Occupational Therapist Assistant / COTA

Occupational Therapy AssistantNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 42m ago · Verified live

Job Description

Our Company

Rehab Without Walls Neuro Rehabilitation

Overview

Join Rehab Without Walls as an experienced COTA / Certified Occupational Therapist Assistant in San Antonio, TX.

Who We're Looking For

  • Experienced COTA/OTA to provide individualized and functional therapy in real-world settings
  • Neurorehabilitation experience (stroke, TBI, SCI) focused on meaningful outcomes

Values schedule flexibility, clinical autonomy, work-life balance, and being part of a collaborative, high-performing rehab team

What You’ll Receive

  • Flexible Schedule Created by You (no weekends)
  • Paid per hour (not PPV model)
  • Drive Time paid at clinical rate & mileage reimbursement
  • Co-treat & collaborative with rehab team
  • Supportive Leadership
  • Growth opportunities

Responsibilities

Assisting the Occupational Therapist in the implementation of vocational and educational activities designed to restore and reinforce individuals' task performance and promote their overall health and self-sufficiency

Designing and adapting equipment for working and living environments, including fabricating assistive devices to improve participation in the program and/or community

Conducting community reintegration activities to assist individuals with their occupational therapy needs during physical activity

Providing training to individuals and any others involved in their rehabilitation, and documenting results of the training

Supporting individuals' plan of treatment by documenting and reporting status changes to the rehabilitation specialist, clinical coordinator, attending physician, and other treatment team members as appropriate

Other duties as assigned

Qualifications

  • Degree from a certified occupational therapy assistant training program
  • Current Occupational Therapist Assistant certification
  • Knowledge of complex neurologic injury and neuro-rehabilitation techniques
  • Minimum of 2 years of clinical experience assisting in the assessment and management of traumatic brain injury or related neurological conditions
  • Current CPR certification
  • Knowledge of complex neurologic injury and orthopedic rehabilitation techniques

About Our Line of Business

Rehab Without Walls, an affiliate of BrightSpring Health Services, is a revolutionary neurorehabilitation program that moves individuals outside the walls of institutional settings and into their natural home and community environment through a continuum of care.

It is designed to significantly help people who have primarily experienced a brain injury, spinal cord injury, or stroke/CVA through accident or illness regain functional capabilities.

By providing care in the home, community, workplace, or school, Rehab Without Walls promotes greater health through the recovery process, all with industry-leading outcomes that dramatically improve functional skills and independence for patients. For more information, please visit rehabwithoutwalls.com. Follow us on Facebook and LinkedIn.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Stroke rehabilitationTraumatic brain injury managementSpinal cord injury careAssistive device fabricationPatient documentationClinical assessment

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$93k (201 salary observations; 2,838 listings), vs ~$96k nationally (4,943 salary observations; 28,957 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

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).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Work-life score6.3 / 10 · above average in occupational therapy assistantranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10
Listed paynot listedOccupational Therapy median $78k (middle half $64k–$90k)10 comparable listings, Nov 2026
Texas vs national$93k median in Texas$96k nationally (−3%)201 state / 4,943 national salary observations
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas933 active9,068 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 Occupational Therapy listings3,166 in the last 30 days1,639 the 30 days before (+93%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.6% 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.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist Assistant / COTA at Rehab Without Walls Neuro Rehabilitation a 6.3 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.

Location & Logistics

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

Work-life snapshot

median 4.8this job 6.3
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 weekends
Rehab Without Walls Neuro Rehabilitation logo

About Rehab Without Walls Neuro Rehabilitation

Hospitals and Health Care
Louisville, Kentucky
501-1,000 employees

Benefits & Perks

Flexible schedule created by you
No weekends
Paid per hour (not PPV model)
Drive time paid at clinical rate
Mileage reimbursement
Co-treat and collaborate with rehab team
Supportive leadership
Growth opportunities

Living in San Antonio

Typical 3-bedroom home value
$224k
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.

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