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On Call Occupational Therapy Assistant Jobs (NOW HIRING)

Millennium Therapy

Occupational Therapy Assistant

Ottumwa, IA · On-site

$24.50 - $33/hr

ABOUT US: Millennium Therapy is looking to add a PRN Occupational Therapy Assistant (COTA) to our staff in Ottumwa, IA for the Skilled Nursing setting. Millennium Therapy is a patient focused ...

Millennium Therapy

Occupational Therapy Assistant

Ames, IA · On-site

$25.50 - $34.25/hr

Millennium Therapy is looking to add a Full-Time, Part-Time, or PRN Occupational Therapy Assistant (COTA) to our staff in Ames, IA for the Skilled Nursing setting. Millennium Therapy is a patient ...

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On Call Occupational Therapy Assistant information

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How much do on call occupational therapy assistant jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for on call 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 the difference between On Call Occupational Therapy Assistant vs Occupational Therapy Assistant?

AspectOn Call Occupational Therapy AssistantOccupational Therapy Assistant
CredentialsLicensed Occupational Therapy Assistant (COTA)Licensed Occupational Therapy Assistant (COTA)
Work EnvironmentOn-demand, flexible settings, including hospitals, clinics, or home healthFull-time or part-time in healthcare facilities, schools, or clinics
Employer UsageUsed for temporary or as-needed support rolesRegular, ongoing employment in occupational therapy teams

The main difference is that an On Call Occupational Therapy Assistant works on a flexible, as-needed basis, providing support when required, whereas a standard Occupational Therapy Assistant typically has a regular, ongoing role within healthcare teams. Both roles require similar credentials but differ in work schedule and employment structure.

What skills and qualifications are needed to be an on call occupational therapy assistant?

To thrive as an On Call Occupational Therapy Assistant, you need an associate degree from an accredited occupational therapy assistant program and a valid state license or certification. Familiarity with electronic health records (EHRs), therapy documentation software, and mobility/rehabilitation equipment is typically required. Flexibility, strong interpersonal skills, and the ability to work independently are crucial soft skills for excelling in variable and fast-paced healthcare environments. These competencies ensure effective patient care, accurate documentation, and seamless collaboration with supervising therapists and healthcare teams.

What is an on call occupational therapy assistant?

On Call Occupational Therapy Assistants are licensed professionals who support occupational therapists by helping patients develop, recover, and improve the skills needed for daily living and working. Unlike full-time staff, 'on call' assistants work as needed, often filling in during staff shortages or busy periods. They may assist with patient exercises, monitor progress, and document treatment under the supervision of an occupational therapist. Their flexible schedule allows healthcare facilities to maintain consistent care for patients. This role is common in hospitals, rehabilitation centers, and nursing homes.

How does the on-call schedule for an occupational therapy assistant impact work-life balance and team collaboration?

As an On Call Occupational Therapy Assistant, your schedule is typically variable and based on facility or patient needs, which can offer flexibility but may also require adaptability. You may need to cover shifts on short notice, including evenings or weekends, which can affect personal routines. However, this role allows you to collaborate with a diverse team of therapists, nurses, and other assistants, often working together to ensure continuity of care for patients. Regular communication with supervising Occupational Therapists is essential for staying updated on patient plans and integrating smoothly into ongoing therapy sessions.
More about On Call Occupational Therapy Assistant jobs
What cities are hiring for On Call Occupational Therapy Assistant jobs? Cities with the most On Call Occupational Therapy Assistant job openings:
What states have the most On Call Occupational Therapy Assistant jobs? States with the most job openings for On Call Occupational Therapy Assistant jobs include:
What job categories do people searching On Call Occupational Therapy Assistant jobs look for? The top searched job categories for On Call Occupational Therapy Assistant jobs are:
On Call Occupational Therapy Assistant jobs near you
Infographic showing various On Call Occupational Therapy Assistant job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Occupational Therapy Assistant

Millennium Therapy

Waterloo, IA

$25.75 - $34.50/hr

Full-time, Per diem

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

ABOUT US:

Millennium Therapy is looking to add a Full-Time and PRN Occupational Therapy Assistants (COTA) to our staff in Waterloo, IA (Full-Time) and Cedar Falls, IA (PRN) for the Home Therapy settings. Millennium Therapy is a patient focused, therapist owned, and therapist managed company that operates throughout Iowa providing Physical, Occupational, and Speech Therapy in various settings. The local home office provides quick support to our associates. Our therapy teams succeed through patient tailored treatments, flexible scheduling, and effective communication to meet the individualized goals of each patient.

PAY:

Negotiable based on experience

HOURS:

30-40 Hours/Week Flexible

OCCUPATIONAL THERAPY ASSISTANT (COTA) BENEFITS:

  • Medical
  • Dental
  • Vision
  • 401k
  • Personal Day(s)
  • PTO
  • Continuing Education
  • Flexible Scheduling & More!

OCCUPATIONAL THERAPY ASSISTANT (COTA) QUALIFICATIONS:

  • Associate Degree in Occupational Therapy Assistant from an AOTA accredited program and Professional Licensure in the state of hire or eligible for licensure in states that regulate the Occupational Therapy Assistant.
  • Demonstrates effective verbal and written communication skills.
  • Utilizes effective time management skills.
  • Strong organizational and analytical skills.

OCCUPATIONAL THERAPY ASSISTANT (COTA) REQUIREMENTS:

  • Occupational Therapy Assistants (COTA) assist in the provision of screens, collection of assessment data, and direct treatment of caseload. Conducts resident screens (without interpretation) as directed by the supervising therapist.
  • Participates in the clinical team process.
  • Provides teaching and training to caregiver staff. Participates in clinical program development.
  • Collects assessment data, as part of the evaluation process, as directed by the supervising Occupational Therapist.
  • Provides training to patients, residents, caregivers, and families according to the plan of care outlined by the supervising therapist. Prepares treatment materials and assists with other clerical duties as directed.

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