COTA Jobs in USA with Visa Sponsorship
COTA (Certified Occupational Therapy Assistant) roles qualify for H-1B visa sponsorship when they require specialized knowledge beyond the standard associate degree. Most positions need additional certifications, specialized training, or supervisory responsibilities to meet specialty occupation requirements. For detailed occupation requirements, see the O*NET profile.
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INTRODUCTION
TransPerfect Is More Than Just a Job…
Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual identity, and each also has its own unique rewards.
ABOUT THE JOB
Join the TransPerfect Health Family as a full-time COTA at Park Springs.
The ideal COTA will have a love for the aging population and enjoy working in a variety of settings and includes outpatient, skilled nursing, memory care, and short-term rehab.
At TransPerfect Health, the well-being of our team is always our top priority. We are committed not only to advancing your career — but also to supporting and protecting every therapist who joins us. Our mission is to provide compassionate, proactive care to the aging population in Senior Living and Skilled Nursing settings — the place they call home.
Backed by a $1.2B parent company, TransPerfect Health offers the stability, growth, and innovation you deserve. We’re looking for Certified Occupational Therapy Assistants who are passionate about delivering high-quality, patient-centered care and making a meaningful difference every day.
KEY RESPONSIBILITIES
- Help optimize functional self-care, independence, and quality of life for members of the aging population
- Responsible for the treatment of residents with noted disorders or deficits within Occupational Therapy scope of practice
- Optimize the functionality and skills of patients
- Collaborate with supervising OTR developing programs appropriate to the needs of facility residents while fulfilling COTA/OTR co-signature and supervision requirements
- Complete all other tasks that are deemed appropriate for the role and assigned by the manager/supervisor
- Accurately complete all required documentation in a timely manner
- Participate in required orientations, staff meetings, and in-service education
- Follow all infection control procedures and OBRA Resident Rights Guidelines
- Demonstrate sound clinical judgment and effectively prioritize patient care
- Support compliance with all state and federal regulations
QUALIFICATIONS
- Current or eligible Occupational Therapy license in the state of practice
- Graduate of an accredited occupational therapy program
WHAT WE OFFER
- Competitive compensation
- Full benefits package including medical, dental, vision, and 401(k) with employer match
- Paid onboarding and orientation
- Yearly CEU allowance and licensure reimbursement
- Clinical mentorship and preceptorship program
- Employee referral bonus program
- Quick pay options available through PayActiv
DIVERSITY & INCLUSION
TransPerfect Health is committed to fostering a diverse, inclusive, and supportive workplace. We are proud to be an Equal Opportunity Employer.
APPLY TODAY
Take the next step in your career and join a team that values excellence, compassion, and your personal well-being. We look forward to welcoming you to the TransPerfect Health family.

INTRODUCTION
TransPerfect Is More Than Just a Job…
Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual identity, and each also has its own unique rewards.
ABOUT THE JOB
Join the TransPerfect Health Family as a full-time COTA at Park Springs.
The ideal COTA will have a love for the aging population and enjoy working in a variety of settings and includes outpatient, skilled nursing, memory care, and short-term rehab.
At TransPerfect Health, the well-being of our team is always our top priority. We are committed not only to advancing your career — but also to supporting and protecting every therapist who joins us. Our mission is to provide compassionate, proactive care to the aging population in Senior Living and Skilled Nursing settings — the place they call home.
Backed by a $1.2B parent company, TransPerfect Health offers the stability, growth, and innovation you deserve. We’re looking for Certified Occupational Therapy Assistants who are passionate about delivering high-quality, patient-centered care and making a meaningful difference every day.
KEY RESPONSIBILITIES
- Help optimize functional self-care, independence, and quality of life for members of the aging population
- Responsible for the treatment of residents with noted disorders or deficits within Occupational Therapy scope of practice
- Optimize the functionality and skills of patients
- Collaborate with supervising OTR developing programs appropriate to the needs of facility residents while fulfilling COTA/OTR co-signature and supervision requirements
- Complete all other tasks that are deemed appropriate for the role and assigned by the manager/supervisor
- Accurately complete all required documentation in a timely manner
- Participate in required orientations, staff meetings, and in-service education
- Follow all infection control procedures and OBRA Resident Rights Guidelines
- Demonstrate sound clinical judgment and effectively prioritize patient care
- Support compliance with all state and federal regulations
QUALIFICATIONS
- Current or eligible Occupational Therapy license in the state of practice
- Graduate of an accredited occupational therapy program
WHAT WE OFFER
- Competitive compensation
- Full benefits package including medical, dental, vision, and 401(k) with employer match
- Paid onboarding and orientation
- Yearly CEU allowance and licensure reimbursement
- Clinical mentorship and preceptorship program
- Employee referral bonus program
- Quick pay options available through PayActiv
DIVERSITY & INCLUSION
TransPerfect Health is committed to fostering a diverse, inclusive, and supportive workplace. We are proud to be an Equal Opportunity Employer.
