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Bridge Home Health
Petaluma, California

Certified Occupational Therapist Assistant (COTA) - Sonoma/Marin

Occupational Therapy AssistantFull-Time

Listed compensation

$45-$55/hr

The week · per this posting · weekdays assumed

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

Posted 29m ago · Verified live

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 Therapist 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 health 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 reliable transportation are required.

Qualifications

Experience
2+ years of experience

Key Skills

Patient evaluationTreatment planningHome health carePatient educationOrganizational skillsRehabilitationCare coordination

Occupational Therapist Career Context

In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$116k (738 salary observations; 2,488 listings), vs ~$97k nationally (5,153 salary observations; 28,851 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).

What does the Occupational Therapy market look like in California?
MeasureThis jobMarket
Listed pay$94k–$114kOccupational Therapy median $90k (middle half $78k–$105k)60 comparable listings, Nov 2026
California vs national$116k median in California$97k nationally (+19%)738 state / 5,153 national salary observations
Cost-of-living adjusted pay~$94k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in California916 active9,130 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedCalifornia occupational therapist listings (all specialties): 16% state a sign-on bonus (median $5k) · 5% offer loan repayment971 active listings, Nov 2026
New Occupational Therapy listings3,238 in the last 30 days1,701 the 30 days before (+90%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.7% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top OTA Jobs

7 matches · ranked by pay

Salary Distribution

6 jobs
2
<$80k
0
$80k-95k
2
$104k
2
$114k

Annual compensation range

#1

Cert Occupational Therapist Assistant, COTA

Harvest Crossing POST Acute · Manteca, California

$48-$55/hr
#2

Cert Occupational Therapist Assistant, COTA

Kalesta Healthcare Group · Manteca, California

$48-$55/hr
#3

Cert Occupational Therapist Assistant, COTA

$40-$50/hr
#4

Occupational Therapist Assistant (COTA)

$45-$50/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.

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About Bridge Home Health

Hospitals and Health Care
San Diego, California
201-500 employees

Benefits & Perks

Per-visit compensation structure
Flexible schedule
Supervised by registered occupational therapist

Living in Petaluma

Typical 3-bedroom home value
$842k
Typical market rent
$2,869/mo
Residents’ average commute
31 min
Metro price indexU.S. average = 100
107.8
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Santa Rosa-Petaluma, CA metro prices. Housing figures are city-level.

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