Occupational Therapist Assistant (OTA)

Occupational Therapy AssistantFull-Time

Listed compensation

/yr Salary: $42K–$86K

The week · per this posting · weekdays assumed

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

Posted 3mo ago

Job Description

  • Pediatric Certified Occupational Therapy Assistant (COTA)
  • Uptown Central San Antonio, TX | Surrounding Areas: San Antonio Airport
  • Estimated Annual Salary: $42,000 - $86,000
  • Make a Difference One Visit at a Time

At Angels of Care Pediatric Home Health, we believe in more than just therapy—we believe in building a community where clinicians are supported, children are empowered, and families are never alone.

We are hiring Certified Occupational Therapy Assistants (COTAs) to provide in-home therapy services for children and young adults with developmental and functional needs.

Angels of Care is a clinician-owned and operated organization that has proudly served the medically fragile community since 2000. We are driven by our values: Heart, Advocacy, Love, Outreach, and Speed (#HALOS).

Why Join Angels of Care?

  • Meaningful, patient-centered care in the home and community
  • Flexible scheduling (full-time and part-time options)
  • Supportive, clinician-led culture with mentorship
  • Opportunities for growth and leadership development
  • CEU and professional license reimbursement
  • Strong interdisciplinary collaboration
  • Opportunity to make a lasting impact on children and families
  • What You’ll Do
  • Implement occupational therapy treatment plans under OT supervision
  • Provide interventions to improve ADLs, fine motor skills, sensory integration, and development
  • Support patients in achieving functional independence goals
  • Educate and empower families and caregivers for carryover in daily routines
  • Collaborate with physicians and interdisciplinary care teams
  • Document care in an electronic medical record system
  • Monitor patient progress and report updates to supervising

Qualifications

Required

  • Active, unrestricted Certified Occupational Therapist Assistant (COTA) license (Texas)
  • Graduate of an accredited OTA program
  • Current CPR certification

Preferred

  • At least 1+ year of pediatric occupational therapy experience
  • Home health experience
  • Schedule & Flexibility
  • Full-time and part-time opportunities available
  • Flexible scheduling based on availability and caseload
  • Community-based care across Texas service areas
  • Comprehensive Benefits Package
  • We offer a competitive compensation and benefits program designed to support your success:
  • Medical, Dental, & Vision Insurance
  • Paid Time Off
  • 401(k) retirement plan
  • Short- and long-term disability
  • CEU reimbursement
  • Professional license reimbursement
  • Tablet provided for documentation
  • Flexible scheduling
  • Ongoing training, mentorship, and support
  • Employee perks including gym membership discounts
  • Annual car giveaway
  • Referral bonus program

Our Mission

We provide children and young adults with high-quality home health care delivered with compassion, excellence, and professionalism.

Our Vision

  • To be recognized as the leading pediatric home health provider in the communities we serve.
  • Our Values (#HALOS)
  • Heart – Patients are at the center of everything we do
  • Advocacy – We champion our patients, clinicians, and families
  • Love – We foster a culture of support and care
  • Outreach – We give back to our communities
  • Speed – We respond quickly to meet patient needs
  • U.S. Equal Employment Opportunity/Affirmative Action Information

Individuals seeking employment at Angels of Care Pediatric Home Health are considered without regards to race, color, religion, sex, sexual orientation, gender identification, national origin, age, marital status, ancestry, physical or mental disability, or veteran status.

Must submit a resume to be considered for this position

Key Responsibilities

Implement occupational therapy treatment plans under the supervision of an OT to improve pediatric patients' functional independence and daily living skills. Collaborate with interdisciplinary teams and educate caregivers to ensure consistent care and progress monitoring.

Qualifications

Education
Professional certificate or licensure

Key Skills

Pediatric careADL trainingTreatment planningPatient documentationCaregiver educationElectronic medical records

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist Assistant (OTA) at Angels of Care Pediatric 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.

Pediatrics — Occupational Therapist Career Context

In Texas, the Pediatrics weighted monthly median benchmark on WeekdayDoc is ~$95k (44 salary observations; 339 listings), vs ~$91k nationally (416 salary observations; 1,642 listings). Monthly aggregates cover 2026-03-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

Pediatrics pay on WeekdayDoc is up 5.2% vs. the prior quarter (through Oct 2026).

Pediatrics by the numbers
MeasureThis jobMarket
Work-life score7.2 / 10 · top 10% in occupational therapy assistantranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10
Texas vs national$95k median in Texas$91k nationally (+4%)44 state / 416 national salary observations
Cost-of-living adjusted pay~$66k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Pediatrics listings in Texas149 active705 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedTexas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026
New Pediatrics listings1,154 in the last 30 days752 the 30 days before (+53%)U.S., first seen on WeekdayDoc, Nov 2026
Pediatrics pay trend+5.2% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (1,043 Occupational Therapy Assistant listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$64k midpoint, that is roughly $3k–$4k a year versus a typical 4–7% state rate.

Work-life snapshot

median 4.8this job 7.2
Better work-life than 80% of Occupational Therapy Assistant listings

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

Angels of Care Pediatric Home Health logo

About Angels of Care Pediatric Home Health

Medical Practices
McKinney, Texas
1,001-5,000 employees

Benefits & Perks

Medical, Dental, & Vision Insurance
Paid Time Off
401(k) retirement plan
Short- and long-term disability
CEU reimbursement
Professional license reimbursement
Tablet provided for documentation
Flexible scheduling

Living in San Antonio

Rent affordability

39% of gross pay

Market rent compared with this listing’s advertised pay.

Purchasing power

$44,343–$90,798/yr

At national-average prices · Before taxes

Typical 3-bedroom home value
$224k≈ 5.3× annual pay
Typical market rent
$1,381/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

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

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

Ratios use the advertised annual pay range’s lower bound, before taxes. Regional prices are not a personal budget.

Peer group: ota · occupational therapy assistant · Full-time · hours not stated · Pay composition not stated. National listings with usable annual USD pay and local data, posted within 180 days of the 2026-10-22 snapshot. Rankings use lower pay bounds; higher percentiles mean more favorable comparisons. Only the same rent observation month is compared.

Ratings need at least 30 other listings, five employers and three locations; no employer may contribute over 35%. Strong: top quarter; Typical: middle half; Weaker: bottom quarter. Missing ratings mean insufficient comparable data, not a poor offer. These are offer comparisons, not city grades.