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
  • Excellent communication and documentation skills
  • Valid driver's license with comfort in daily travel
  • Prior home health experience (preferred)
  • Experience with EMR systems (preferred)

Responsibilities

  • Deliver skilled COTA visits in patients' homes per OT's care plan
  • Execute treatment plans focusing on ADLs, safety, and energy conservation
  • Track functional progress and report updates to the supervising OT
  • Coordinate care with nursing and escalate changes as needed
  • Document visits promptly and thoroughly

Benefits

  • Support from an experienced clinical and operational team
  • Clear productivity model with potential for earnings upside
  • Flexible scheduling for better work-life balance
  • Innovative tech designed to ease documentation burdens
  • Mission-driven organization striving for high-quality home health care
Full Job Description
Certified Occupational Therapy Assistant (COTA) - Home Health
  • Schedule: Full-time Monday-Friday
  • Location: Field-based (Houston pod)
  • Comp: $58.00 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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