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Ot Assistant information

See Hawaii salary details

$10

$24

$49

How much do ot assistant jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for ot assistant in Hawaii is $24.49, according to ZipRecruiter salary data. Most workers in this role earn between $16.55 and $31.82 per hour, depending on experience, location, and employer.

What is an OT assistant?

OT Assistants, or Occupational Therapy Assistants, are healthcare professionals who work under the supervision of occupational therapists to help patients develop, recover, and improve the skills needed for daily living and working. They assist with implementing treatment plans, guiding patients through therapeutic activities, and documenting progress. OT Assistants often work in settings such as hospitals, schools, and rehabilitation centers, supporting people of all ages who have physical, emotional, or developmental challenges.

What are the key skills and qualifications needed to thrive as an OT assistant, and why are they important?

To thrive as an Occupational Therapy (OT) Assistant, you need an associate degree from an accredited OTA program, a basic understanding of therapeutic techniques, and state licensure or certification. Familiarity with documentation software, adaptive equipment, and therapeutic exercise tools is often required. Excellent interpersonal skills, patience, and the ability to follow detailed treatment plans make someone stand out in this role. These skills and qualities ensure effective patient support, accurate treatment implementation, and strong collaboration with occupational therapists.

What are some common challenges occupational therapy assistants (OTAs) face when working with diverse patient populations?

Occupational Therapy Assistants often work with patients of varying ages, backgrounds, and abilities, which can present challenges in communication, cultural sensitivity, and adapting treatment plans. OTAs must be flexible and creative to tailor activities that align with each patient's unique needs and goals. Additionally, they may encounter language barriers or differing expectations about therapy, so building trust and rapport is key. Collaborating closely with occupational therapists and other healthcare professionals helps address these challenges and ensures comprehensive patient care.

What is the difference between Ot Assistant vs Speech-Language Pathology Assistant?

AspectOt AssistantSpeech-Language Pathology Assistant
Required CredentialsHigh school diploma, certification or training programHigh school diploma, certification or training program
Work EnvironmentHospitals, clinics, schools, outpatient facilitiesSchools, clinics, hospitals, rehabilitation centers
Employer & Industry UsageUsed in healthcare settings for assisting occupational therapistsUsed in healthcare and educational settings for assisting speech-language pathologists

Ot Assistants and Speech-Language Pathology Assistants both support their respective therapists in healthcare settings, requiring similar certifications and working in comparable environments. The main difference lies in their specialization: Ot Assistants focus on occupational therapy, while Speech-Language Pathology Assistants specialize in speech and language therapy. Both roles are vital in multidisciplinary healthcare teams, but they serve different therapeutic needs.

How do you become an occupational therapy assistant?

To become an occupational therapy assistant, you need to complete an accredited associate degree program in occupational therapy assisting, which typically takes two years. After graduation, you must pass the National Board for Certification in Occupational Therapy (NBCOT)) exam to obtain licensure or certification, depending on state requirements, and maintain ongoing education to stay certified.

How much do occupational therapy assistants make?

Occupational therapy assistants typically earn a median annual wage of around $62,000, with salaries varying based on experience, location, and work setting. They usually work under the supervision of occupational therapists and need an associate degree and licensure to practice.

What are the most commonly searched types of Ot jobs in Hawaii?

The most popular types of Ot jobs in Hawaii are:

What cities in Hawaii are hiring for Ot Assistant jobs?

Cities in Hawaii with the most Ot Assistant job openings:

Ot Assistant jobs near you
Infographic showing various Ot Assistant job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, 1% Temporary, and 3% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $50,930 per year, or $24.5 per hour.

Occupational Therapist (OT) & Certified Occupational Therapy Assistant (COTA)

Always Best Care Senior Services - Oahu

Honolulu, HI

$110K - $120K/yr

Full-time, Per diem

Re-posted yesterday

Job description

Home Health | Per Diem | O'ahu, Hawaii

Occupational Therapist (OT)
$80 per visit or $110,000–$120,000 annually (based on caseload)

Certified Occupational Therapy Assistant (COTA)
$60 per visit

Location: O'ahu, Hawaii (Reliable transportation required)

Schedule: Flexible Per Diem | Build Your Own Caseload

Provide Therapy Where It Matters Most

Always Best Care Home Health is a growing Medicare-certified home health agency serving patients throughout O'ahu. We're seeking compassionate Occupational Therapists (OTs) and Certified Occupational Therapy Assistants (COTAs) who are passionate about helping patients regain independence and improve their quality of life through personalized in-home therapy.

If you're looking for flexibility, autonomy, and the opportunity to build meaningful relationships with patients, we'd love to hear from you.

Watch our "Now Hiring" TV commercial:
https://youtu.be/p7ZHTDZzJxo?si=FONYC40KdLUTfH2v

CompensationOccupational Therapist (OT)

• $80 per routine visit

• Annual salary option: $110,000–$120,000 (based on caseload)

Certified Occupational Therapy Assistant (COTA)

• $60 per visit

Why Join Always Best Care

• Flexible per diem scheduling

• Build and manage your own caseload

• One-on-one patient care in patients' homes

• Supportive clinical and administrative team

• Meaningful relationships with patients and families

• Opportunity to improve patient independence and safety

• Locally operated agency focused on quality care

About the Role

As an Occupational Therapist or Certified Occupational Therapy Assistant, you'll help patients improve their ability to safely perform everyday activities while promoting independence in the home environment.

Responsibilities

• Deliver occupational therapy services in patients' homes

• Complete initial evaluations and follow-up visits

• Perform fall risk assessments and home safety evaluations

• Develop and implement individualized treatment plans (OT)

• Assist with treatment interventions established by the supervising OT (COTA)

• Educate patients and caregivers on adaptive techniques and equipment

• Monitor patient progress and communicate changes with the interdisciplinary team

• Complete accurate and timely clinical documentation

QualificationsOccupational Therapist

• Active Hawaii Occupational Therapist license

• Minimum one year of clinical experience

• Home health experience preferred but not required

Certified Occupational Therapy Assistant

• Active Hawaii Certified Occupational Therapy Assistant license

• Minimum one year of clinical experience preferred

For Both Positions

• Strong communication and documentation skills

• Comfortable with community outreach and educational presentations

• Valid driver's license and reliable transportation

• Ability to work independently while collaborating with the interdisciplinary team

Apply Today

We're actively interviewing qualified Occupational Therapists and Certified Occupational Therapy Assistants.

Call: 808-207-8558

Schedule an interview:
www.abcoahu.com

Join a team that values your expertise, supports your professional growth, and gives you the flexibility to provide exceptional therapy services while making a meaningful difference throughout O'ahu.