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MGA Homecare
San Antonio, Texas

Pediatric Occupational Therapist Assistant (COTA)

Occupational TherapistNo callFull-Time

Listed compensation

up to $150,000

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Pediatric Occupational Therapist Assistant (COTA)

Job Overview

Title

Pediatric COTA - Non-Exempt

What You’ll Do

Provide skilled, compassionate therapy for children from birth to 21 with a range of physical, developmental, and sensory needs.

  • Work closely with families to teach strategies that support progress at home.
  • Keep accurate and timely documentation to ensure quality care.
  • Collaborate with a caring, multidisciplinary team to guide each child’s journey.

Why You’ll Love Working with MGA

  • Competitive Pay: Earn up to $150,000 annually with guaranteed pay options.
  • Flexible Schedules: Build a caseload that fits your lifestyle.
  • Career Growth: Ongoing mentorship, clinical training, and advancement opportunities.
  • 1:1 Patient Care: Make a real impact through personalized therapy sessions.

Comprehensive Benefits

  • Paid Time Off
  • 401(k) with company match
  • Medical, Dental & Vision Insurance

Sign-On & Referral Bonuses

24/7 Clinical Support: You’re never on your own — our team has your back.

Qualifications

  • Graduate of an Accredited School with an Associate Degree in Occupational Therapy
  • Current state license as a Certified Occupational Therapy Assistant
  • Reliable Transportation
  • Professional experience required per state regulations
  • Current CPR certification per state regulations
  • Successful completion of appropriate screening tests with passing rate
  • Displays good observation skills and judgement as well as good oral and written communication skills.

My Signature acknowledges that I have read this job description and I am able to perform the essential functions and responsibilities of the position. I understand that the company may alter this document at any time of my employment.

Additional Job Description Information

Join a mission-driven team at MGA, where your passion thrives, and be part of an extraordinary effort making a lasting impact on our community! We’ve been at the forefront of transformative home healthcare for over a decade! Specializing in Private Duty Nursing, Skilled Nursing Visits, Occupational Therapy, Physical Therapy, Speech Therapy, and Applied Behavior Analysis (ABA) Therapy.

Proudly serving Arizona, Colorado, North Carolina, Tennessee, Texas, and Washington, MGA Homecare is more than just a workplace; it's a resource and a community dedicated to enhancing the well-being of those we serve. Come be a part of our exciting journey as we continue to redefine home healthcare with passion and purpose!

EEO Statement

MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.

Key Responsibilities

Provide skilled, compassionate therapy for children with physical, developmental, and sensory needs while collaborating with a multidisciplinary team. Maintain accurate and timely documentation and teach strategies to families to support patient progress at home.

Qualifications

Experience
2+ years of experience

Key Skills

Pediatric TherapyPatient DocumentationClinical AssessmentDevelopmental TherapySensory Integration

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pediatric Occupational Therapist Assistant (COTA) at MGA Homecare 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.

Pediatrics — Occupational Therapist Career Context

MGA Homecare holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 73/100, 39 active listings.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top OTA Jobs

5 matches · ranked by pay

Work-Life Balance Distribution5 jobs

0
1-2
0
3-4
0
5-6
4
7-8
1
9-10

Higher = better work-life balance

#1

Occupational Therapist Assistant - COTA

Rehab Without Walls Neuro Rehabilitation · Sacramento, California

$47-$52/hr
#2

Occupational Therapist Assistant (COTA)- $50 rate per visit W/Retention of 1,500

BrightStar Care - Rio Grande Valley, TX · Edinburg, Texas

$50/visit
#3

COTA / Certified Occupational Therapist Assistant - Home Health

$35-$40/hr
#4

PRN Occupational Therapist Assistant - Inpatient Rehabilitation/Acute Care

$30-$36/hr
+ 3 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 San Antonio

Typical 3-bedroom home value
$226k≈ 1.5× annual pay
Typical market rent
$1,386/mo≈ 11% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

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

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

MGA Homecare logo

About MGA Homecare

Hospitals and Health Care
Scottsdale, Arizona
1,001-5,000 employees

Benefits & Perks

Paid Time Off
401(k) with company match
Medical, Dental & Vision Insurance
Sign-On & Referral Bonuses
24/7 Clinical Support
Flexible Schedules
Ongoing mentorship and clinical training