help acute or rehabilitative patients with mental or physical disabilities attain or regain the highest level of functional independence, and assesses and reports on the patients' progress. Responsibilities include selecting therapeutic activities and equipment most appropriate for treatment, assessing and recording patients' responses and progress, and determining when to adjust or advance patients from less to more strenuous activities. Functions within established technical standards and guidelines, but may receive further technical guidance/direction from Occupational Therapist in handling unusual situations.
This therapy assistant provides care efficiently and effectively using a high level of technical and organizational skills, critical thinking ability, as well as demonstrating leadership. Handles a varied caseload of complex patients; serves as a clinical resource or leader; provides mentoring and/or preceptorship; and assists with orienting and training new employees, volunteers, and/or students.
Therapist Assistant Level II determination is based on essential behaviors, scope of clinical expertise, professional experience, advanced certifications or specialty practice, leadership activities, and contributions to education, research, or quality initiatives.
Accountabilities
- SECTION 1: Planning, Preparing and Documentation
- Collects and prioritizes data in a systematic and ongoing process based on the patient’s immediate condition or anticipated needs.
- Timely communication of response to treatment to the treatment team using the most effective method.
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Anticipation of patient care issues considered in planning and preparation of treatment course.
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SECTION 2: Treatment, Implementation, Patient Education
- Implements the patient’s plan of care established by a Physical Therapist/Occupational Therapist considering the current condition of the patient, patient/family teaching and care coordination.
- Provides treatment in a competent manner within own scope of practice while complying with treatment contraindications and precautions.
- Organizes patient care and discharge planning efficiently and prioritizes appropriately to create a collaborative and communicative environment for all members of the healthcare team.
- Evaluates the effectiveness of the patient’s plan of care in an ongoing, systematic and criterion-based process, including patient responses and the attainment of expected outcomes.
- For CCS-eligible patients, assists with the coordination of referral to a CCS-paneled provider or a CCS/MTU for the patient who may continue to require therapy services after hospital discharge.
- Clearly and appropriately communicates with the primary therapist all pertinent information regarding the patient’s response to treatment, patient’s progress, and needs for reassessment or therapist intervention.
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Provides patient and family education specific to the plan set forth by the primary therapist including evaluation of the effectiveness of the teaching and clear documentation of education provided.
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SECTION 3: Quality of Practice and Patient Safety
- Participates in unit and hospital-based quality improvement activities.
- Demonstrates an ongoing awareness of patient condition and environment to optimize patient safety and reduce risk.
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Suggests program modification to primary therapist, including actively seeking assistance with patient care when appropriate.
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SECTION 4: Education and Professional Practice Evaluation
- Participates in ongoing hospital and unit specific educational activities.
- Demonstrates a commitment to lifelong learning by inservices, projects, and competencies, seeking both formal and independent learning experiences to maintain and develop clinical and professional skills and knowledge that reflect current specialty practice.
- Engages in self-evaluation of practice, identifying areas of strength as well as areas where professional development would be beneficial.
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Acknowledges informal feedback regarding one’s own practice from patients, peers, professional colleagues, and others and takes action to improve performance.
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SECTION 5: Collegiality, Leadership and Research
- Shares knowledge and skills with peers and provides feedback regarding their practice and/or role performance.
- Communicates in a professional, caring manner at all times to support a healthy work environment.
- Embraces teamwork to meet organizational goals through direct participation or supporting active team participants.
- Teaches others to succeed by mentoring and/or preceptorship.
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Utilized evidence-based practice to guide clinical practice.
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SECTION 6: Ethics
- Adheres to laws, rules and ethics pertinent to licensure.
- Uses the Patient Bill of Rights to guide practice and deliver care in a manner that preserves and protects patient autonomy, dignity and rights.
- Acts as a patient advocate by initiating action to improve healthcare.
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Participates in resolving ethical issues of patients, colleagues or systems via chain of command and Ethics Committee referral, as appropriate. Complies with reporting of illegal, incompetent or impaired practice.
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SECTION 7: Competence in Skills
- Demonstrates competence in all required clinical skills based on functional and positional (unit/department) work assignment.
- Demonstrates competence in using function-specific and position specific computer applications and other technology and successfully utilizes them to perform all required duties.
- Demonstrates effective time management including meeting productivity targets including accurate and timely charge entry, appropriate co-signature as required by licensure and hospital policy and communication with primary therapist as indicated.
- Performs other duties as assigned.
Qualifications
Education
- High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
Successful completion of one of the following is required:
- Graduate of an accredited Occupational Therapy Assistant or Occupational Therapy degree program
- Sat for the national examination and received a passing score to qualify for licensures occurring before January 1, 2010 as per Centers for Medicare and Medicaid Services
Experience
- 2 years of applicable experience and ability to demonstrate required competence required
Licenses and Certifications
- OTA - Current State of California Occupational Therapy Assistant License required. Exception may be made for Occupational Therapy Assistant License Applicant with a requirement to obtain licensure within 180 days of hire or transfer into position
- COTA - Current Certified Occupational Therapy Assistant through the National Board for Certification in Occupational Therapy (NBCOT) required within 90 days of hire or transfer into position
- BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
Disclaimers:
Pay ranges listed are an estimate and subject to change.
If any bonuses are noted, they are only applicable to external hires meeting criteria.
See All 1,332+ OT Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find OT JobsOT Jobs by City in California
Where California roles are concentrated, by current openings.
OT Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Sutter Health80

