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Upstream Rehabilitation
Fairview, Oregon

Certified Occupational Therapist Assistant

Occupational TherapistNo callFull-Time

Listed compensation

$25-$35/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage and nights and shift pattern.

Posted 1mo ago · Verified live

Job Description

  • Occupational Therapist Assistant – Outpatient Ortho
  • Grow Your Outpatient COTA Career with us!
  • Fairview, Oregon

At, Peoples Injury Network Northwest part of the Upstream Rehabilitation network, you’ll have the support, mentorship, and tools you need to thrive as an Occupational Therapist Assistant (COTA) in a modern outpatient orthopedic setting.

We’re hiring full-time, part-time, and PRN COTAs who are passionate about helping patients recover movement and return to the activities they love. Whether you’re a recent graduate or an experienced clinician, you’ll find a collaborative environment, competitive pay, and a clear career path that grows with you.

Why Clinicians Choose Peoples Injury Network Northwest

  • Competitive COTA Compensation: $25.00 - $35.00 per hour
  • Achievable monthly clinical incentive bonus program, over 90% of clinicians qualify
  • Reasonable caseloads: 10-12 visits/day expectation
  • Medical, Dental and Vision insurance (100% employer paid medical health insurance premium option available)
  • 401k with company match
  • Generous PTO and paid holidays
  • Structured onboarding and 1:1 mentorship for new-grad COTAs
  • Robust CEU opportunities through IAMT + $1500 annual allowance for external courses!
  • Free Medbridge account / ongoing access
  • Pathways for professional development and long-term career advancement

New in 2026! Upstream clinicians are supported by Generative AI Documentation Scribe – purpose-built AI technology that automatically generates compliant clinical documentation in real time, so you can stay fully present with your patients and deliver the meaningful, undivided care they deserve

  • A supportive team and leadership invested in your success
  • What You’ll Do as an Occupational Therapist Assistant
  • Deliver hands-on, evidence-based care under the supervision of a licensed Occupational Therapist
  • Help patients improve mobility, strength, and function through individualized treatment plans
  • Track patient progress and collaborate closely with your clinical team
  • Foster positive relationships with patients, providers, and your local community
  • Continue your professional growth through Upstream’s mentorship and learning programs

Qualifications

  • Graduate of an accredited Occupational Therapy Assistant program (or upcoming graduate)
  • Active / pending State COTA license (or eligibility)
  • A Better Place to Build Your COTA Career

When you join Upstream Rehabilitation, you get the strength of a national network with the feel of a local clinic. Our central support teams handle the administrative work so you can focus on what matters most — yourself, your patients, and your team.

With more than 1,200 clinics across 26 brand partners, we lead the industry in clinical outcomes. We leverage data, technology, and innovative tools to reduce administrative burden and support your success. You’ll join an incredible community of clinicians who shape our culture, support one another, and have fun along the way. It’s easy to see why so many Occupational Therapist Assistants grow at Upstream!

Follow @Lifeatupstream on Instagram, and check out our LinkedIn company page to learn more about what it’s like to be part of the #upstreamfamily.

Click Here to Learn Even More About Upstream

Estimated pay ranges listed above are based on several factors including but not limited to your pay class, experience, background and geographic location of the clinic.

Benefits and eligibility are dependent on employment status and pay class (full-time, part-time, or PRN). Specific details will be provided during the hiring process.

Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.

Key Responsibilities

Deliver hands-on, evidence-based care under the supervision of a licensed Occupational Therapist to help patients improve mobility and function. Collaborate with the clinical team to track patient progress and develop individualized treatment plans.

Key Skills

Patient careOrthopedic rehabilitationTreatment planningPatient progress trackingEvidence-based practiceMobility improvementStrength trainingCollaboration

Occupational Therapist Career Context

The cost-of-living index for Oregon is 103.4 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$62k midpoint carries the purchasing power of roughly $60k in an average-cost state. 62.0% of Oregon clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapy pay on WeekdayDoc is up 2.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant at Upstream Rehabilitation a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc. Contributing factors include no on-call duties.

Top OTA Jobs

1 matches · ranked by pay
#1

COTA / Certified Occupational Therapist Assistant - Home Health

Adoration Health · Richmond, Virginia

$35-$40/hr

Work-life snapshot

median 4.8this job 7.2
Better work-life than 80% of Occupational Therapy Assistant listings

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

  • No call

Living in Fairview

Typical 3-bedroom home value
$464k
Typical market rent
$1,737/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
105.4
State income tax
Up to 9.9%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

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About Upstream Rehabilitation

Hospitals and Health Care
1,001-5,000 employees

Benefits & Perks

Medical, Dental and Vision insurance (100% employer paid option)
401k with company match
Generous PTO and paid holidays
Structured onboarding and 1:1 mentorship
CEU opportunities + $1500 annual allowance
Free Medbridge account
Professional development pathways
Generative AI Documentation Scribe