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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 ...

Blue Stone Therapy

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 ...

Blue Stone Therapy

Occupational Therapy Assistant

Ogden, IA · On-site

$25.50 - $34.50/hr

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

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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$32

$46

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

As of Aug 9, 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 skills and qualifications are needed to be an overnight occupational therapy assistant?

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
Infographic showing various Overnight Occupational Therapy Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 3% 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

Urbandale, IA

$24 - $35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 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) - Urbandale, IA

Blue Stone Therapy is seeking an Occupational Therapy Assistant (COTA) to provide rehabilitation services to adult and geriatric patients at Karen Acres, Urbandale, 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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