Occupational Therapy Assistant Jobs in USA with Visa Sponsorship
Occupational therapy assistants can secure H-1B visa sponsorship, though the role requires careful positioning as a specialty occupation. Most successful cases involve healthcare facilities willing to document the specific clinical expertise and bachelor's degree requirement for complex patient care protocols. For detailed occupation requirements, see the O*NET profile.
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Certified Occupational Therapy Assistant
Location: Temple, Texas
Coverage Area: Temple and surrounding area
Position: Certified Occupational Therapy Assistant, Home Health - COTA
Position Type: Full-Time
Remote/Virtual Position: No
Find Your Passion and Purpose as a Certified Occupational Therapy Assistant!
Offer Based on Years of Experience
Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.
We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together.
Be the Best Home Health Certified Occupational Therapy Assistant You Can Be
If you meet these qualifications, we want to meet you!
Basic Qualifications
- Associate degree from an accredited school of Occupational Therapy
Required Certifications and Licensures:
- Valid license, registration, certification or permit to practice in the states of agency operation
- Must be a licensed driver who can travel to all business locations
- Must possess and maintain valid CPR certification while employed in a clinical role
Our Investment in You
Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include:
- Medical, dental, and vision coverage
- Paid time off and paid holidays
- Professional development opportunities
- Company-matching 401(k)
- Flexible spending and health savings accounts
- Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app
- Programs to celebrate achievements, milestones, and fellow employees
- Company store credit for your first AccentCare-branded scrubs for patient-facing employees
- And more!
Come As You Are
At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
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Get Access To All JobsTips for Finding Visa Sponsorship as an Occupational Therapy Assistant
Target healthcare systems over private practices
Large hospital networks and rehabilitation centers have established visa sponsorship processes and legal resources. Private practices typically lack the infrastructure for complex immigration filings.
Emphasize specialized treatment modalities
Highlight expertise in pediatric therapy, hand rehabilitation, or neurological conditions. Specialized skills strengthen the specialty occupation argument required for H-1B approval.
Document degree relevance carefully
USCIS scrutinizes whether occupational therapy assistant roles require a bachelor's degree. Your employer must demonstrate complex clinical reasoning and specialized knowledge requirements.
Consider EB-3 for permanent residency
Healthcare workers often qualify for EB-3 skilled worker category. This provides a more straightforward path than employment-based categories requiring advanced degrees.
Research state licensing requirements early
Each state has different licensing requirements for foreign-trained occupational therapy assistants. Some require additional coursework or clinical hours before you can practice.
Build relationships during clinical rotations
If you complete U.S. clinical training on a student visa, use rotations to network with facilities. Employers are more likely to sponsor candidates they know.
Frequently Asked Questions
Do occupational therapy assistants qualify for H-1B visas?
Yes, but approval depends on demonstrating the role requires specialized knowledge and a bachelor's degree. USCIS has approved OTA positions when employers document complex patient care protocols, specialized treatment modalities, or supervisory responsibilities that distinguish the role from routine assistant duties.
What degree do I need for visa sponsorship as an OTA?
Most successful H-1B visa cases involve candidates with bachelor's degrees in occupational therapy, kinesiology, or related health sciences. An associate's degree alone typically doesn't meet specialty occupation requirements, though additional certifications in specialized areas can strengthen your case.
Which employers sponsor occupational therapy assistants for visas?
Large healthcare systems, rehabilitation hospitals, and skilled nursing facilities are most likely to sponsor. Organizations like Kaiser Permanente, HCA Healthcare, and major university medical centers have established immigration processes. Smaller private practices rarely have the resources or need.
Can I get a green card as an occupational therapy assistant?
Yes, through the EB-3 skilled worker category, which typically has shorter wait times than other employment-based categories. Healthcare workers are often prioritized, and the process doesn't require proving the role needs an advanced degree like H-1B does.
How to find Occupational Therapy Assistant jobs with visa sponsorship?
To find Occupational Therapy Assistant positions with visa sponsorship, use Migrate Mate to search healthcare facilities, rehabilitation centers, and hospitals actively hiring international candidates. Focus on H-1B and EB-3 visa opportunities, as these are commonly offered for allied health professionals. Many large healthcare systems and specialty clinics sponsor visas for qualified OTA candidates to address staffing shortages.
Do I need U.S. clinical experience before applying for sponsored positions?
Not required, but strongly recommended. Most employers prefer candidates with U.S. clinical rotations or volunteer experience because they understand American healthcare protocols. Consider completing additional clinical hours through programs that accept international students if your foreign training needs supplementation.
What is the prevailing wage requirement for sponsored Occupational Therapy Assistant 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.