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Pediatric Cota Jobs (NOW HIRING)

Ivy Rehab Network

Pediatric COTA

Fredericksburg, VA · On-site

$28 - $37.25/hr

As an outpatient pediatric clinician, you will have the chance to work with many children from birth to age twenty-one. Our teammates are dedicated to the treatment of our young patients, providing ...

Connect ABA + Therapy

COTA

Passaic, NJ

$60 - $65/hr

As a Pediatric Certified Occupational Therapy Assistant (COTA) within our facility-based setting, you will play a pivotal role in assisting licensed therapists in implementing individualized ...

Connect ABA + Therapy

COTA

Nutley, NJ

$60 - $65/hr

As a Pediatric Certified Occupational Therapy Assistant (COTA) within our facility-based setting, you will play a pivotal role in assisting licensed therapists in implementing individualized ...

Ivy Rehab Network

Pediatric COTA

Fredericksburg, VA

$28 - $37.25/hr

As an outpatient pediatric clinician, you will have the chance to work with many children from birth to age twenty-one. Our teammates are dedicated to the treatment of our young patients, providing ...

Connect ABA + Therapy

COTA

Nutley, NJ · On-site

$60 - $65/hr

As a Pediatric Certified Occupational Therapy Assistant (COTA) within our facility-based setting, you will play a pivotal role in assisting licensed therapists in implementing individualized ...

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Pediatric Cota information

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$17

$32

$46

How much do pediatric cota jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for pediatric cota 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 a pediatric COTA?

A Pediatric Certified Occupational Therapy Assistant (COTA) is a healthcare professional who works under the supervision of an occupational therapist to help children develop, recover, and improve skills needed for daily living and school activities. They assist in implementing therapeutic activities and interventions designed specifically for children who have physical, developmental, or emotional challenges. Pediatric COTAs often work in settings such as schools, hospitals, outpatient clinics, and early intervention programs, collaborating with families and other professionals to support a child's growth and independence.

What does a pediatric COTA do?

As a pediatric certified occupational therapy assistant or pediatric COTA, your job is to provide occupational therapy services to children. In this role, you assist patients with special needs, help them develop the correct behavior and motor skills, and promote cognitive development. As an assistant, your job is to work directly under an occupational therapist (OT) who makes the primary decisions about care, but you may work independently on some tasks. Pediatric COTAs often travel to visit patients in hospitals, schools, and home settings, so a driver's license and reliable transportation are essential to your success in this field.

What are the key skills and qualifications needed to thrive as a pediatric Certified Occupational Therapy Assistant (COTA), and why are they important?

To thrive as a Pediatric Certified Occupational Therapy Assistant (COTA), you need a solid understanding of pediatric development, therapeutic techniques, and must hold an associate degree in occupational therapy and national certification (COTA credential). Familiarity with adaptive equipment, therapy documentation software, and standardized assessment tools is essential. Strong communication, patience, and creativity are critical soft skills for engaging children and collaborating with families and therapists. These skills ensure effective support for children's development, accurate progress tracking, and a positive therapeutic environment.

What are some common challenges pediatric COTAs face when working with children in diverse clinical settings?

Pediatric COTAs often encounter challenges such as adapting therapy techniques to suit children with varying developmental levels and diagnoses, as well as communicating effectively with both children and their families. Working in diverse clinical settings—such as schools, outpatient clinics, or hospitals—requires flexibility and creativity to engage children in therapeutic activities while also collaborating closely with occupational therapists, teachers, and other healthcare professionals. Balancing documentation requirements with direct patient care can also be demanding, but strong organizational skills and teamwork can help manage these responsibilities successfully.

What is the difference between Pediatric Cota vs Pediatric Occupational Therapist?

AspectPediatric CotaPediatric Occupational Therapist
Required CredentialsCertified Occupational Therapy Assistant (COTA) credentialMaster's degree in Occupational Therapy and state licensure
Work EnvironmentAssist in therapy sessions under supervision, typically in clinics, schools, or hospitalsConducts evaluations, develops treatment plans, and provides therapy independently
Employer & Industry UsageHospitals, schools, outpatient clinics, pediatric therapy centersHospitals, clinics, schools, outpatient settings

The Pediatric Cota works under the supervision of an Occupational Therapist, focusing on implementing treatment plans and assisting with therapy activities. In contrast, a Pediatric Occupational Therapist independently evaluates and develops treatment strategies for children. Both roles are essential in pediatric therapy but differ in scope, education, and responsibilities.

