Occupational Therapist Assistant (COTA)

Fira Health

• $90K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active Texas COTA license in good standing
  • Strong clinical judgment for independent work in the field under OT supervision
  • Effective communication and documentation skills
  • Current driver's license for daily travel across assigned territory
  • Prior home health experience (preferred)

Responsibilities

  • Deliver skilled COTA visits in patients' homes under the OT's plan of care
  • Execute functional treatment plans focusing on safety, energy conservation, and adaptive equipment training
  • Track and update objective functional progress to the supervising OT
  • Coordinate with nursing and care teams to address changes in patient condition and safety concerns

Benefits

  • Support from an experienced clinical and operational team
  • Clear productivity-based compensation model
  • Flexible scheduling to promote work-life balance
  • Advanced technology designed to reduce documentation burden
  • Engage in mission-driven work to enhance home health care access
Full Job Description
Certified Occupational Therapy Assistant (COTA) - Home Health
  • Schedule: Full-time Monday-Friday
  • Location: Field-based
  • Comp: $58 per point/30 points per week


The COTA role is the front line of that mission: you deliver high-quality functional visits in the home under the OT plan of care, helping patients stay safe and independent.

We build technology to better support our field clinicians faster and more supported. Ultimately, our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.
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.

  • 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

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