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

As of Aug 9, 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.

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 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.

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.

More about Prn Occupational Therapy Assistant jobs
What cities are hiring for Prn Occupational Therapy Assistant jobs? Cities with the most Prn Occupational Therapy Assistant job openings:
What states have the most Prn Occupational Therapy Assistant jobs? States with the most job openings for Prn Occupational Therapy Assistant jobs include:
What job categories do people searching Prn Occupational Therapy Assistant jobs look for? The top searched job categories for Prn Occupational Therapy Assistant jobs are:
Prn Occupational Therapy Assistant jobs near you
Infographic showing various Prn 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, 21% Part Time, 1% Temporary, and 2% 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

Millennium Therapy

Oskaloosa, IA

$24.50 - $32.75/hr

Per diem

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

ABOUT US:

Millennium Therapy is looking to add a PRN Occupational Therapy Assistant (COTA) to our staff in Oskaloosa, 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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