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How to hire a certified occupational therapist assistant

Certified occupational therapist assistant hiring summary. Here are some key points about hiring certified occupational therapist assistants in the United States:

  • There are a total of 119,657 certified occupational therapist assistants in the US, and there are currently 105,405 job openings in this field.
  • The median cost to hire a certified occupational therapist assistant is $1,633.
  • Small businesses spend $1,105 per certified occupational therapist assistant on training each year, while large companies spend $658.
  • It takes between 36 and 42 days to fill the average role in the US.
  • It takes approximately 12 weeks for a new employee to reach full productivity levels.
  • HR departments typically allocate 15% of their budget towards recruitment efforts.
  • Onaga, KS, has the highest demand for certified occupational therapist assistants, with 9 job openings.

How to hire a certified occupational therapist assistant, step by step

To hire a certified occupational therapist assistant, you should clearly understand the skills and experience you are looking for in a candidate, and allocate a budget for the position. You will also need to post and promote the job opening to reach potential candidates. Here's a step-by-step guide on how to hire a certified occupational therapist assistant:

Here's a step-by-step certified occupational therapist assistant hiring guide:

  • Step 1: Identify your hiring needs
  • Step 2: Create an ideal candidate profile
  • Step 3: Make a budget
  • Step 4: Write a certified occupational therapist assistant job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new certified occupational therapist assistant
  • Step 8: Go through the hiring process checklist

What does a certified occupational therapist assistant do?

Being a certified occupational therapist assistant (OCA) requires skills in documentation, scheduling, and verbal communication. Occupational therapists need to be equipped with patient services, health care administration, and teamwork. They should know medical technologies, highly dependent, and have knowledge about health promotion and maintenance. Some of the responsibilities of OCAs include helping clients by providing rehabilitative and other services, verifying client information, and confirming the purpose of the treatment. They record the client's progress, billing, and services rendered to be used by the occupational therapist.

Learn more about the specifics of what a certified occupational therapist assistant does
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  1. Identify your hiring needs

    First, determine the employments status of the certified occupational therapist assistant you need to hire. Certain certified occupational therapist assistant roles might require a full-time employee, whereas others can be done by part-time workers or contractors.

    Determine employee vs contractor status
    Is the person you're thinking of hiring a US citizen or green card holder?

    A certified occupational therapist assistant's background is also an important factor in determining whether they'll be a good fit for the position. For example, certified occupational therapist assistants from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

    Here's a comparison of certified occupational therapist assistant salaries for various roles:

    Type of Certified Occupational Therapist AssistantDescriptionHourly rate
    Certified Occupational Therapist AssistantOccupational therapy assistants and aides help patients develop, recover, and improve the skills needed for daily living and working. Occupational therapy assistants are directly involved in providing therapy to patients; occupational therapy aides typically perform support activities... Show more$19-33
    TherapistA therapist is responsible for improving the patients' health conditions by evaluating their needs and providing physical and mental support. Therapists are licensed, medical professionals who specialize in different areas to perform treatments and bring relief to patients... Show more$18-38
    Physical TherapistPhysical therapists are health care professionals who diagnose and treat patients with health conditions and limited ability to move and perform daily activities. They help in restoring physical function and mobility and teach how to properly use therapeutic exercise techniques... Show more$26-45
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Home Health
    • Patient Care
    • Rehabilitation
    • Acute Care
    • Quality Care
    • Occupational Therapy
    • Body Mechanics
    • Healthcare Professionals
    • Adaptive
    • Compassion
    • Adaptive Equipment
    • Physical Therapy
    • SNF
    Check all skills
    Responsibilities:
    • Manage wheelchair room and walkers; recommend and implement improvements to organization and ease of use.
    • Provide occupational therapy services to rehabilitation, acute care, and outpatients in a hospital setting.
    • Provide patient and family education concerning energy conservation techniques, precautions, and proper use of adaptive equipment.
    • Educate patient on energy conservation techniques and adaptive equipment use.
    • Provide patient with different types of splints.
    • Train residents and health care provider in applying orthotics and prosthetics.
    More certified occupational therapist assistant duties
  3. Make a budget

    Including a salary range in your certified occupational therapist assistant job description is a great way to entice the best and brightest candidates. A certified occupational therapist assistant salary can vary based on several factors:
    • Location. For example, certified occupational therapist assistants' average salary in louisiana is 40% less than in hawaii.
    • Seniority. Entry-level certified occupational therapist assistants earn 43% less than senior-level certified occupational therapist assistants.
    • Certifications. A certified occupational therapist assistant with a few certifications under their belt will likely demand a higher salary.
    • Company. Working for a prestigious company or an exciting start-up can make a huge difference in a certified occupational therapist assistant's salary.

