Occupational Therapist Assistant (COTA) - Home Health

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 8m ago · Verified live

Job Description

  • SSM Health Rehabilitation Network- Home Health
  • Position: Certified Occupational Therapist Assistant
  • (COTA)
  • Location: St. Louis, MO; South and Central Counties
  • Type of Employment: Full-Time

South Counties

Chesterfield, Ballwin, Ellisville, Manchester, Wildwood, Town & Country, Robertsville, Eureka, House Springs and more. (Candidate must be willing and comfortable with the possibility of driving out to Washington and Union on occasion to help our ortho team if needed)

Central Counties

Chesterfield, Ballwin, Ellisville, Manchester, Wildwood, Town & Country, Robertsville, Eureka, House Springs and more. (Candidate must be willing and comfortable with the possibility of driving out to Washington and Union on occasion to help our ortho team if needed)

Generous Benefits Package Including

  • Generous PTO and Extended Illness Days (EID) to maintain a healthy work-life balance
  • Comprehensive medical/Rx, vision and dental plan
  • Company-matching 401(k) retirement plans, as well as Life and Disability protection
  • Student Loan Repayment Assistance
  • Tuition Assistance
  • Clinical Advancement Program
  • National Continuing Education courses (local and online)
  • Excellent Orientation Program
  • New Grad Mentorship

Responsibilities

  • Under the direct supervision of a licensed OT
  • Assists with the implementation of the therapy plan of care

Responsible for delegation and direction of supportive personnel for those assigned patients, in order to enhance patient care services

Consistently communicates with supervising OT in regard to scheduled patients to ensure identification of need for assessment and reassessment of patients, modification of treatment plans and other interventions requiring therapist direction

  • Participates in education of patients, families, students, coworkers and self
  • Performs other professional duties associated with the care of the patient, within the scope of practice

Qualifications

  • Current state licensure as a Certified Occupational Therapy Assistant required
  • Certified BLS or completion in first 90 days of employment required or as required by state regulations
  • Home Care Requirements: Valid state Driver’s License
  • Additional Data
  • Equal Opportunity Employer, including Disabled/Veterans

Qualifications

Education
Professional certificate or licensure

Key Skills

Treatment planningPatient educationClinical documentationHome health careBLS certificationInterdisciplinary communication

Occupational Therapist Career Context

The cost-of-living index for Missouri is 90.8 (US average = 100; BEA Regional Price Parities (2024)). 60.1% of Missouri clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Occupational Therapy pay on WeekdayDoc is up 4.4% vs. the prior quarter (through Oct 2026).

What does the Occupational Therapy market look like in Missouri?
MeasureThis jobMarket
Cost of livingMissouri index 90.8US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Missouri188 active9,026 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentloan repaymentMissouri Occupational Therapist listings: 9% state a sign-on bonus (median $10k) · 11% offer loan repayment194 active listings, Nov 2026
New Occupational Therapy listings3,199 in the last 30 days1,714 the 30 days before (+87%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.4% 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

6 matches · ranked by pay

Work-Life Balance Distribution

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

Higher = better work-life balance

#1

Occupational Therapist Assistant | COTA

Rehab Without Walls Neuro Rehabilitation · Rockland, Maine

$30-$33/hr
#2

Certified Occupational Therapist Assistant

Healthy Beginnings Pediatric Therapy · Kalispell, Montana

$18-$30/hr
#3

Certified Occupational Therapist Assistant

$23/hr
#4

Certified Occupational Therapist Assistant (COTA)

$32-$37/hr
+ 4 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy Assistant listings

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

SSM Health Home Health Services logo

About SSM Health Home Health Services

Hospitals and Health Care
St Louis, Missouri
10,000+ employees

Benefits & Perks

Generous PTO and Extended Illness Days
Comprehensive medical/Rx, vision and dental plan
Company-matching 401(k) retirement plans
Life and Disability protection
Student Loan Repayment Assistance
Tuition Assistance
Clinical Advancement Program
National Continuing Education courses

Living in Bridgeton

Typical 3-bedroom home value
$279k
Median resident rent
$1,172/mo
Residents’ average commute
21 min
Metro price indexU.S. average = 100
95.1
State income tax
Up to 5.3%
Sources & methodology

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

BEA 2024 · St. Louis, MO-IL metro prices. Housing figures are city-level.

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