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$17

$32

$46

How much do cota jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for cota in Rochester, NY is $32.03, according to ZipRecruiter salary data. Most workers in this role earn between $27.02 and $36.06 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Certified Occupational Therapy Assistant?

To thrive as a Certified Occupational Therapy Assistant (COTA), you need an associate degree from an accredited occupational therapy assistant program and must pass the NBCOT exam for certification. Familiarity with therapy documentation software, adaptive equipment, and rehabilitation tools is typically required. Strong interpersonal skills, patience, and the ability to motivate and communicate effectively with patients are vital soft skills in this role. These competencies are crucial for delivering effective therapy, supporting occupational therapists, and ensuring positive patient outcomes.

What are some common challenges Certified Occupational Therapy Assistants face when working with diverse patient populations?

COTAs often work with patients of varying ages, backgrounds, and diagnoses, which can present unique challenges in adapting treatment plans to individual needs. Communication barriers, cultural differences, and varying levels of patient motivation require COTAs to be flexible and resourceful. Building rapport and trust with each patient, collaborating closely with occupational therapists, and continuously updating approaches based on patient progress are essential strategies for success in this dynamic role.

What is the difference between Cota vs Pharmacy Technician?

AspectCotaPharmacy Technician
Required CredentialsCertification from NBCOT, state licensure (if applicable)Certification or registration (e.g., PTCB), state licensure
Work EnvironmentRehabilitation centers, hospitals, outpatient clinicsCommunity pharmacies, hospitals, clinics
Industry UsageRehabilitation and therapy settingsPharmaceutical and healthcare retail settings

Both Cotas and Pharmacy Technicians require certification and work in healthcare environments, but Cotas focus on rehabilitation therapy, while Pharmacy Technicians assist pharmacists in dispensing medications. Their roles differ in daily tasks and industry focus, though both support patient care.

What are the most commonly searched types of Cota jobs in Rochester, NY?

The most popular types of Cota jobs in Rochester, NY are:

What are popular job titles related to Cota jobs in Rochester, NY?

For Cota jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Cota jobs in Rochester, NY look for?

The top searched job categories for Cota jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Cota jobs?

Cities near Rochester, NY with the most Cota job openings:

Cota jobs near you
Infographic showing various Cota job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $66,631 per year, or $32 per hour.

Certified Occupational Therapy Assistant (COTA)

Lifetime Assistance Incorporated

Rochester, NY

$25 - $30/hr

Full-time

Medical, PTO

Re-posted 17 days ago

Lifetime Assistance rating

7.0

Company rating: 7.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

Lifetime Assistance – Certified Occupational Therapy Assistant (COTA)

Make an Impact. Create Joy. Shape the Future.
At Lifetime Assistance, our mission is to foster independence, dignity, and respect for individuals with intellectual and developmental disabilities. Working with us goes beyond just a job—it’s a chance to transform lives, including your own.

 

Position Overview:

Job Title: Certified Occupational Therapy Assistant (COTA)
Location: Rochester, NY – Multiple Residential Program Sites
Department: Residential Services / Clinical Supports
Reports To: Occupational Therapist, Registered (OTR)
Employment Type: Full-Time
Starting Wage: $25-$30 per hour

 

Why You Should Work for Lifetime Assistance?

  • No-Premium Health Insurance: Access comprehensive healthcare without added cost.
  • Education Support: Tuition assistance, scholarships — 50% off tuition for two courses per semester plus up to $3,000 scholarship per semester — plus micro-credential stipends up to $750 and SUNY partnerships.
  • Paid Training & Coaching: Receive hands-on onboarding with a Success Coach, immersive learning, e-learning, and ongoing paid training.
  • Career Growth: Clear pathways to advancement, leadership training, and coaching support.
  • Work-Life Harmony: Generous paid time off and supportive scheduling.
  • Join a Caring Culture: Be part of a compassionate, mission-driven team that values every person — both those we support and our employees alike.
 

Your Core Responsibilities:

  • Provide occupational therapy services under the supervision of an OTR, including initial and annual assessments, treatment, and progress reporting.
  • Develop and implement goals and objectives for inclusion in Individual Program Plans (IPP), collaborating with the Interdisciplinary Team (IT).
  • Deliver therapy to preserve and improve motor skills, mobility, daily living skills, and independence, while preventing progressive disabilities.
  • Ensure integration of OT services with Day Programs and community supports when appropriate.
  • Participate in all IT meetings, reviews, and staff development sessions.
  • Maintain documentation including progress notes, monthly summaries, and clinical reports.
  • Collaborate with OTR to identify and request necessary equipment and supplies.
  • Provide consultation and clinical supervision to IT members, students, and volunteers as required.
 

What You Bring:

  • Current NYS license and registration as a Certified Occupational Therapy Assistant (COTA).
  • One (1) year of experience working with individuals with developmental disabilities preferred.
  • Strong communication, collaboration, and documentation skills.
  • Ability to work effectively as part of an interdisciplinary team.
  • Commitment to person-centered care and supporting individuals in achieving independence.
 

Our Mission & Culture:

  • Mission-Driven Work: Empowering individuals to live with independence and purpose—here, your work truly matters.
  • Inclusive & Supportive: A workplace built on respect, dignity, and a shared vision of inclusion.
  • Community Impact: Join efforts that reflect Lifetime Assistance’s dedication to community partnerships and enhanced quality of life for all.
 

Are You Ready to Begin?

If you’re a licensed COTA ready to make a meaningful impact through person-centered occupational therapy, apply today and join us in building lives of independence—one person at a time.

 

Equal Opportunity Employer

Lifetime Assistance is proud to be an Equal Employment Opportunity employer. We celebrate diversity and are committed to inclusive hiring practices without regard to race, religion, gender, age, disability, or other protected characteristics.

 

“I am part of something bigger… Being a Lifetime Assistance employee means everything to me.”
— Kimberly C, Family Coordinator of Community Services, celebrating her 30th year with us

What Lifetime Assistance employees say

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