    Average certified occupational therapist assistant salary

    $53,296yearly

    $25.62 hourly rate

    Entry-level certified occupational therapist assistant salary
    $40,000 yearly salary
    Updated December 22, 2025

    Average certified occupational therapist assistant salary by state

    RankStateAvg. salaryHourly rate
    1California$62,831$30
    2New York$56,788$27
    3Oregon$55,447$27
    4Colorado$55,037$26
    5Massachusetts$54,714$26
    6Ohio$54,412$26
    7Kentucky$53,881$26
    8New Hampshire$53,763$26
    9Texas$52,147$25
    10Idaho$51,937$25
    11New Mexico$51,856$25
    12Arizona$51,105$25
    13Illinois$50,241$24
    14Michigan$46,860$23
    15Iowa$45,880$22
    16Indiana$45,526$22
    17Wyoming$44,175$21
    18Maryland$42,142$20
    19Alabama$40,828$20

    Average certified occupational therapist assistant salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1Constellation Health Services$68,643$33.009
    2Life Care Centers of America$68,237$32.81303
    3Legacy Health$63,535$30.556
    4Careerstaff Unlimited - A Genesis Healthcare Company$62,303$29.95
    5Liberty HomeCare and Hospice$60,837$29.2534
    6Beacon Health Options$59,254$28.4924
    7GradyHealth$59,029$28.388
    8Ambercare$59,002$28.373
    9St. Luke's Health System$58,686$28.2153
    10ProMedica Toledo Hospital$58,596$28.1723
    11Sparrow Health System$58,594$28.1719
    12Phoenix Rehabilitation and Health Services$58,365$28.06
    13Therapy Resources Management$58,236$28.004
    14Dignity Health$57,468$27.63218
    15Dean Health Plan$57,273$27.54
    16Aegis Therapies$57,198$27.50307
    17Catholic Health East$56,752$27.2827
    18Legacy Healthcare$56,746$27.28269
    19Interstate Rehab$56,475$27.15
    20The Good Samaritan Society$56,456$27.14
  4. Writing a certified occupational therapist assistant job description

    A certified occupational therapist assistant job description should include a summary of the role, required skills, and a list of responsibilities. It's also good to include a salary range and the first name of the hiring manager. Below, you can find an example of a certified occupational therapist assistant job description:

    Certified occupational therapist assistant job description example

    Must possess the ability to read, write and speak the English language, communicate resident condition to others and make independent decisions as needed; must have common working knowledge of all rules, laws and regulations as defined by the state as it relates to occupational therapy; must be patient, friendly, courteous and respectful to residents in any situation, including difficult ones; must be able to move frequently throughout the workday; must be able to handle sensitive situations related to the emotional well-being of the residents with patience, dignity and respect; must be able to lift 40 lbs floor to waist; lift 10 lbs waist to shoulder; lift and carry 40 lbs; and push/pull 40 lbs.

    Experience:

    Licensed COTA within the state of practice; one year experience in long-term care environment preferred.

    Working Conditions

    Works specifically in the rehabilitation department, resident rooms, etc.; bends, lifts, sits, stands and moves frequently throughout the shift; deals with frequent interruptions and possibly upset residents and family members; works regularly scheduled shifts with possible weekends, holidays and other hours based on resident needs; primary responsibility is care of residents but also deals with visitors, government personnel, etc.; participates in required continuing education programs; subject to odors, falls, burns and exposure to infectious diseases, waste, etc., including AIDS and Hepatitis B viruses.

    Competencies of Position

    Professionalism: Reports to work on time and as scheduled; keeps open communication with direct supervisors to ensure quality care of the residents; promotes teamwork, takes part in problem solving and displays a positive, caring attitude; consistently attends staff meetings, required in-services and other committees as assigned by the facility.

    Resident Rights: Promptly reports resident grievances to the rehabilitation supervisors; treats all resident care information with confidentiality; continuously monitors assigned areas to ensure residents are treated fairly and with dignity and respect at all times; conducts rehabilitation care in privacy, including knocking on the door prior to entering a resident’s room; honors resident refusal of treatments and reports to rehabilitation supervisors.

    Safety Awareness: Follows safety program guidelines; immediately reports accidents and incidents to supervisors; identifies unsafe working areas and promptly reports to supervisors; promotes safety by working as safely and efficiently as possible; monitors resident rooms to ensure it is clean and neat at all times; consistently follows infection control and universal precautions and other guidelines; identifies and corrects or reports hazardous conditions to supervisors; understands facility emergency and evacuation protocols.

