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How much do home health occupational therapy assistant jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for home health occupational therapy assistant in the United States is $32.47, according to ZipRecruiter salary data. Most workers in this role earn between $27.40 and $36.54 per hour, depending on experience, location, and employer.

What is a home health occupational therapy assistant?

Home Health Occupational Therapy Assistants (COTAs) are healthcare professionals who work under the supervision of licensed occupational therapists to help patients regain or improve skills needed for daily living, all within the comfort of the patient's home. They assist with implementing treatment plans, teaching adaptive techniques, and monitoring patient progress. Their work focuses on enabling patients to safely perform tasks such as dressing, bathing, cooking, and moving around the house, especially after illness or injury. COTAs play a vital role in helping patients maintain independence and improve their quality of life in a home setting.

What are some unique challenges home health occupational therapy assistants face compared to those working in clinical settings?

Home Health Occupational Therapy Assistants often work independently in clients' homes, which means they must quickly adapt to various environments and limited resources. Unlike clinical settings, they may encounter unpredictable situations, such as homes not being fully accessible or lacking equipment. Effective communication and strong organizational skills are essential, as they coordinate care with therapists, families, and other healthcare professionals remotely. This autonomy can be rewarding, but it also requires strong time management and problem-solving abilities to ensure clients receive high-quality care.

What is the difference between Home Health Occupational Therapy Assistant vs Home Health Physical Therapy Assistant?

AspectHome Health Occupational Therapy AssistantHome Health Physical Therapy Assistant
CredentialsCertified Occupational Therapy Assistant (COTA)Licensed Physical Therapist Assistant (PTA)
Work EnvironmentHome health settings, assisting patients with daily activities and adaptive equipmentHome health settings, focusing on mobility, strength, and physical function
Employer & Industry UsageHospitals, home health agencies, outpatient clinicsHospitals, home health agencies, outpatient clinics

Both roles work in home health settings, assisting patients to improve their daily functioning. The main difference lies in their focus: occupational therapy assistants help patients regain independence in daily activities, while physical therapy assistants focus on mobility and physical strength. Credentials and work environments are similar, but their specific training and treatment goals differ.

What are the key skills and qualifications needed to thrive as a home health occupational therapy assistant?

To thrive as a Home Health Occupational Therapy Assistant, you need an associate degree from an accredited occupational therapy assistant program and state licensure or certification. Familiarity with electronic health record (EHR) systems, home safety assessment tools, and adaptive equipment is important. Strong interpersonal skills, empathy, and the ability to work independently stand out in this role. These competencies are vital for delivering effective, patient-centered care in diverse home environments and ensuring progress toward therapy goals.
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Home Health Occupational Therapy Assistant jobs near you
Infographic showing various Home Health Occupational Therapy Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Home Health Occupational Therapy Assistant

Aegis Therapies

Otsego, MN • On-site

$32/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted 11 days ago

Aegis Therapies rating

6.5

Company rating: 6.5 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

79th of 239 rated social care providers

Job description

Occupational Therapy Assistant / OTA - Home HealthJob Type: Full-timeSchedule: 40 hours per weekSetting: Home HealthLocation: Brooklyn Park, MNPay: state range $23 to $32 per hour

Do you consider yourself a bit of a free spirit?

Do you love caring for others but crave independence and flexibility?

Aegis Therapies, one of the nation's leading providers of rehabilitation and wellness services, is hiring an Occupational Therapy Assistant to join our supportive team and reap the benefits of some of the best career advantages in the industry.

By joining our home health therapy team, you'll get the opportunity to:

  • Truly connect with patients in their own homes.
  • Gain insight into how they live and help them become independent in their own environment.
  • Enjoy a greater level of Independence & Flexibility.
  • Be part of our patient-centered approach to care ensures that you can always make a difference, no matter where the road takes you.

Why Aegis Therapies:

  • Career Growth & Development: We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
  • Flexibility - Redefining Work-life Balance: We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
  • Impactful Work: Make a meaningful difference in the lives of our patients.
  • Supportive Environment: Collaborate with teams that value your expertise and dedication.

Benefits:

  • Support, local clinical mentorship, clinical education and unlimited CEUs
  • Create your own career path: clinically, management, etc.
  • Flexible schedule, paid time off, plus one paid CEU day
  • Licensure and professional membership reimbursement
  • Interdisciplinary collaboration for providing the best patient care
  • Medical, dental, vision within 30 days or less
  • National opportunity to transfer while maintaining employment status
  • Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health
  • And much more

Qualifications:

  • Current license as an Occupational Therapy Assistant or ability to obtain in the state of practice.
  • Minimum one (1) year experience in a health care setting; previous experience in home health, preferred
  • Must meet Clinical Competency requirements
  • Ability to travel to patient homes within designated geographic area.
  • Valid driver's license and proof of auto insurance
  • Current CPR certification

Aegis Therapies is committed to designing jobs to meet your needs.

Let us help find the career of your dreams! Apply Today.

EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights,Click Here OR https://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.

What Aegis Therapies employees say

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About Aegis Therapies

Sourced by ZipRecruiter

Aegis Therapies, headquartered in Frisco, TX, US, is a leader in the field of physical, occupational, and speech therapies. Their official website, aegistherapies.com, details their commitment to deliver innovative, evidence-based therapies that make a significant difference in patients' lives. Founded with a noble mission to maximize functional potentials in all age groups, their services prominently revolve around rehabilitation, wellness, and home health. Their professional touch has made them one of the most sought-after therapy providers across the US. Aegis's core values involve creating and nurturing a patient-centric environment where every individual is treated with respect, integrity, and commitment.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Frisco, TX, US

Year founded

2001

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