Certified Occupational Therapy Assistant - Pediatric Home Health

Job Description

Job Description

Position Overview

We are seeking a compassionate and dedicated Certified Occupational Therapy Assistant (COTA) to provide in-home services to children and families under the supervision of a licensed Occupational Therapist. This role focuses on supporting children’s independence, regulation, and participation through individualized, strengths-based intervention.

Clinicians in this role use flexible, responsive approaches and collaborate closely with families to integrate therapy into daily routines.

Key Responsibilities

• Provide occupational therapy services to pediatric clients in their homes under OT supervision
• Implement individualized treatment plans developed by the supervising OT
• Use child-led, play-based interventions grounded in sensory integration principles
• Support development of self-regulation, sensory processing, motor skills, and daily living skills
• Partner with parents and caregivers to support carryover of therapeutic strategies
• Assist with adapting environments and routines to promote accessibility and participation
• Maintain accurate, timely documentation in compliance with company and payer requirements
• Communicate effectively with supervising OT and interdisciplinary team members
• Travel between client homes within designated service area

Clinical Approach & Values

• Neurodiversity-affirming care that respects and validates each child’s identity and communication style
• Emphasis on child autonomy, consent, and intrinsic motivation
• Use of sensory integration-informed strategies to support regulation and engagement
• Strong focus on parent education, coaching, and partnership
• Commitment to culturally responsive and family-centered care

Qualifications

• Associate degree from an accredited Occupational Therapy Assistant program
• Current state licensure as a COTA

Preferred:

• Experience in pediatrics
• Experience or strong interest in sensory integration and neurodiversity-affirming practices
• Strong caregiver coaching and communication skills
• Ability to work independently in a home health setting
• Reliable transportation and valid driver’s license

Schedule & Compensation

• Full-time weekday schedule
• Flexible scheduling within daytime hours
• Competitive compensation based on experience
• Mileage reimbursement (if applicable)

Benefits

• Health insurance (for eligible employees)
• Earned paid time off and holidays
• Continuing education support
• Clinical mentorship and collaboration opportunities