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Overnight Occupational Therapy Assistant Jobs (NOW HIRING)

Blue Stone Therapy

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 ...

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Overnight Occupational Therapy Assistant information

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$46

How much do overnight occupational therapy assistant jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for overnight 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 are the key skills and qualifications needed to thrive as an Overnight Occupational Therapy Assistant, and why are they important?

To excel as an Overnight Occupational Therapy Assistant, you need a solid understanding of therapeutic techniques, patient care procedures, and an associate degree from an accredited OTA program along with state licensure. Familiarity with adaptive equipment, electronic health records (EHR) systems, and rehabilitation software is typically required. Strong communication, time management, and problem-solving skills help you effectively support patients and collaborate with the overnight care team. These competencies are vital to ensure safe, effective therapy interventions and seamless patient care during off-hours.

What is an Overnight Occupational Therapy Assistant?

An Overnight Occupational Therapy Assistant is a healthcare professional who works during nighttime hours to support occupational therapists in helping patients recover, develop, or maintain the skills needed for daily living and working. Their duties may include assisting patients with therapeutic exercises, monitoring progress, and providing care as outlined in treatment plans. Working overnight means they provide essential support to patients who require round-the-clock rehabilitation services, often in hospitals, rehabilitation centers, or long-term care facilities. This role ensures continuous patient care and helps maintain therapy outcomes outside of traditional daytime hours.

What is the difference between Overnight Occupational Therapy Assistant vs Occupational Therapist?

AspectOvernight Occupational Therapy AssistantOccupational Therapist
CredentialsCertified Occupational Therapy Assistant (COTA)Master's or Doctoral degree in Occupational Therapy, state licensure
Work EnvironmentSkilled nursing facilities, hospitals, outpatient clinics, often overnight shiftsHospitals, clinics, schools, community settings, primarily daytime hours
Job RoleAssist OTs in implementing treatment plans, direct patient care, monitor progressDevelop treatment plans, evaluate patients, oversee therapy programs

Overnight Occupational Therapy Assistants support occupational therapists by providing direct patient care during overnight shifts, focusing on implementing treatment plans and monitoring patient progress. Occupational Therapists hold advanced degrees, develop treatment strategies, and oversee patient care. Both roles are essential in healthcare settings but differ mainly in responsibilities, credentials, and work hours.

What unique challenges might an Overnight Occupational Therapy Assistant face compared to daytime roles?

Working as an Overnight Occupational Therapy Assistant often involves supporting patients with their rehabilitation needs during less conventional hours, which can present unique challenges. These may include maintaining patient engagement and motivation during late hours, managing limited on-site resources or supervision, and adapting to a quieter, yet sometimes more unpredictable, hospital or care facility environment. Collaboration with other night-shift staff, such as nurses and aides, is crucial to ensure continuity of care and safe patient handling. Flexibility, strong communication skills, and the ability to work independently are especially important in this setting.
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Overnight Occupational Therapy Assistant jobs near you
Occupational Therapy Assistant

Occupational Therapy Assistant

Millennium Therapy

Clinton, IA

$24.75 - $33.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

ABOUT US:

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