- CVS Health60

- Revolution Medicines59

- Center For Autism and Related Disorders58

- San Francisco Unified School District44

Top Industries Hiring
- Healthcare & Medical Services529
- Education180
- Biotechnology & Pharmaceuticals100
- Technology & Software93
- Retail55
What California Employers Look For
The qualifications that appear most often in OT jobs across California.
- Active California OT license issued by the California Board of Occupational Therapy
- Master's or doctoral degree in occupational therapy from an accredited program
- Completion of required supervised fieldwork hours as mandated for licensure
- National Board for Certification in Occupational Therapy (NBCOT) certification
- Experience with electronic health records systems such as Epic or Cerner
- Strong knowledge of evidence-based practice and current OT intervention frameworks
OT Jobs in California: Frequently Asked Questions
How do you become a ot in California?
To work as an ot in California, you must hold an active license issued by the California Board of Occupational Therapy. The path starts with completing an accredited master's or doctoral occupational therapy program, followed by required fieldwork hours, then passing the NBCOT certification exam. After passing, you apply to the California Board of Occupational Therapy for your state license before practicing in the state.
Which companies hire ots in California?
Employers hiring ots in California right now include Sutter Health, CVS Health, and Revolution Medicines, based on current listings on Migrate Mate as of June 2026. California's large integrated health systems, school districts, and skilled nursing facility networks generate consistent openings for occupational therapists at multiple experience levels across the state.
Which California cities have the most ot jobs?
San Francisco, Los Angeles, and Redwood City have the most ot openings in California. Los Angeles leads because of its density of hospital systems, pediatric clinics, and rehabilitation centers, while San Francisco and San Diego draw demand from large academic medical centers, veterans' health facilities, and growing outpatient networks serving those metro populations.
Are there remote ot jobs in California?
Yes, but they're rare. About 8% of ot openings tied to California are remote or hybrid as of June 2026, reflecting that most occupational therapy work requires hands-on patient contact. The portions of the role most suited to remote delivery are telehealth consultations, home program development, and care coordination with multidisciplinary teams.
How can I get hired as a ot in California with little or no experience?
The most realistic entry path is applying for new graduate positions at large California health systems such as Kaiser Permanente and Sutter Health, both of which run structured new-grad residency and fellowship programs in areas like neurological rehabilitation and pediatrics. School districts across Los Angeles Unified and San Diego Unified also hire entry-level ots directly. Completing your California license promptly after passing NBCOT and targeting settings like skilled nursing facilities gives new graduates the fastest route to their first clinical role.
Where can I find and apply to ot jobs in California?
You can find and apply to ot jobs in California on Migrate Mate, which lists current California openings from employers across the state. Search the listings for roles that match your specialty, experience level, and preferred location, then apply directly to the ones that fit.
See All 1,332+ OT Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find OT Jobs