APPLY TODAY
Take the next step in your career and join a team that values excellence, compassion, and your personal well-being. We look forward to welcoming you to the TransPerfect Health family.
See all 31+ COTA jobs
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Get Access To All JobsTips for Finding COTA Jobs
Emphasize specialized certifications beyond basic COTA credentials
Highlight advanced certifications in pediatrics, hand therapy, or neurological rehabilitation. These specialized credentials help demonstrate the role requires knowledge beyond standard occupational therapy assistant training.
Target positions with supervisory or training responsibilities
COTA roles involving supervision of other assistants, student mentoring, or program coordination are more likely to qualify as specialty occupations requiring bachelor's-level knowledge and skills.
Focus on clinical specializations that require advanced knowledge
Positions in specialized settings like burn units, spinal cord rehabilitation, or pediatric developmental centers often require expertise that goes beyond general occupational therapy assistant duties.
Document complex equipment expertise and technical skills
Experience with advanced rehabilitation technology, custom orthotic fabrication, or specialized assessment tools can strengthen the case that the position requires specialized theoretical and practical application.
Consider healthcare employers with established H-1B programs
Large hospital systems, rehabilitation centers, and academic medical centers typically have more experience with visa sponsorship processes and understand how to structure qualifying COTA positions.
Highlight research involvement or quality improvement initiatives
COTA positions that include participation in clinical research, outcome measurement, or quality improvement programs demonstrate the specialized analytical skills that support H-1B eligibility arguments.
COTA jobs are hiring across the US. Find yours.
Find COTA JobsFrequently Asked Questions
Do COTA positions qualify for H-1B sponsorship?
COTA positions can qualify for H-1B sponsorship, but it's challenging since most require only an associate degree. The role must demonstrate it needs specialized knowledge beyond standard COTA training, typically through advanced certifications, supervisory duties, or work in highly specialized clinical areas like pediatric neurology or hand therapy rehabilitation.
What degree requirements do employers set for sponsored COTA roles?
While COTA certification requires only an associate degree, H-1B sponsored positions typically require additional qualifications like a bachelor's in health sciences, specialized certifications, or equivalent experience. Employers must demonstrate the specific position requires knowledge that goes beyond standard occupational therapy assistant education and training.
Which healthcare settings are most likely to sponsor COTA visas?
Large hospital systems, academic medical centers, specialized rehabilitation facilities, and research institutions are most likely to sponsor COTAs. These employers typically have established visa programs and can structure positions with specialized requirements that support H-1B petitions, such as research involvement or advanced clinical specializations.
How do COTA H-1B approval rates compare to other healthcare roles?
COTA H-1B petitions face higher scrutiny than traditional healthcare roles because the occupation typically requires an associate degree rather than a bachelor's. Success rates improve significantly when positions involve specialized certifications, supervisory responsibilities, or work in complex clinical settings that require advanced theoretical knowledge and practical application.
How to find COTA jobs with visa sponsorship?
To find COTA jobs with visa sponsorship, use Migrate Mate, which specializes in connecting international healthcare professionals with sponsoring employers. Focus your search on rehabilitation hospitals, outpatient clinics, and healthcare systems that commonly sponsor H-1B and EB-3 visas for occupational therapy assistants. Many large healthcare networks actively recruit international COTAs to address staffing shortages.
Can international students transition from OPT to H-1B in COTA roles?
International students can transition from OPT to H-1B in COTA roles, but they need positions that clearly require specialized knowledge beyond basic occupational therapy assistant training. Students should focus on gaining advanced certifications during OPT and target employers who can demonstrate the role requires bachelor's-level expertise in specialized areas.
What is the prevailing wage requirement for sponsored COTA jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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