Monarch logo
Monarch
Charlotte, North Carolina

Certified Occupational Therapist Assistant, Child Crisis, Non-Exempt

Occupational TherapistPer Diem

Listed compensation

$26.50/hr

Listing transparency2 of 6 stated

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

Employment & setting
Per Diem
Call expectations
Not specified
Weekends
Not specified
Posted 1 day ago · Verified live

Job Description

Scheduled Weekly Hours

0

Schedule

PRN as needed

Pay Range Minimum

$26.50

Education We're Looking For

Associates: Occupational Therapy (Required)

Certifications We're Looking For

Certified Occupational Therapy Assistants (COTA) - State Board of Occupational Therapy

Experience We're Looking For

Experience with children/youth/adolescents in a Crisis setting | Not Required Experience working with children, adolescents, or transition-aged youth with a mental health diagnosis, an intellectual/developmental disability, or substance use disorder | Not Required Experience working with youth with Serious Emotional Disturbance (SED) | 1 year | Not Required

Job Description Summary

The primary responsibility of the Certified Occupational Therapist Assistant (COTA), Child Crisis, is to provide individual and group mental health occupational therapy services to youth/adolescents at the Facility-Based Crisis site. The COTA will also collaborate with and mentor/lead the Behavioral Technicians as needed to ensure that the youth served are engaged in quality treatment in a safe milieu while under the supervision of licensed Occupational Therapist.

What You'll Do

  • Collaboratively address the occupational needs of individuals, groups, and populations via provision of quality and outcome oriented occupational therapy services, by following plan of care outlined by occupational therapist and using person and occupation-centered interventions.
  • Document intervention and progress toward goals adhering to reimbursement and practice act standards.
  • Collaborate with treatment team for care coordination and incorporation of OT services in the individual’s person-centered plan/treatment plan while admitted to crisis unit.
  • Educate an individual’s family and other natural supports about how to accommodate and support occupational engagement.
  • Plan, organize, and hold group sessions daily.
  • Supervise ancillary staff under the supervision of an OTR/L and supervise level I OT/OTA students and level II OTA students in compliance with state practice guidelines.
  • Attend and actively participate in meetings and trainings as required.
  • Maintain certification/licensure in all agency, state and federal training requirements.
  • Maintain all necessary documentation and records in a timely manner. This may include the use of an Electronic Health Record system (EHR).
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well and service definitions related to specific programs.
  • Complete all other relevant responsibilities as assigned by the supervisor.
  • Provides and ensures care to youth served is promotes safety, rights, confidentiality, comfort, and dignity is in a therapeutic environment.
  • Ensures that the milieu is conducive to recovery and crisis stabilization that is within the parameters of the individual’s treatment and crisis plans.
  • Completes documentation as required for groups, progress notes, etc. Complete assessments as required. Provides input on admission and discharge summaries.
  • Will lead or co-lead groups with the youth, daily on topics such as, but not limited to, activities of daily living, functional mobility, cognitive, perceptual, family, and individual supported education.
  • Attend and actively participate in interdisciplinary team meetings, other internal and external meetings and trainings as required. Maintain certification in all agency, state, and federal training requirements.
  • Maintain trainings as required and requested
  • Demonstrate knowledge of emergency procedures and assist in crisis situations
  • Demonstrate knowledge of and comply with all agency policies and procedures
  • Complete all other relevant responsibilities assigned by the supervisor
  • Driving and travel may be required.
  • Completion of an accredited occupational therapy educational curriculum.

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch Healthcare, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare Is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department

BH - Certified Professional

Key Responsibilities

Provide individual and group occupational therapy services to youth in a facility-based crisis setting, following the occupational therapist’s plan of care and documenting progress. Coordinate with the treatment team and families, lead daily groups, support and supervise staff and students, and help maintain a safe, therapeutic milieu.

Requirements

An associate degree in occupational therapy and certification as a Certified Occupational Therapy Assistant through a state board are required. Experience with youth in crisis or with mental health, developmental disability, substance use, or serious emotional disturbance is not required; the role requires maintaining applicable certifications and training.

Key Skills

Mental Health CareGroup FacilitationIndividual TherapyTreatment PlanningClinical DocumentationFamily EducationStaff SupervisionStudent SupervisionInterdisciplinary CollaborationCrisis ResponseSafety and ConfidentialityElectronic Health Records

Physical Therapy — Occupational Therapist Career Context

Physical Therapy pay on WeekdayDoc is down 2.5% vs. the prior quarter (through Aug 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Ota Jobs

5 matches · ranked by pay

Salary Distribution5 jobs

2
<$80k
2
$80k-90k
0
$90k-100k
1
$108k

Annual compensation range

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 or Certified Occupational Therapy Assistant, School-Based

St. Vincent's Health Partners · Yonkers, New York

$85k
#3

COTA / Certified Occupational Therapist Assistant - Home Health

$35-$40/hr
#4

Home Health Occupational Therapist Assistant

$53k-$73k
+ 3 more · ranked by pay

Work-life snapshot

3.0/ 10
Listing-based score

Living in Charlotte

Typical 3-bedroom home value
$355k
Typical market rent
$1,744/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
97.3
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.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

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

Monarch logo

About Monarch

Hospitals and Health Care
Albemarle, NC
1,001-5,000 employees

Benefits & Perks

Competitive total rewards package
Health coverage
Retirement plans
Professional development support