Certified Occupational Therapist Assistant

Occupational Therapy AssistantFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 4mo ago

Job Description

Position Summary

The Occupational Therapist Assistant (COTA or OTA) is a qualified professional under the supervision of a qualified Occupational Therapist (OT) who performs services planned, delegated, and supervised by the OT, assists in preparing clinical notes and progress reports, participates in educating the patient and family, as well as in in-service programs.

Essential Functions

Provide therapy services planned, delegated and supervised by the qualified OT in accordance with the patient’s Plan of Care.

Assist in the implementation of vocational/education programs and activities established by registered Occupational Therapist designed to restore, reinforce, and enhance task performances, diminish or correct pathology, and to promote/maintain health and self-sufficiency.

Design/adapt equipment and living environment. Fabricate devices to assist and improve function, independence, and participation where possible.

Provide therapeutic treatment and instruction to patients as directed by the qualified Occupational Therapist and in accordance with physician orders to improve/restore strength, coordination, range-of-motion and function or teach compensation measures.

Report information and observations to Occupational Therapist, document observed information in patient records and prepare clinical notes. Assist with preparation of progress reports. Maintain and submit documentation as required by the agency.

Instruct patients and family members regarding home programs as well as care and use of adaptive equipment.

Participate in care coordination and discharge planning activities and act as a resource to other health care personnel in meeting patient's needs.

Effective clinical problem solving skills (e. g. identify and prioritize issues in responsive manner, develop sound and innovative action plans, execute action plans on timely basis, ensure appropriate results, etc.).

Other duties as assigned

Education and Qualifications Required

Graduate of associate degree program conferring the title of Certified Occupational therapist Assistant.

Valid license in the State of Texas

Key Responsibilities

Provide therapy services and implement vocational programs under the supervision of an Occupational Therapist to improve patient function and independence. Responsible for documenting patient progress, fabricating assistive devices, and educating families on home care programs.

Key Skills

Patient EducationClinical DocumentationAdaptive Equipment DesignPatient Care

Occupational Therapist Career Context

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapist pay on WeekdayDoc is up 2.9% vs. the prior quarter (through Sep 2026).

What does the Occupational Therapist market look like in Texas?
MeasureThis jobMarket
Work-life score6.6 / 10 · above average in occupational therapy assistantranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10
Listed paynot listedOccupational Therapist median $71k (middle half $62k–$85k)15 comparable listings, Oct 2026
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Occupational Therapist listings in Texas1,085 active10,174 nationallylive on WeekdayDoc, Oct 2026
Sign-on & loan repaymentnot statedTexas Occupational Therapist listings: 9% state a sign-on bonus (median $5k) · 6% offer loan repayment1,085 active listings, Oct 2026
Occupational Therapist pay trend+2.9% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (1,043 Occupational Therapy Assistant listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant at RiverKids Pediatric Home Health a 6.6 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top OTA Jobs

3 matches · ranked by pay
#1

COTA / Certified Occupational Therapist Assistant - Home Health

Adoration Health · Sweetwater, Tennessee

#2

COTA / Occupational Therapist AssistantPer Diem

Rehab Without Walls Neuro Rehabilitation · Grapevine, Texas

#3

COTA / Occupational Therapist Assistant

+ 1 more · ranked by pay

Work-life snapshot

median 4.8this job 6.6
Better work-life than 70% 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 Pearland

Typical 3-bedroom home value
$326k
Typical market rent
$1,898/mo
Residents’ average commute
33 min
State income tax
None
Sources & methodology

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

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