Certified Occupational Therapy Assistant

Certified Occupational Therapy Assistant (COTA)

Company: Abil-OT Kids Therapy
Location: Raleigh, Clayton, North Carolina
Position type: Full-time/Part-time
Reports to: Supervising Occupational Therapist and Clinical Leadership

About Abil-OT Kids Therapy

Abil-OT Kids Therapy provides pediatric outpatient services to children and families across the Triangle. Our team works together to help children build skills, participate more fully in daily routines, and reach meaningful goals at home, school, and in the community.

Position Summary

The Certified Occupational Therapy Assistant (COTA) provides skilled occupational therapy services to children under the supervision of a licensed Occupational Therapist and in accordance with each child’s plan of care. The COTA uses play-based, developmentally appropriate activities to address functional goals, communicates regularly with the supervising OT and families, and completes timely, accurate documentation.

Essential Duties and Responsibilities

• Provide occupational therapy interventions under the supervision of the assigned Occupational Therapist and in accordance with the child’s plan of care.
• Use engaging, age-appropriate activities to address goals related to fine motor and visual motor skills, sensory processing, self-care, play, coordination, regulation, and participation in daily routines.
• Adapt activities, materials, and the level of support to meet each child’s needs while working toward established goals.
• Monitor and document each child’s response to treatment, progress toward goals, and any barriers or changes that should be shared with the supervising OT.
• Communicate with the supervising OT about progress, concerns, family updates, and the need for plan-of-care review.
• Educate and support caregivers in carrying over appropriate strategies at home, within the limits of the plan of care.
• Complete daily notes and other required documentation within Abil-OT’s established timelines, generally within 48 hours.
• Maintain accurate records in the electronic medical record and follow clinic procedures for scheduling, attendance, billing support, and documentation.
• Coordinate respectfully with families, therapists, administrative staff, and other members of the child’s care team, as appropriate.
• Maintain a safe, clean, organized, and welcoming treatment space.
• Attend required supervision, team meetings, trainings, and professional development.
• Follow applicable state and federal requirements, payer rules, professional standards, and Abil-OT policies, including privacy and infection-control procedures.
• Perform other related duties consistent with the role.

Qualifications

• Associate degree from an accredited Occupational Therapy Assistant program.
• Current North Carolina COTA license in good standing, or eligibility to obtain licensure before beginning clinical practice.
• Current NBCOT certification, if required for North Carolina licensure or continued practice.
• Experience working with children is preferred; pediatric outpatient or developmental experience is a plus.
• Strong communication, organization, documentation, and time-management skills.
• Ability to build positive, professional relationships with children, caregivers, and colleagues.
• Ability to maintain required supervision and follow the supervising OT’s direction and the child’s plan of care.
• Familiarity with electronic medical records is preferred; experience with Fusion/Ensora is a plus.
• Reliable transportation if occasional travel between Abil-OT locations is required.

Performance Expectations

• Provide consistent, skilled, family-centered treatment.
• Maintain a caseload and direct treatment schedule consistent with the position’s agreed-upon productivity expectations.
• Complete documentation accurately and within required timelines.
• Communicate promptly with the supervising OT regarding changes in a child’s status, safety concerns, progress, or barriers to treatment.
• Demonstrate professionalism, dependability, teamwork, and openness to feedback.

Physical Requirements

The position requires the ability to participate in floor-based and active play, move and set up therapy materials, and safely support children during treatment activities within the COTA’s training and role. Reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.

Equal Opportunity

Abil-OT Kids Therapy is an equal opportunity employer. Employment decisions are made without regard to any status protected by applicable law.