Occupational Therapist Assistant (COTA)

Fira Health

$120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active Texas COTA license in good standing
  • Strong clinical judgment and ability to work independently in the field under OT supervision
  • Excellent communication skills
  • Proficient documentation skills
  • Current driver's license with the ability to travel daily across the assigned territory

Responsibilities

  • Deliver skilled COTA visits in patients' homes based on the supervising OT's plan of care
  • Execute functional treatment plans focusing on ADLs/IADLs, safety, and adaptive equipment training
  • Track and report functional progress, updates, and concerns to the supervising OT
  • Coordinate with nursing and the care team to address changes in patient condition
  • Document patient interactions thoroughly and promptly

Benefits

  • Support from an experienced clinical and operational team, letting you focus on patient care
  • Clear productivity model with payment based on points earned per visit
  • Flexible scheduling for sustainability and predictable workdays
  • Access to cutting-edge technology designed to reduce documentation burden
  • Opportunity to engage in mission-driven work that raises the standard of home health care
Full Job Description
Certified Occupational Therapy Assistant (COTA) - Home Health
  • Schedule: Full-time Monday-Friday
  • Location: Field-based- Katy, TX and surrounding areas/Pod
  • Comp: $58 Per Point

What you will do:
  • Deliver skilled COTA visits in the home under the supervising OT's plan of care.
  • Execute functional treatment plans: ADLs/IADLs, safety/fall prevention, energy conservation, UE function, adaptive equipment training.
  • Track objective functional progress and communicate updates/concerns to the supervising OT.
  • Coordinate with nursing and the broader care team: escalate changes in condition and safety concerns.
  • Document promptly and thoroughly.

  • Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
  • Clear productivity model with upside: You are paid per productivity point with clear expectations (market-specific).
  • Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.
  • Cutting-edge tech built for clinicians: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.
  • Mission-driven work: We are here to expand access to high-quality home health care, and we want therapists who take pride in raising the standard.
Requirements

Must-haves
  • Active Texas COTA license (in good standing)
  • Strong clinical judgment and comfort working independently in the field (within COTA scope and under OT supervision)
  • Strong communication and documentation
  • Current driver's license and comfort with daily travel across assigned territory

Nice-to-haves
  • Prior home health experience
  • EMR Experience

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