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Prava Therapy
Raleigh, North Carolina

Licensed Occupational Therapist Assistant

Occupational TherapistFull-Time

Listed compensation

$27-$30/hr

The week · per this posting · weekdays assumed

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

Posted 50m ago · Verified live

Job Description

Certified Occupational Therapy Assistant (COTA)

  • Full-Time | Optimal Living Senior Community | Raleigh, North Carolina
  • Prava Therapy

Therapy That Helps People Keep Living Life on Their Terms.

Prava Therapy is seeking a full-time Certified Occupational Therapy Assistant (COTA) to join our team within a premier, luxury resort-style senior living community in Raleigh, North Carolina.

This community emphasizes an "Optimal Living" philosophy—focusing on an active lifestyle, holistic wellness, lifelong learning, resort-style amenities, and continuous engagement. Residents value independence, connection, health, and maintaining an active, fulfilling life.

You'll get to know your residents, their routines, and the activities that matter most to them.

Your Role

As a Certified Occupational Therapy Assistant, you'll deliver skilled clinical treatments under the direction of an Occupational Therapist, bringing OT plans of care to life while embedding yourself as a trusted partner within this vibrant community.

You'll

Implement individualized, evidence-based OT treatment interventions according to established plans of care across adult/geriatric occupational therapy domains.

Carry out treatments addressing ADLs, IADLs, functional mobility, upper extremity motor function, fine motor coordination, energy conservation, and joint protection.

Target home and apartment safety, cognitive-functional performance, sensory/perceptual processing, visual-spatial skills, ergonomics, and daily routine organization.

Introduce, adapt, and train residents, caregivers, and staff on adaptive equipment, compensatory daily living techniques, environmental modifications, and physical safety tools.

Leverage community wellness features—such as fitness centers, art/creative studios, teaching kitchens, group activity spaces, outdoor pathways, and therapy spaces—to practice real-world functional daily living and engagement.

Identify subtle changes in resident function, cognitive-functional status, or safety to support proactive care.

Educate residents, families, caregivers, and community staff on functional independence, cognitive strategies, energy conservation, and adaptive equipment.

Collaborate with interdisciplinary team partners, community leadership, wellness directors, life enrichment teams, and caregivers.

Monitor resident progress, document treatment sessions accurately and in a timely manner, and provide feedback to the OT for plan-of-care updates.

Participate in care coordination, interdisciplinary team discussions, and community wellness initiatives as appropriate.

  • Contribute to a culture of clinical excellence, compassion, professionalism, and continuous learning.
  • WE'RE LOOKING FOR A COTA WHO THINKS BEYOND THE TREATMENT SESSION.

You believe great therapy isn't simply about guiding someone through exercise repetitions or completing a routine checklist. It's about helping someone participate fully in the resort-style lifestyle they've chosen.

That might mean managing daily routines effortlessly, dressing independently, engaging in favorite hobbies and creative arts, dining comfortably with friends, navigating community amenities, or cooking safely in their apartment.

You Believe

  • Every intervention should have a functional, real-world purpose.
  • Residents should be appropriately challenged—not underestimated.
  • Independence, autonomy, and holistic well-being are clinical priorities.
  • Proactive clinical identification, environmental adaptation, and safety support matter.
  • Adaptive equipment integration, routine structuring, and caregiver education are essential components of skilled care.
  • Functional outcomes matter more than simply completing treatment minutes.
  • Strong clinical relationships lead to better care.

You'll Have a Community — Not Just a Caseload.

Working in a resort-style senior community gives you the opportunity to see residents beyond the treatment session.

You'll see them participating in life enrichment events, utilizing wellness and fitness facilities, enjoying meals in community dining venues, or spending time outdoors. Those real-world interactions provide valuable insight into their functional performance in natural contexts, creating opportunities to support continued independence.

Therapy becomes part of everyday life—not something that exists separately from it.

This Role Is for You If...

You're a Certified Occupational Therapy Assistant Who

  • Enjoys building genuine relationships with residents.
  • Possesses strong clinical competence in adult/geriatric occupational therapy treatment delivery, adaptive strategies, cognitive-functional care, and wellness integration.
  • Takes pride in creative, individualized, and functional treatment sessions.
  • Believes therapy should enhance a resident's lifestyle and daily life.
  • Values independence, autonomy, and resident choice.
  • Enjoys collaborating closely with supervising OTRs, interdisciplinary team members, wellness teams, and community leaders.
  • Is curious, compassionate, and committed to continued professional growth.
  • Communicates clearly and takes ownership of resident treatment outcomes.
  • Wants to make a meaningful impact in an active, upscale senior community.

What Success Looks Like

  • Residents know you and trust you.
  • Residents understand what they're working toward in their sessions.
  • Families feel informed and supported.
  • Community staff and wellness teams see you as an essential clinical resource for functional independence, cognitive strategies, and adaptive tools.
  • Your treatment sessions are purposeful, engaging, and individualized.
  • And your residents are better able to participate in the activities, amenities, relationships, and routines that make their lives meaningful.
  • That's success.

Join Prava Therapy.

  • Bring your clinical expertise.
  • Bring your curiosity.
  • Bring your commitment to helping people stay active, connected, and independent.

Come be part of a therapy model centered around people, purpose, function, and the lives they want to keep living.

Key Responsibilities

The Certified Occupational Therapy Assistant will deliver skilled clinical treatments under the direction of an Occupational Therapist to support resident independence and functional performance. They will collaborate with interdisciplinary teams to implement evidence-based interventions and educate residents and caregivers on adaptive techniques.

Requirements

The role requires a Certified Occupational Therapy Assistant (COTA) with strong clinical competence in adult and geriatric occupational therapy. Candidates must possess the ability to build genuine relationships and demonstrate a commitment to functional, individualized care.

Qualifications

Experience
2+ years of experience

Key Skills

Clinical treatmentGeriatric careADL trainingIADL trainingEnvironmental modificationPatient educationClinical documentationCognitive-functional assessmentSafety assessmentInterdisciplinary collaboration

Occupational Therapist Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$59k midpoint carries the purchasing power of roughly $63k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapy pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

Top OTA Jobs

3 matches · ranked by pay
#1

Occupational Therapist Assistant - COTA

Rehab Without Walls Neuro Rehabilitation · Sacramento, California

$47-$52/hr
#2

Certified Occupational Therapist Assistant

Veracity Ventures · San Jose, California

$79k-$96k
#3

COTA / Certified Occupational Therapist Assistant - Home Health

$35-$40/hr
+ 1 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% 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 Raleigh

Typical 3-bedroom home value
$372k
Typical market rent
$1,577/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
98.2
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Raleigh-Cary, NC metro prices. Housing figures are city-level.

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