Aegis Therapies logo
Aegis Therapies
Hilo, Hawaii

Occupational Therapist Assistant / COTA

Occupational Therapy AssistantFull-Time

Listed compensation

$29-$39/hr

The week · per this posting · weekdays assumed

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

Posted 15m ago · Verified live

Job Description

Occupational Therapy Assistant / OTA

  • Job Type: Full-time
  • Schedule: 40 hours per week
  • Setting: Nursing Home, Rehabilitation Center, Skilled Nursing Facility, Long-term Care
  • Location: Legacy of Hilo - Hilo, HI
  • Pay: state range $29 to $39 per hour

Aegis Therapies, one of the nation’s leading providers of rehabilitation and wellness services, is hiring an Occupational Therapy Assistant to join our supportive team and reap the benefits of some of the best career advantages in the industry.

Why Aegis Therapies

Career Growth & Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.

Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.

  • Impactful Work: Make a meaningful difference in the lives of our patients.
  • Supportive Environment: Collaborate with teams that value your expertise and dedication.

Benefits

  • Support, local clinical mentorship, clinical education and unlimited CEUs
  • Leadership Advancement Opportunities
  • Flexible schedule, paid time off, plus one paid CEU day
  • Licensure and professional membership reimbursement
  • Interdisciplinary collaboration for providing the best patient care
  • Medical, dental, vision within 30 days or less
  • National opportunity to transfer while maintaining employment status
  • Multiple settings nationwide: er while maintaining employment status
  • Multiple settings nationwide: CCRC, SNF, Independent Living, Assisted Living, Outpatient Clinics, Home Health, Telehealth, Post-Acute
  • New Grads Welcomed!
  • And much more

Qualifications

Current license as an Occupational Therapy Assistant or ability to obtain in the state of practice.

If you enjoy working in geriatrics and have a current Occupational Therapy Assistant license, we would like to discuss what is most important to you. Aegis Therapies is committed to designing jobs to meet your needs.

Let us help find the career of your dreams! Apply Today.

EEO Statement

Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here OR aegistherapies.com.

Key Responsibilities

The Occupational Therapy Assistant will provide rehabilitation and wellness services to patients in various clinical settings. They will collaborate with interdisciplinary teams to deliver high-quality patient care and support patient recovery.

Qualifications

Education
Professional certificate or licensure

Key Skills

Geriatric careRehabilitation servicesClinical documentationTherapeutic interventions

Occupational Therapist Career Context

The cost-of-living index for Hawaii is 110.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$71k midpoint carries the purchasing power of roughly $64k in an average-cost state. 64.8% of Hawaii clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapy pay on WeekdayDoc is up 3.5% vs. the prior quarter (through Oct 2026).

What does the Occupational Therapy market look like in Hawaii?
MeasureThis jobMarket
Cost-of-living adjusted pay~$64k in purchasing powerHawaii index 110.0 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Hawaii99 active8,930 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedHawaii Occupational Therapist listings: 12% state a sign-on bonus · 4% offer loan repayment101 active listings, Nov 2026
New Occupational Therapy listings3,166 in the last 30 days1,614 the 30 days before (+96%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+3.5% 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

4 matches · ranked by pay
#1

Cert Occupational Therapist Assistant, COTA

Kalesta Healthcare Group · Sacramento, California

$40-$50/hr
#2

OTA/Occupational Therapist Assistant-Laurinburg, NC-$3500 Sign on Bonus

Carolina Therapy Services · Laurinburg, North Carolina

$65k-$72k
#3

Occupational Therapist Assistant | COTA

$30-$33/hr
#4

Certified Occupational Therapist Assistant

$18-$30/hr
+ 2 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.

Aegis Therapies logo

About Aegis Therapies

Hospitals and Health Care
Frisco, Texas
1,001-5,000 employees

Benefits & Perks

Support, local clinical mentorship, clinical education and unlimited CEUs
Leadership Advancement Opportunities
Flexible schedule, paid time off, plus one paid CEU day
Licensure and professional membership reimbursement
Medical, dental, vision within 30 days or less
National opportunity to transfer while maintaining employment status

Living in Hilo

Typical 3-bedroom home value
$562k
Typical market rent
$2,129/mo
Residents’ average commute
20 min
State income tax
Up to 11%
Sources & methodology

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

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