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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Occupational Therapy Assistant / COTA
Job Type: PRN
Setting: Nursing Home, Rehabilitation Center, Skilled Nursing Facility, Long-term Care
Location: Del Rio Nursing Rehabilitation - Del Rio, TX
Aegis Therapies, one of the nation’s leading providers of rehabilitation and wellness services, is hiring an Occupational Therapy Assistant to join our supportive team and reap the benefits of some of the best career advantages in the industry.
Why Aegis Therapies:
- Career Growth Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
- Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
- Impactful Work: Make a meaningful difference in the lives of our patients.
- Supportive Environment: Collaborate with teams that value your expertise and dedication.
Benefits:
- Support, local clinical mentorship, clinical education and unlimited CEUs
- Leadership Advancement Opportunities
- Flexible schedule, paid time off, plus one paid CEU day
- Licensure and professional membership reimbursement
- Interdisciplinary collaboration for providing the best patient care
- Medical, dental, vision within 30 days or less
- National opportunity to transfer while maintaining employment status
- Multiple settings nationwide: CCRC, SNF, Independent Living, Assisted Living, Outpatient Clinics, Home Health, Telehealth, Post-Acute
- New Grads Welcomed!
- And much more
Qualifications
- Current license as an Occupational Therapy Assistant or ability to obtain in the state of practice.
If you enjoy working in geriatrics and have a current Occupational Therapy Assistant license, we would like to discuss what is most important to you. Aegis Therapies is committed to designing jobs to meet your needs.
Let us help find the career of your dreams! Apply Today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here OR https://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.

Occupational Therapy Assistant / COTA
Job Type: PRN
Setting: Nursing Home, Rehabilitation Center, Skilled Nursing Facility, Long-term Care
Location: Del Rio Nursing Rehabilitation - Del Rio, TX
Aegis Therapies, one of the nation’s leading providers of rehabilitation and wellness services, is hiring an Occupational Therapy Assistant to join our supportive team and reap the benefits of some of the best career advantages in the industry.
Why Aegis Therapies:
- Career Growth Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
- Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
- Impactful Work: Make a meaningful difference in the lives of our patients.
- Supportive Environment: Collaborate with teams that value your expertise and dedication.
Benefits:
- Support, local clinical mentorship, clinical education and unlimited CEUs
- Leadership Advancement Opportunities
- Flexible schedule, paid time off, plus one paid CEU day
- Licensure and professional membership reimbursement
- Interdisciplinary collaboration for providing the best patient care
- Medical, dental, vision within 30 days or less
- National opportunity to transfer while maintaining employment status
- Multiple settings nationwide: CCRC, SNF, Independent Living, Assisted Living, Outpatient Clinics, Home Health, Telehealth, Post-Acute
- New Grads Welcomed!
- And much more
Qualifications
- Current license as an Occupational Therapy Assistant or ability to obtain in the state of practice.
If you enjoy working in geriatrics and have a current Occupational Therapy Assistant license, we would like to discuss what is most important to you. Aegis Therapies is committed to designing jobs to meet your needs.
Let us help find the career of your dreams! Apply Today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here OR https://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.
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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.
Occupational Therapy Assistant jobs are hiring across the US. Find yours.
Find Occupational Therapy Assistant JobsFrequently 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 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.
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