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Pediatric Cota jobs near you
Infographic showing various Pediatric Cota job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 5% As Needed, 69% Full Time, 17% Part Time, and 8% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Pediatric COTA - Clinic-Based Position

MedCare Pediatric

Stafford, TX • On-site

$24.75 - $33/hr

Full-time, Part-time, Per diem

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Job description

Pediatric Certified Occupational Therapy Assistant (COTA) - Full-Time, Part-Time & PRN | Clinic & Home Health

Make a Difference Every Day with MedCare Pediatric

At MedCare Pediatric, we are dedicated to providing personalized, one-on-one pediatric therapy that empowers children to reach their fullest potential. Our mission is rooted in understanding each child's unique needs and creating individualized treatment plans that promote independence, confidence, and meaningful progress. Through strong partnerships with families and a collaborative team approach, we deliver exceptional care that makes a lasting difference.

As a Certified Occupational Therapy Assistant (COTA), you'll have the opportunity to work with children in a supportive environment that values quality care and meaningful patient relationships. Our flexible scheduling options and collaborative culture allow you to focus on delivering exceptional therapy while maintaining a healthy work-life balance. Whether providing therapy in our pediatric clinic or in patients' homes, you'll play an essential role in helping children develop the skills they need for everyday success.

Responsibilities and Qualifications
 
  • Provide pediatric occupational therapy services under the supervision of a licensed Occupational Therapist and in accordance with physician-approved treatment plans.
  • Implement individualized therapy programs to improve fine motor skills, sensory processing, strength, range of motion, mobility, self-care, and functional independence.
  • Educate parents and caregivers on home exercise programs, adaptive techniques, and strategies to support continued progress.
  • Accurately document patient treatments, progress, and outcomes in a timely manner.
  • Collaborate with Occupational Therapists, Speech-Language Pathologists, Physical Therapists, nurses, and other healthcare professionals to ensure comprehensive patient care.
  • Build positive relationships with children and families while delivering compassionate, patient-centered care.
  • Maintain compliance with all company policies, state regulations, and professional standards.
Qualifications
  • Graduate of an accredited Occupational Therapy Assistant program.
  • Current Texas Certified Occupational Therapy Assistant (COTA) license or eligible to obtain licensure before the anticipated start date.
  • Pediatric experience is preferred but new graduates are encouraged to apply.
  • Excellent communication and interpersonal skills.
  • Passion for working with children and helping them achieve developmental milestones.
  • Ability to work independently while collaborating with a multidisciplinary team.
Benefits & Perks
 
  • Flexible Schedule Options: Full-Time, Part-Time, and PRN
  • Weekday, after-school, and Saturday opportunities available
  • Paid Time Off (PTO) & Paid Holidays
  • 401(k) Retirement Plan
  • Medical, Dental & Vision Insurance
  • Short-Term & Long-Term Disability
  • Company-provided laptop
  • CEU access and recertification reimbursement
  • Employee Referral Bonus
  • Quality & Profitability Bonus Opportunities
  • One-on-One Patient Care
  • Collaborative and Supportive Team Environment
  • Mentorship Program for new graduates and experienced clinicians
  • Career Growth & Advancement Opportunities
  • Care Coach available for both personal and professional development
Why Therapists Choose MedCare Pediatric
  • One-on-one patient care that allows you to make a meaningful impact.
  • Flexible scheduling designed to support work-life balance.
  • Opportunities to work in both clinic and home health settings.
  • Supportive leadership that values collaboration, professional growth, and clinical excellence.
  • A mission-driven team committed to helping children and families succeed.

If you're passionate about pediatric therapy and want to join a team that values compassionate care, professional growth, and making a lasting impact, we'd love to hear from you. Apply today and grow your career with MedCare Pediatric!

 

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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