Certified Occupational Therapist Assistant (COTA) - Sonoma/Marin
Listed compensation
$45-$55/hr
The week · per this posting · weekdays assumed
Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.
Job Description
Territory: Sonoma/Marin
Compensation
Earn More Per Visit – Your Hard Work, Rewarded!
Our unique compensation structure is designed to value your time and effort. Instead of an hourly wage, you'll be paid per visit, allowing you to maximize your earnings based on the number of patients you see. This means more flexibility, more control over your schedule, and a clear connection between your dedication and your paycheck. Join us to enjoy a role that rewards your efficiency and commitment
Job Description Summary
The Certified Occupational Therapy Assistant contracted through the Organization is responsible to the registered occupational therapist that is responsible for the implementation of standards of care for occupational therapy services and for adherence to all conditions outlined in the Service Agreement. The certified occupational therapy assistant performs only those services planned, delegated, and supervised by the registered occupational therapist.
Essential Job Functions/Responsibilities
- Participates in the ongoing evaluation of patient’s functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self-care ability, work capacity, etc.) as delegated by the registered occupational therapist. Participates in the ongoing evaluation of the home environment for hazards or barriers to more independent living as delegated by the registered occupational therapist.
- Participates in teaching new skills or retraining patients in once familiar daily activities that have been lost due to illness or injury, in accordance with organization policy.
- Maintains appropriate clinical records, clinical notes, and reports to the registered occupational therapist any changes in the patient’s condition.
- Submits clinical documentation in accordance with Organization policy.
- Follows treatment program and goals for improved patient function as established by the registered occupational therapist. Documents patient’s response to treatment plan and progress toward established goals.
- Maintains contact/communication with other personnel involved in the patient’s care to promote coordinated, efficient care. Documents such communication in accordance with Organization policy.
- Attends and contributes to in services, case conferences, and other meetings as required by Organization policy to ensure coordinated and comprehensive plans of care for the patients of the Organization.
- Identifies patient and family/caregiver needs for other home care services. Consults with the supervising registered occupational therapist and assists with necessary referrals, as appropriate.
- Participates in instructing patient’s family/caregiver and other Organization health care personnel in patient’s treatment regime as delegated by the registered occupational therapist.
- Is supervised by the registered occupational therapist no less than every thirty days. Documentation in the clinical record will reflect ongoing communication between the registered occupational therapist and certified occupational therapy assistant, the patient’s condition, the patient’s response to services provided by the assistant, any need to change the plan of care, and patient outcomes.
- Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description.
Position Qualifications
- Graduate of an occupational therapy assistant curriculum accredited by the American Occupational Therapy Association.
- Certified with the National Certification Examination of the American Occupational Therapy Association.
- Licensed as an occupational therapy assistant by the California Board of Occupational Therapy.
- A minimum of one (1) year of clinical experience as a certified occupational therapy assistant.
- Demonstrates good verbal and written communication, and organization skills.
- Possesses and maintains current CPR certification.
- Must possess a valid California Driver’s License with automobile that is in good working order and insured in accordance with the organization requirements.
Physical Requirements
- The ability to sit occasionally for 1-3 hours.
- The ability to frequently stand for 3-6 hours.
- The ability to occasionally drive/ operate foot control for 1-3 hours.
- The ability to walk occasionally on level surface for 1-3 hours.
- The ability to walk intermittently on unlevel surface for less than 1 hour.
- The ability to intermittently bend or climb for less than 1 hour.
- The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours.
- The ability to lift 50 pounds intermittently in less than 1 hour.
- The ability to carry up to 50 pounds intermittently in less than 1 hour.
- The ability to push up to 50 pounds intermittently in less than 1 hour.
- The ability to pull up to 50 pounds intermittently in less than 1 hour.
Key Responsibilities
The Certified Occupational Therapy Assistant implements treatment plans and evaluates patient functional status under the supervision of a registered occupational therapist. They are responsible for maintaining clinical records and coordinating care with other healthcare personnel to ensure patient progress.
Requirements
Candidates must be graduates of an accredited occupational therapy assistant program and hold a valid California license. A minimum of one year of clinical experience and a valid driver's license with an insured vehicle are required.
Qualifications
- Education
- Professional certificate or licensure
Key Skills
Occupational Therapist Career Context
In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$118k (797 salary observations; 2,326 listings), vs ~$97k nationally (5,562 salary observations; 29,543 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$104k midpoint carries the purchasing power of roughly $94k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 7.2 / 10 · top 10% in occupational therapy assistant | ranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10 |
| Listed pay | $94k–$114k | Occupational Therapy median $90k (middle half $78k–$105k)60 comparable listings, Nov 2026 |
| California vs national | $118k median in California | $97k nationally (+21%)797 state / 5,562 national salary observations |
| Cost-of-living adjusted pay | ~$94k in purchasing power | California index 110.7 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in California | 903 active | 9,040 nationallylive on WeekdayDoc, Nov 2026 |
| Sign-on & loan repayment | not stated | California occupational therapist listings (all specialties): 17% state a sign-on bonus (median $5k) · 5% offer loan repayment959 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,212 in the last 30 days | 1,658 the 30 days before (+94%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +3.8% vs prior quarter | —through Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant (COTA) - Sonoma/Marin at Bridge Home Health 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.
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