Certified Occupational Therapist Assistant (COTA)

Gotham Enterprises Ltd

Seattle, Washington, United States permanent

Posted: February 12, 2026

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Quick Summary

Delivering occupational therapy sessions to patients, leading to improved functional abilities, cognition, and daily living skills.

Required Skills

Patient Care EMR Systems Documentation Communication Teamwork Individual and Group Therapy FS-ICM Functional skills Patient Education

Job Description

Certified Occupational Therapist Assistant (COTA)

Location: Seattle, WA
Position: Full-Time
Schedule: Monday–Friday, 9:00 AM – 5:00 PM
Salary: $60,000 – $70,000 per year

Summary
COTAs are the bridge between a treatment plan and what happens in the room each day. In this position, you’ll lead therapy sessions that build functional ability, help patients practice real-life routines, and keep accurate notes so progress is easy to track and adjust.

Responsibilities

• Deliver OT treatment sessions according to established care plans
• Lead functional activities to improve ADLs, cognition, and upper extremity use
• Provide cues, corrections, and modifications to ensure safe participation
• Document objective measures and patient outcomes after each visit
• Coordinate with supervising OT for updates, changes, and goal progression
• Support patient education on carryover strategies and home routines

Requirements:
• Associate degree as an Occupational Therapy Assistant
• Current Washington COTA license (or pending/eligible with proof)
• NBCOT certification
• Basic proficiency with EMR/documentation systems
• Strong patient-facing communication and teamwork skills

Benefits:
• 2 weeks PTO
• Health Insurance
• 401K Plan with 3% Company Match

Want to see what this role looks like day-to-day? Message us your resume and we’ll set up a quick intro call.

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