Certified Occupational Therapist Assistant
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.
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
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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.6 / 10 · above average in occupational therapy assistant | ranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10 |
| Listed pay | not listed | Occupational Therapist median $71k (middle half $62k–$85k)15 comparable listings, Oct 2026 |
| Cost of living | Texas index 97.1 | US average = 100BEA Regional Price Parities (2024) |
| Occupational Therapist listings in Texas | 1,085 active | 10,174 nationallylive on WeekdayDoc, Oct 2026 |
| Sign-on & loan repayment | not stated | Texas 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 |
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.
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