Pediatric Occupational Therapist Assistant (COTA)

Occupational TherapistFull-Time

Listed compensation

$42k-$86k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

  • Pediatric Certified Occupational Therapy Assistant (COTA)
  • El Paso, TX | Surrounding Areas/Zip Codes: 79904, 79924, 79934
  • Estimated Annual Salary: $42,000 - $86,000
  • Sign-On Bonus: $1,500
  • Make a Difference One Visit at a Time

At Angels of Care Pediatric Home Health, we believe in more than just therapy—we believe in building a community where clinicians are supported, children are empowered, and families are never alone.

We are hiring Certified Occupational Therapy Assistants (COTAs) to provide in-home therapy services for children and young adults with developmental and functional needs.

Angels of Care is a clinician-owned and operated organization that has proudly served the medically fragile community since 2000. We are driven by our values: Heart, Advocacy, Love, Outreach, and Speed (#HALOS).

Why Join Angels of Care?

  • Meaningful, patient-centered care in the home and community
  • Flexible scheduling (full-time and part-time options)
  • Supportive, clinician-led culture with mentorship
  • Opportunities for growth and leadership development
  • CEU and professional license reimbursement
  • Strong interdisciplinary collaboration
  • Opportunity to make a lasting impact on children and families
  • What You’ll Do
  • Implement occupational therapy treatment plans under OT supervision
  • Provide interventions to improve ADLs, fine motor skills, sensory integration, and development
  • Support patients in achieving functional independence goals
  • Educate and empower families and caregivers for carryover in daily routines
  • Collaborate with physicians and interdisciplinary care teams
  • Document care in an electronic medical record system
  • Monitor patient progress and report updates to supervising

Qualifications

Required

  • Active, unrestricted Certified Occupational Therapist Assistant (COTA) license (Texas)
  • Graduate of an accredited OTA program
  • Current CPR certification

Preferred

  • At least 1+ year of pediatric occupational therapy experience
  • Home health experience
  • Schedule & Flexibility
  • Full-time and part-time opportunities available
  • Flexible scheduling based on availability and caseload
  • Community-based care across Texas service areas
  • Comprehensive Benefits Package
  • We offer a competitive compensation and benefits program designed to support your success:
  • Medical, Dental, & Vision Insurance
  • Paid Time Off
  • 401(k) retirement plan
  • Short- and long-term disability
  • CEU reimbursement
  • Professional license reimbursement
  • Tablet provided for documentation
  • Flexible scheduling
  • Ongoing training, mentorship, and support
  • Employee perks including gym membership discounts
  • Annual car giveaway
  • Referral bonus program

Our Mission

We provide children and young adults with high-quality home health care delivered with compassion, excellence, and professionalism.

Our Vision

  • To be recognized as the leading pediatric home health provider in the communities we serve.
  • Our Values (#HALOS)
  • Heart – Patients are at the center of everything we do
  • Advocacy – We champion our patients, clinicians, and families
  • Love – We foster a culture of support and care
  • Outreach – We give back to our communities
  • Speed – We respond quickly to meet patient needs
  • U.S. Equal Employment Opportunity/Affirmative Action Information

Individuals seeking employment at Angels of Care Pediatric Home Health are considered without regards to race, color, religion, sex, sexual orientation, gender identification, national origin, age, marital status, ancestry, physical or mental disability, or veteran status.

Must submit a resume to be considered for this position

Key Responsibilities

Implement occupational therapy treatment plans under the supervision of an OT to improve patient ADLs, fine motor skills, and sensory integration. Collaborate with interdisciplinary teams and educate families to ensure consistent care and progress monitoring.

Qualifications

Education
Professional certificate or licensure

Key Skills

Pediatric careTreatment plan implementationADL supportFine motor skills developmentPatient documentationElectronic medical recordsCaregiver educationFunctional independence training

Pediatrics — Occupational Therapist Career Context

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$64k midpoint carries the purchasing power of roughly $66k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$64k midpoint, that is roughly $3k–$4k a year versus a typical 4–7% state rate.

Top OTA Jobs

7 matches · ranked by pay

Work-Life Balance Distribution7 jobs

0
1-2
0
3-4
0
5-6
6
7-8
1
9-10

Higher = better work-life balance

#1

Occupational Therapist Assistant - COTA

Rehab Without Walls Neuro Rehabilitation · Sacramento, California

$47-$52/hr
#2

Occupational Therapist Assistant (COTA)- $50 rate per visit W/Retention of 1,500

BrightStar Care - Rio Grande Valley, TX · Edinburg, Texas

$50/visit
#3

Home Health Occupational Therapist Assistant-PRN

$58k-$79k
#4

Pediatric Occupational Therapist Assistant (COTA)

$23.52-$35.28/hr
+ 5 more · ranked by pay

Work-life snapshot

median 4.8this job 4.8
Better work-life than 50% of Occupational Therapy Assistant listings

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

Living in El Paso

Typical 3-bedroom home value
$231k≈ 5.5× annual pay
Typical market rent
$1,519/mo≈ 43% of gross pay
Residents’ average commute
23 min
Metro price indexU.S. average = 100
89.9
State income tax
None
Sources & methodology

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

BEA 2024 · El Paso, TX metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Angels of Care Pediatric Home Health logo

About Angels of Care Pediatric Home Health

Medical Practices
McKinney, Texas
1,001-5,000 employees

Benefits & Perks

Medical, Dental, & Vision Insurance
Paid Time Off
401(k) retirement plan
Short- and long-term disability
CEU reimbursement
Professional license reimbursement
Tablet provided for documentation
Flexible scheduling