Certified Occupational Therapy Assistant (COTA)
- BLS
How this pay compares
This posting states $40–$44 an hour. Open occupational therapy assistant jobs in Massachusetts post a median of $35 an hour, the middle half $31.80–$39.50, across 19 jobs that state their pay, so this one is above the middle half of what they post. Occupational therapy assistants employed in Massachusetts earn a median of $36.08 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).
Occupational therapy assistants in Massachusetts: pay by town and employer
About the job
Certified Occupational Therapy Assistant (COTA) – Full-Time
Advocate Healthcare Center of East Boston 111 Orient Ave, Boston, MA 02128
Pay Rate: $40–$44 per hour Job Type: Full-Time Schedule: Day shift; consistent full-time hours
Job Summary
Advocate Healthcare Center of East Boston is seeking a motivated and compassionate Certified Occupational Therapy Assistant (COTA) to join our Skilled Nursing and Rehabilitation team. The COTA will work under the supervision of a licensed Occupational Therapist to provide high-quality, resident-focused therapy services. This position is full-time and open to new graduates as well as candidates with Skilled Nursing Facility (SNF) experience.
Essential Duties and Responsibilities
- Provide occupational therapy treatments in accordance with established plans of care under the supervision of a licensed Occupational Therapist
- Assist residents in improving independence with activities of daily living (ADLs), functional mobility, strength, coordination, and cognitive skills
- Monitor and document resident progress, responses to treatment, and any changes in condition
- Communicate effectively with the supervising Occupational Therapist and interdisciplinary care team
- Maintain accurate, timely documentation in compliance with facility policies and state and federal regulations
- Educate residents and caregivers on therapeutic techniques, adaptive equipment, and safety strategies
- Maintain a clean, safe, and organized treatment environment
- Adhere to all infection control, safety, and HIPAA standards
Qualifications
Required
- Associate degree from an ACOTE-accredited Occupational Therapy Assistant program
- Current NBCOT certification as a Certified Occupational Therapy Assistant
- Active Massachusetts COTA license or eligibility to obtain prior to start date
- Ability to work under the supervision of a licensed Occupational Therapist
- Strong communication, documentation, and interpersonal skills
- Ability to meet physical requirements of the position, including assisting residents with mobility and transfers
Preferred
- Experience in a Skilled Nursing Facility (SNF), rehabilitation, or post-acute care setting
- Familiarity with electronic medical records (EMR)
- BLS/CPR certification (or willingness to obtain upon hire)
Experience
- New graduates are encouraged to apply
- SNF or post-acute care experience preferred but not required
- Relevant clinical fieldwork experience will be considered
Compensation and Benefits
- Hourly pay range: $40–$44 per hour
- Comprehensive benefits package
- Paid time off (PTO) and sick leave
- Supportive and experienced leadership team
- Career growth and advancement opportunities
- Warm, professional, and resident-focused work environment
- Convenient East Boston location with easy access to public transportation
Weekly Pay with Secure Online Payroll Access
- View pay stubs anytime
- Track hours worked
- Access upcoming pay dates
- Download W-2 and tax documents
- Update direct deposit information
- Eligible to cash out up to 50% of earned wages daily
- Shift differentials, including higher weekend rates
Legal and Compliance Requirements
- Must meet all Massachusetts licensure requirements for Certified Occupational Therapy Assistants
- Must comply with all applicable state and federal healthcare regulations, including HIPAA
- Successful completion of background check, drug screening, and health clearance (including TB testing) required prior to employment
- Must maintain licensure and certification in good standing throughout employment
From Advocate Healthcare of East Boston's job posting, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.
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About Advocate Healthcare of East Boston
Advocate Healthcare of East Boston hires nurses, nursing assistants and therapists in Boston, Massachusetts.
Hires in MassachusettsPay on its listings: 65% of its open jobs state an hourly rate
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