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Therapy & rehab

Certified Occupational Therapy Assistant - Fulltime

Wellsential HealthSan Antonio, TXFull timePosted 1mo agoStill open, checked every night

How this pay compares

This posting does not state an hourly rate. Open occupational therapy assistant jobs in Texas post a median of $36.50 an hour, the middle half $32.17–$40.50, across 41 jobs that state their pay. Occupational therapy assistants employed in Texas earn a median of $39.19 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Occupational therapy assistants in Texas: pay by town and employer

The Physical, Occupational, Speech & Respiratory Therapy job market: pay, applicant demand and hiring, researched nightly

Licensed in another state?

Texas is not issuing OT Compact privileges, so an occupational therapist or OT assistant licensed in another state needs a Texas license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) Every state's OT Compact status.

Physical, occupational, speech and respiratory therapy jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 87.1%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
  • How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%

From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs

About the job

CERTIFIED OCCUPATIONAL THERAPY ASSISTANT - PRN

The Certified Occupational Therapy Assistant (COTA) will implement the plan of care as established by the therapist and the physician in a professional, competent manner, upholding excellence with quality of care. The COTA will communicate with facility staff and provide support to the facility through training and in-services as needed.

  • Screen all residents in the facility on a quarterly basis to identify those who have experienced declines in their functional abilities and determine if therapeutic intervention is indicated.
  • Evaluate residents per MD order and establish appropriate treatment plans and goals that meet the specific needs of the individual.
  • Re-assess patients and caseload as appropriate to determine the need for continued services or discontinuation of services based on patient progress.
  • Carry out treatment program as indicated.
  • Provide thorough discharge planning that will allow the patient to function at a maximal level of independence in the least restrictive environment.
  • Educate staff, families, and caregivers as indicated.
  • Identify needs for program development and implement programs according to company policies and procedures.
  • Identify equipment needs of the therapy department and order equipment according to company policy and procedure.
  • Complete all required documentation according to guidelines specified in the documentation manual.
  • Coordinate in-services for facility staff as the need is determined to ensure safe and effective carryover of maintenance/restorative programs and overall care of the residents.
  • Attend all meetings required by the facility.
  • Supervise therapy assistants/techs as set forth in PT/OT/ST state regulations.

Licensing Requirements

The COTA must maintain active Texas state licensure for Therapy Assistant.

Regency Integrated Health Servicesis an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

From Wellsential Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Wellsential Health

Wellsential Health operates 67 (source: CMS Nursing Home Provider Information) Medicare- and Medicaid-certified nursing homes in Texas. Its job board posts jobs for nurses, nursing assistants and therapists. Source: CMS Nursing Home Provider Information

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