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Therapy Jobs in Iowa (NOW HIRING)

Millennium Therapy

Occupational Therapy Assistant

Ackley, IA

$24.25 - $32.50/hr

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

Millennium Therapy

Occupational Therapy Assistant

Ames, IA

$25.50 - $34.25/hr

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

Ensign Therapy

Occupational Therapy Assistant

Spencer, IA · On-site

$25 - $33.50/hr

OCCUPATIONAL THERAPY ASSISTANT - PRN - SPENCER POST ACUTE - SPENCER, IA This job was posted and verified on 06/10/2026 Join our team and start making a difference! Call or text Scott at (207) 952 ...

Flagship Therapy

Occupational Therapy Assistant

Des Moines, IA · On-site

$25.25 - $34.25/hr

Occupational Therapy Assistant (OTA) FULL TIME - GREATER SOUTHSIDE HEALTH & REHABILITATION - DES MOINES, IA Schedule: Full Time-Flexible Schedule To apply feel free to contact Angie Taylor at 913-444 ...

Ensign Therapy

Occupational Therapy Assistant

Spencer, IA · On-site

$25 - $33.50/hr

OCCUPATIONAL THERAPY ASSISTANT - FULL TIME - SPENCER POST ACUTE - SPENCER, IA This job was posted and verified on 06/10/2026 Join our team and start making a difference! Call or text Scott at (207 ...

Flagship Therapy

Occupational Therapy Assistant

Des Moines, IA · On-site

$25.25 - $34.25/hr

Occupational Therapy Assistant (OTA) FULL TIME - GREATER SOUTHSIDE HEALTH & REHABILITATION - DES MOINES, IA Schedule: Full Time-Flexible Schedule To apply feel free to contact Angie Taylor at 913-444 ...

Flagship Therapy

Occupational Therapy Assistant

Clarion, IA · On-site

$23.50 - $31.50/hr

Occupational Therapy Assistant (OTA) CLARION WELLNESS & REHABILITATION - CLARION, IA Schedule: Full Time-Flexible Schedule To apply feel free to contact Angie Taylor at 913-444-2828 or angeltaylor ...

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All JobsTherapy JobsTherapy Jobs in Iowa

Therapy information

See Iowa salary details

$10

$16

$23

How much do therapy jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for therapy in Iowa is $16.30, according to ZipRecruiter salary data. Most workers in this role earn between $13.56 and $18.51 per hour, depending on experience, location, and employer.

What is therapy?

Therapy, also known as psychotherapy or counseling, is a process where a trained professional helps individuals, couples, or groups address mental health issues, emotional challenges, and life stresses. Therapists use various techniques to help clients understand their feelings, develop coping strategies, and make positive changes in their lives. Therapy can be beneficial for a wide range of concerns, including depression, anxiety, relationship problems, trauma, and personal growth. Sessions are typically confidential and tailored to each person's needs, fostering a safe and supportive environment for healing.

What are the key skills and qualifications needed to thrive as a therapist, and why are they important?

To thrive as a Therapist, you need a solid educational background in psychology or counseling, licensure (such as LCSW, LPC, or LMFT), and strong clinical assessment skills. Familiarity with electronic health records (EHRs), evidence-based therapy modalities, and continuing education certifications is typically required. Outstanding active listening, empathy, and communication skills set exceptional therapists apart in building trust and rapport with clients. These skills and qualifications are crucial for effectively supporting clients' mental health, ensuring ethical practice, and achieving positive therapeutic outcomes.

What are some typical challenges therapists face when working with clients, and how can they effectively address them?

Therapists often encounter challenges such as managing client resistance, maintaining professional boundaries, and dealing with emotionally intense situations. To address these, therapists use active listening, establish clear treatment goals, and seek regular supervision or peer consultation. Building strong rapport and continually developing cultural competence also help therapists navigate complex client dynamics. Ongoing professional development and self-care are essential for sustaining effectiveness and preventing burnout.

What is the difference between Therapy vs Counseling?

AspectTherapyCounseling
CredentialsLicensed therapists often hold a master's or doctoral degree in psychology, social work, or counselingLicensed counselors typically have a master's degree in counseling, psychology, or related fields
Work EnvironmentPrivate practices, clinics, hospitals, schoolsCommunity centers, schools, private practices, outpatient clinics
Industry UsageUsed broadly in mental health treatment, including psychotherapy and clinical interventionsOften used for short-term, goal-oriented support for specific issues
FocusDeep psychological issues, mental health disorders, long-term therapyImmediate concerns, coping strategies, short-term support

While both therapy and counseling involve helping individuals improve their mental health, therapy generally refers to more in-depth, long-term treatment for complex psychological issues, whereas counseling tends to focus on short-term, goal-specific support. The choice depends on the individual's needs and the severity of their concerns.

What are the different types of therapy jobs?

Therapy jobs include roles such as clinical psychologists, licensed professional counselors, marriage and family therapists, occupational therapists, speech-language pathologists, and mental health counselors. These positions often require specific certifications or licenses and involve working in settings like hospitals, clinics, schools, or private practices.

What are the most commonly searched types of Therapy jobs in Iowa?

The most popular types of Therapy jobs in Iowa are:

What cities in Iowa are hiring for Therapy jobs?

Cities in Iowa with the most Therapy job openings:

Therapy jobs near you
Infographic showing various Therapy job openings in Iowa as of August 2026, with employment types broken down into 4% As Needed, 62% Full Time, 20% Part Time, and 14% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $33,909 per year, or $16.3 per hour.

Occupational Therapy Assistant

Millennium Therapy

Keystone, IA

$24 - $32.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

Job description

ABOUT US:

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