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Advocate Health
Shelby, North Carolina

Certified Occupational Therapist Assistant (COTA) - Home Health

Occupational TherapistNo callFull-Time

Listed compensation

$26.55-$39.85/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 38m ago · Verified live

Job Description

Department: 39123 AH at Home HH: Cleveland - Home Care Occupational Therapy

Status: Full time

Benefits Eligible

Yes

Hours Per Week

40

Schedule Details/Additional Information

  • Full-time Days.
  • Coverage area: Cleveland region

This position is Sign-On Bonus eligible, up to $15,000.00 for qualified applicants. Internal teammates are eligible for a $5,000.00 Referral Bonus.

Pay Range

$26.55 - $39.85

Essential Functions

Responsible for the daily management of an assigned patient caseload, ensuring timely care and documentation to meet the patent needs/services as prescribed in the established plan of care and per MD orders

Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available.

Implements patient care programs including necessary modalities, procedures, exercise programs, and patient education as established by the OT.

Documents and implements a plan of care to meet patient and family needs, to include discharge planning and utilization of available resources.

Demonstrates clinical reasoning, coupled with clinical skills to conduct accurate clinical assessments and perform patient care activities; evaluates effectiveness of therapy interventions, identifies and prioritizes patient/family strength, needs and priorities.

Provides and documents patient and family education in regard to deficits, progress toward goals, and therapeutic techniques, with individualized instruction for a home program including equipment use.

Maintains communication with multidisciplinary team providing updates and changes in schedules, patient data or needs, and physician orders.

Incorporates short and long-term goals established in the plan of care into therapy, as evidenced by documentation in visit notes.

Supports effective communication and collaboration with the physician oversight, and branch PT/ leaderships supervision to ensure timely feedback regarding patients' condition and/or need for changes in the plan of care.

Remains and performs ordered treatments, therapies, and/or procedures in accordance with State Physical Therapy Practice Act and Home Health Conditions of Participation, TJC, Medicare Guidelines, OASIS and agency policy and procedures

Promotes shared governance and decision making activities, developing and nurturing research to positively affect clinical outcomes and promotion.

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 50 pounds in handling patients, medical equipment, and supplies. Ability to travel extensively during all seasons to assigned patients place of residence.

Works in a variety of home environments and conditions. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and/or unit conditions.

Ability to work flexible schedule to meet patients' needs. Personal Protective Equipment such as gloves, goggles, gowns, and masks are sometimes required due to possible exposure to hazardous chemicals or blood and body

Our Commitment to You

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Benefits and more

Paid Time Off Programs

  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs

Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e. g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.

Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.

It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs.

Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Key Responsibilities

The COTA is responsible for managing an assigned patient caseload, implementing therapy programs, and documenting care in accordance with physician orders. They must maintain communication with the multidisciplinary team and provide patient and family education regarding home programs and equipment.

Requirements

The candidate must be a certified Occupational Therapist Assistant capable of performing physical tasks such as lifting up to 50 pounds and traveling extensively to patient homes. Strong clinical reasoning, documentation skills, and the ability to work in various home environments are required.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Patient assessmentClinical documentationHome health careMultidisciplinary collaborationOASIS documentationElectronic medical records

Occupational Therapist Career Context

In North Carolina, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$92k (135 salary observations; 692 listings), vs ~$96k nationally (4,384 salary observations; 23,944 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$69k midpoint carries the purchasing power of roughly $73k 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 3.8% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant (COTA) - Home Health at Advocate Health a 6.9 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. Contributing factors include no on-call duties.

Top OTA Jobs

3 matches · ranked by pay
#1

Occupational Therapist Assistant - COTA

Rehab Without Walls Neuro Rehabilitation · Sacramento, California

$47-$52/hr
#2

COTA / Certified Occupational Therapist Assistant - Home Health

Adoration Health · Richmond, Virginia

$35-$40/hr
#3

Occupational Therapist Assistant

$27.58-$31.88/hr
+ 1 more · ranked by pay

Work-life snapshot

median 4.8this job 6.9
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.

  • No call

Living in Shelby

Typical 3-bedroom home value
$249k
Typical market rent
$1,111/mo
Residents’ average commute
20 min
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.

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

Advocate Health logo

About Advocate Health

Hospitals and Health Care
Charlotte, North Carolina
10,000+ employees

Benefits & Perks

Sign-on bonus up to $15,000
$5,000 internal referral bonus
Paid Time Off programs
Health, dental, and vision insurance
Life and Short/Long-Term Disability
Flexible Spending Accounts
Adoption assistance and paid parental leave
Defined contribution retirement plans with employer match