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On Call Occupational Therapy Assistant Jobs (NOW HIRING)

Occupational Therapy Assistant

Osceola, IA · On-site

$24.50 - $33/hr

Occupational Therapy Assistant (COTA) - [Osceola, IA] Blue Stone Therapy is seeking an Occupational Therapy Assistant (COTA) to provide rehabilitation services to adult and geriatric patients at ...

Occupational Therapy Assistant

Le Mars, IA · On-site

$24.50 - $33.25/hr

Occupational Therapy Assistant (COTA) - [Le Mars, IA] Blue Stone Therapy is seeking an Occupational Therapy Assistant (COTA) to provide rehabilitation services to adult and geriatric patients at ...

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On Call Occupational Therapy Assistant information

See salary details

$17

$32

$46

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

As of Aug 6, 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:
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

Blue Stone Therapy

Washington, IA • On-site

$24 - $35/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago


Blue Stone Therapy rating

6.8

Company rating: 6.8 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Description

Blue Stone Therapy is proud to be certified as a Great Place to Work


Since 2009, Blue Stone Therapy has partnered with skilled nursing and senior living communities across the Midwest to deliver individualized, high-quality physical, occupational, and speech therapy services. We are committed to strong clinical standards, consistent operations, and long-term partnerships that support meaningful patient outcomes.


Occupational Therapy Assistant (COTA) - Washington, IA

Blue Stone Therapy is seeking an Occupational Therapy Assistant (COTA) to provide rehabilitation services to adult and geriatric patients at The UP Home, Washington, IA.


This role focuses on delivering skilled occupational therapy services to adult and geriatric patients in a skilled nursing and post-acute rehabilitation setting. The Occupational Therapy Assistant works under the supervision of a licensed Occupational Therapist to implement treatment plans designed to improve activities of daily living (ADLs), functional mobility, strength, cognition, and overall independence.


What You'll Do

  • Provide skilled occupational therapy treatment in accordance with established plans of care
  • Implement individualized treatment programs focused on functional and measurable outcomes
  • Treat adult and geriatric patients in a skilled nursing facility (SNF) setting and rehabilitation settings
  • Monitor patient response to treatment and communicate progress with the supervising Occupational Therapist
  • Maintain timely, accurate documentation to support quality care and reimbursement standards
  • Collaborate with interdisciplinary team members and facility staff to support positive patient outcomes

Requirements

What You Bring

  • Graduate of an accredited Occupational Therapy Assistant program
  • Current Occupational Therapy Assistant license (or eligibility for licensure) in applicable state
  • Experience in skilled nursing, long-term care, or post-acute rehabilitation preferred
  • Strong communication, organization, and clinical reasoning skills
  • Commitment to patient-centered care and professional standards


Why Blue Stone Therapy?

We believe exceptional care begins with exceptional clinicians. Our teams are supported by consistent leadership, collaborative partnerships, and a shared purpose of enhancing lives through quality rehabilitation services. We invest in clinical growth, strong facility relationships, and an environment where therapists can focus on delivering meaningful outcomes.


Benefits

  • Medical, Dental, and Vision insurance
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options
  • 401(k) with employer contribution
  • Employee Assistance Program (EAP)
  • Paid Time Off (PTO) and paid holidays
  • And more

Benefits are subject to eligibility requirements and the terms of applicable plans or programs.


Blue Stone Therapy is an Equal Opportunity Employer


What Blue Stone Therapy employees say

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