    Organizational and Communication Skills: Handles multiple residents simultaneously; completes assignments in an organized fashion by the end of scheduled shifts; operates with flexibility and shows attention to detail when recording information in resident charts; possesses effective verbal and nonverbal communication skills and is an attentive listener.

    Customer Service: Treats all residents, families, co-workers and supervisors with dignity and respect and takes initiative to exceed customer expectations; professional represents the facility, self and position to visitors and residents; demonstrates a positive attitude and willingness to help to all visitors and residents; remains sensitive to all needs through listening, observing and responding appropriately for the position held.

    Essential Job Duties

    1. Assists with assessing residents’ functional levels and capabilities.

    2. Follows resident care plan and provides occupational therapy treatments under the direction of a licensed OT.

    3. Makes recommendations related to resident therapy treatments.

    4. Participates in the discharge planning process for residents.

    5. Thoroughly documents treatment progress in resident charts in an accurate and timely manner.

    6. Maintains a positive working relationship with residents and families.

    7. Assists the OT in supervision of rehabilitation aides.

    8. Documents appropriately and timely in accordance with all laws, regulations and Facility guidelines.

    9. Completes required Facility forms and documents to ensure compliance with state and federal regulations.

    10. Assists with scheduling appointments, taking calls, reordering supplies and completing insurance forms.

    Other Job Duties

    1. Provides training and education to family, residents and staff for occupational therapy.

    2. Assists with transporting residents from room to therapy gym, etc.

    3. Attends meetings and communicates information in a productive fashion.

  5. Post your job

    There are various strategies that you can use to find the right certified occupational therapist assistant for your business:

    • Consider promoting from within or recruiting from your existing workforce.
    • Ask for referrals from friends, family members, and current employees.
    • Attend job fairs at local colleges to find candidates who meet your education requirements.
    • Use social media platforms like LinkedIn, Facebook, and Twitter to reach potential job candidates.
    To find certified occupational therapist assistant candidates, you can consider the following options:
    • Post your job opening on Zippia or other job search websites.
    • Use niche websites that focus on engineering and technology jobs, such as healthcarejobsite, health jobs nationwide, hospitalcareers, medreps.com.
    • Post your job on free job posting websites.
  6. Interview candidates

    During your first interview to recruit certified occupational therapist assistants, engage with candidates to learn about their interest in the role and experience in the field. During the following interview, you'll be able to go into more detail about the company, the position, and the responsibilities.

    You should also ask about candidates' unique skills and talents to see if they match the ideal candidate profile you developed earlier. Candidates good enough for the next step can complete the technical interview.

    The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

  7. Send a job offer and onboard your new certified occupational therapist assistant

    Once you've selected the best certified occupational therapist assistant candidate for the job, it's time to write an offer letter. In addition to salary, this letter should include details about the benefits and perks you offer the candidate. Ensuring that your offer is competitive is essential, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and you should be open to discussion. After you reach an agreement, the final step is formalizing the agreement with a contract.

    You should also follow up with applicants who don't get the job with an email letting them know that you've filled the position.

    Once that's done, you can draft an onboarding schedule for the new certified occupational therapist assistant. Human Resources should complete Employee Action Forms and ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc. They should also ensure that new employee files are created for internal recordkeeping.

  8. Go through the hiring process checklist

    • Determine employee type (full-time, part-time, contractor, etc.)
    • Submit a job requisition form to the HR department
    • Define job responsibilities and requirements
    • Establish budget and timeline
    • Determine hiring decision makers for the role
    • Write job description
    • Post job on job boards, company website, etc.
    • Promote the job internally
    • Process applications through applicant tracking system
    • Review resumes and cover letters
    • Shortlist candidates for screening
    • Hold phone/virtual interview screening with first round of candidates
    • Conduct in-person interviews with top candidates from first round
    • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
    • Conduct background checks on top candidates
    • Check references of top candidates
    • Consult with HR and hiring decision makers on job offer specifics
    • Extend offer to top candidate(s)
    • Receive formal job offer acceptance and signed employment contract
    • Inform other candidates that the position has been filled
    • Set and communicate onboarding schedule to new hire(s)
    • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire a certified occupational therapist assistant?

Before you start to hire certified occupational therapist assistants, it pays to consider both the one-off costs like recruitment, job promotion, and onboarding, as well as the ongoing costs of an employee's salary and benefits. While most companies that hire certified occupational therapist assistants pay close attention to the initial cost of hiring, ongoing costs are much more significant in the long run.

The median annual salary for certified occupational therapist assistants is $53,296 in the US. However, the cost of certified occupational therapist assistant hiring can vary a lot depending on location. Additionally, hiring a certified occupational therapist assistant for contract work or on a per-project basis typically costs between $19 and $33 an hour.

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