Sierra Home Health and Hospice logo
Sierra Home Health and Hospice
Las Cruces, New Mexico

COTA - Certified Occupational Therapist Assistant

Occupational Therapy AssistantFull-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 1h ago · Verified live

Job Description

  • Certified Occupational Therapist Assistant (COTA)
  • Las Cruces, NM
  • Home Health

About the Role

Sierra Health Care has served Las Cruces families since 1982, and our therapy team helps patients get back to the things that matter most at home.

As a COTA, you’ll deliver skilled occupational therapy under the direction of a licensed OT, helping patients rebuild function, regain independence, and return to daily routines with confidence. Every home is different, and so is every plan of care.

If you want clinical variety and real one-on-one time with your patients, this role is for you.

Key Responsibilities

  • Deliver occupational therapy interventions in patients’ homes, as delegated and supervised by a licensed OT
  • Provide maintenance therapy services under programs established by a qualified OT
  • Use therapy techniques that improve function, reduce disability, and promote independence in daily living
  • Teach patients and caregivers home programs, fine motor exercises, and adaptive techniques
  • Monitor patient response to treatment and report changes in condition or safety concerns to the supervising OT
  • Document services and progress in the EMR
  • Collaborate with the interdisciplinary team in care planning and patient care conferences
  • Take part in in-service training and QAPI initiatives

Other Duties

  • Provide care and services in accordance with infection control, safety, and risk prevention protocols
  • Accurately document clinical interventions, care coordination, and communication in a timely manner
  • Participate in interdisciplinary meetings, case reviews, and continuing education opportunities
  • Maintain compliance with HIPAA and all company privacy and confidentiality standards
  • Represent the organization positively and professionally in patients’ homes and community settings
  • Work independently with minimal daily oversight and demonstrate initiative in completing responsibilities
  • Provide courteous, timely, and professional customer service to patients, families, and partners
  • Exhibit adaptability to changing responsibilities and flexibility in completing assignments
  • Demonstrate consistent and effective use of organizational technology systems and tools required for the role, including communication, documentation, productivity, and data management platforms
  • Adhere to all organizational policies, including job descriptions, mission, and the Employee Handbook
  • Communicate and interact professionally and respectfully with others to support team goals

Perform all other duties as assigned and as required to effectively discharge the responsibilities of the position and are in the best interests of the company

Work Environment

Primarily works in the field

Supervisor: Occupational Therapist and Clinical Manager - Home Health

  • Supervises
  • None
  • Risk Level
  • Patient care or physical work with injury risk

Requirements

  • What We’re Looking For
  • Graduate of an ACOTE-recognized Occupational Therapy Assistant program
  • Current NBCOT certification, and certified or licensed to practice as a COTA in New Mexico
  • Two years of clinical experience preferred; home health experience is a plus
  • Ability to carry out delegated care plans and communicate openly with your supervising OT
  • Strong interpersonal skills with patients, caregivers, and clinical colleagues
  • Basic computer proficiency and comfort learning EMR systems
  • Commitment to quality, compliance, and ethical care in the home
  • Reliable transportation, valid driver’s license, and auto insurance for home visits

Why Join Us

Sierra Health Care is a nonprofit, so our focus stays on our patients and our community. You’ll join a close-knit clinical team that values the work therapists do and supports you in doing it well. We offer medical, dental, and vision coverage, PTO, 401(k), and mileage reimbursement. If you’re a COTA who wants meaningful work, steady teamwork, and the chance to see your patients’ progress up close, we’d be honored to meet you.

Physical Requirements

Must be able to stand, walk, bend, and assist with mobility or equipment as needed. Requires the ability to perform heavy lifting and to travel locally in various weather conditions.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Clinical documentationInterdisciplinary collaborationSafety protocolsPatient assessmentHIPAA complianceTime management

Occupational Therapist Career Context

The cost-of-living index for New Mexico is 92.2 (US average = 100; BEA Regional Price Parities (2024)). 61.4% of New Mexico 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 New Mexico?
MeasureThis jobMarket
Listed paynot listedOccupational Therapy median $73k (middle half $64k–$83k)108 comparable listings, Nov 2026
Cost of livingNew Mexico index 92.2US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in New Mexico56 active9,035 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedUS Occupational Therapist listings: 12% state a sign-on bonus (median $8k) · 8% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings3,166 in the last 30 days1,610 the 30 days before (+97%)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

5 matches · ranked by pay

Work-Life Balance Distribution

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

Higher = better work-life balance

#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
+ 3 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.

Sierra Home Health and Hospice logo

About Sierra Home Health and Hospice

Home Health Care Services
Las Cruces, New Mexico
11-50 employees

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
PTO
401(k)
Mileage Reimbursement

Living in Las Cruces

Typical 3-bedroom home value
$279k
Typical market rent
$1,439/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
90.2
State income tax
Up to 5.9%
Sources & methodology

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

BEA 2024 · Las Cruces, NM metro prices. Housing figures are city-level.

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