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

As of May 28, 2026, the average hourly pay for prn 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 a PRN Occupational Therapy Assistant, and why are they important?

To thrive as a PRN Occupational Therapy Assistant, you need an associate’s degree from an accredited OTA program, NBCOT certification, and a state license. Familiarity with rehabilitation software, assistive devices, and documentation systems is typically required. Strong interpersonal skills, adaptability, and the ability to motivate patients are crucial soft skills in this role. These skills ensure effective patient care, smooth collaboration with occupational therapists, and flexibility in various healthcare settings.

How does a PRN Occupational Therapy Assistant typically coordinate with full-time staff and other healthcare professionals?

As a PRN Occupational Therapy Assistant, you will often work varying shifts to fill in as needed, which requires strong communication and adaptability. You’ll need to quickly integrate into existing care teams by collaborating closely with full-time Occupational Therapists, nurses, and other assistants to understand patient goals and treatment plans. Staying updated on patient progress and documentation is crucial, as is being proactive in seeking guidance or clarification from supervisors. This role allows you to gain experience in diverse settings and with different patient populations, which can support your career growth.

What is a PRN Occupational Therapy Assistant?

A PRN Occupational Therapy Assistant (OTA) is a licensed healthcare professional who works on an as-needed or per diem basis to assist occupational therapists in helping patients develop, recover, and improve the skills needed for daily living and working. PRN stands for 'pro re nata,' meaning the assistant is scheduled based on the facility’s needs, rather than having a set full-time or part-time schedule. PRN OTAs work in various settings, such as hospitals, rehabilitation centers, and nursing homes, performing therapeutic activities under the supervision of an occupational therapist. Their flexible role allows facilities to provide quality care during staff shortages, busy periods, or employee absences.

What is the difference between Prn Occupational Therapy Assistant vs Full-Time Occupational Therapy Assistant?

AspectPrn Occupational Therapy AssistantFull-Time Occupational Therapy Assistant
CredentialsRequires certification and state licensureRequires certification and state licensure
Work EnvironmentAs-needed, flexible scheduling in clinics, hospitals, or schoolsRegular schedule, full-time hours in similar settings
Employer UsageUsed by employers for staffing flexibilityStandard employment for consistent patient care

Prn Occupational Therapy Assistants and full-time Occupational Therapy Assistants both require certification and licensure. Prn OTAs work on an as-needed basis, offering flexibility, while full-time OTAs have a set schedule. Both roles are essential in healthcare settings, but Prn OTAs provide staffing flexibility to meet fluctuating patient needs.

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Prn Occupational Therapy Assistant jobs near you
Infographic showing various Prn Occupational Therapy Assistant job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 50% Full Time, 38% Part Time, and 11% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.
Occupational Therapy Assistant / COTA - PRN

Occupational Therapy Assistant / COTA - PRN

Continuum Therapy Partners

Saint Louis, MO

$26.75 - $35.50/hr

Per diem

Posted yesterday

Job description

PRN Occupational Therapy Assistant (COTA) Opportunity - St. Louis, MO

Join Our Passionate Rehab Team at U-City Forest Manor!
Location: St. Louis, MO

Continuum Therapy Partners is seeking a dedicated and compassionate PRN Occupational Therapy Assistant (COTA) to join our dynamic rehabilitation team at U-City Forest Manor in St. Louis, MO a skilled nursing facility known for its supportive environment and commitment to exceptional patient care.

In this role, you’ll collaborate closely with an interdisciplinary team to provide high-quality therapy services that help residents achieve their goals and enhance their quality of life.

Our Commitment:

At Continuum Therapy Partners, we’re driven by clinical integrity, ethical care, and compassion. We’re not just a company we’re a mission: improving lives through exceptional rehabilitative services. Come grow with a team that values YOU.

Ready to take the next step in your career?
Text or Call Monica Clauss at 732-925-1955 or email monica@continuumtherapypartners.com today!


Occupational Therapy Assistant / COTA
Occupational Therapy Assistant / COTA
Occupational Therapy Assistant / COTA
Occupational Therapy Assistant / COTA