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Healthpro Heritage
Fresno, California

Certified Occupational Therapist Assistant (COTA)

Occupational Therapy AssistantNo weekendsFull-Time

Listed compensation

$40-$45/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

  • School-Based Certified Occupational Therapy Assistant (COTA)
  • Fresno, CA | Full-Time$40-$45/hour | W-2
  • Join HealthPro Pediatrics and help students thrive!

Why You'll Love This Opportunity

  • W-2 position with hourly rates betwee $40-45/hr
  • Weekends, holidays, school breaks, and summer break are yours!
  • Year-round benefits for Full-Time employees (Medical, Dental, Vision, 401(k), PTO, free CEUs & more!)

Why HealthPro Pediatrics?

  • Established leader in pediatric and school-based therapy
  • Mentorship and collaboration with experienced therapists
  • Consistent caseload with collaborative support
  • Opportunities to grow across school, outpatient, and pediatric settings
  • Mission-driven culture focused on helping children reach their full potential
  • All kids, all in!

At HealthPro Pediatrics, a division of HealthPro Heritage, we say “Yes!” because every child deserves a yes. As a leader in pediatric therapy, we provide a purpose-driven environment where your skills and compassion truly make a meaningful difference for children and families.

At HealthPro Pediatrics, you’ll be part of a collaborative pediatric team with opportunities for mentorship, professional growth, and leadership across our ABA, Outpatient Pediatrics, Early Intervention, and School-Based therapy services!

Responsibilities

Patient Care & Treatment Implementation: Assist in delivering individualized therapy based on treatment plans developed by the Occupational Therapist, including activities to improve daily living skills (e. g., dressing, eating, mobility).

Progress Monitoring & Documentation: Track and document patient progress, maintaining accurate records in compliance with facility policies, and report changes or concerns to the Occupational Therapist.

Collaboration & Patient Education: Work with interdisciplinary teams (e. g., PT, OT, nursing) to provide holistic care, and educate patients and families on therapeutic exercises, adaptive equipment, and strategies for independence.

Therapeutic Activities & Support: Lead or assist patients with exercises, activities of daily living, and other therapeutic tasks, while creating a positive and supportive environment to encourage patient engagement.

Qualifications

Education

Associate’s degree in Occupational Therapy Assistant program from an accredited school.

Certification

Certification as an Occupational Therapy Assistant (COTA) through the National Board for Certification in Occupational Therapy (NBCOT).

Licensure

Current state licensure (or eligibility) to practice as a Certified Occupational Therapy Assistant.

Experience

Previous experience in an occupational therapy setting (hospital, clinic, school, etc.) is preferred, but new graduates are also encouraged to apply.

HealthPro Heritage and its subsidiaries provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

In addition to federal law requirements, HealthPro Heritage and its subsidiaries comply with applicable state and local laws governing nondiscrimination in employment in every location in which the company facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Qualifications

Education
Professional certificate or licensure

Key Skills

Interdisciplinary Collaboration

Occupational Therapist Career Context

In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$117k (743 salary observations; 2,202 listings), vs ~$97k nationally (5,077 salary observations; 27,178 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 California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$88k midpoint carries the purchasing power of roughly $80k 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
Work-life score6.0 / 10 · above average in occupational therapy assistantranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10
California vs national$117k median in California$97k nationally (+20%)743 state / 5,077 national salary observations
Cost-of-living adjusted pay~$80k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in California928 active9,409 nationallylive on WeekdayDoc, Oct 2026
Sign-on & loan repaymentnot statedCalifornia Occupational Therapist listings: 14% state a sign-on bonus (median $5k) · 5% offer loan repayment984 active listings, Oct 2026
Occupational Therapy pay trend+1.1% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (1,043 Occupational Therapy Assistant listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant (COTA) at Healthpro Heritage a 6.0 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 weekend requirements.

Top OTA Jobs

5 matches · ranked by pay
#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

Occupational Therapist Assistant (COTA)

$45-$50/hr
#4

Certified Occupational Therapist Assistant

$79k-$96k
+ 3 more · ranked by pay

Work-life snapshot

median 4.8this job 6.0
Better work-life than 60% of Occupational Therapy Assistant listings

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

  • No weekends
Healthpro Heritage logo

About Healthpro Heritage

Hospitals and Health Care
Hunt Valley, MD
1,001-5,000 employees

Benefits & Perks

Medical
Dental
Vision
401(k)
PTO
Free CEUs
Weekends and holidays off
Summer break off

Living in Fresno

Typical 3-bedroom home value
$376k
Typical market rent
$1,945/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
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 · Fresno, CA metro prices. Housing figures are city-level.

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