Certified Occupational Therapy Assistant (COTA)

Adelphi Medical Staffing, LLC; San Antonio (TX); On-site; USD 39,000 - 62,000; Full time

Job summary

Adelphi Medical Staffing, LLC seeks a Certified Occupational Therapy Assistant (COTA) to provide school-based OT services in San Antonio, Texas. The role supports students’ goals within their IEPs and collaborates with educators and families.

The assignment offers a flexible contract with 16 to 40 hours per week, focusing on direct and consultative OT services, adaptive equipment, and documentation in accordance with district requirements.

Qualifications

• Must hold Texas OT Certification or National Board Certification.
• Experience in school-based or pediatric OT preferred.
• Child-focused, collaborative approach required.

Responsibilities

• Plan and provide direct and consultative OT services aligned with IEP goals.
• Assess students and plan interventions to maximize functioning and independence.
• Participate in ARD meetings to support assessment interpretation and goal setting.
• Evaluate progress and determine readiness for termination of OT services in consultation with supervising OT.
• Design, construct, and modify adaptive equipment to promote student independence.
• Consult with teachers, parents, and administrators on OT needs and programming.
• Provide staff training on adaptive equipment use.
• Maintain auditable student records and reports in compliance with district policies.

Skills

Direct OT services

IEP collaboration

Pediatric OT

Education

Texas OT Certification

National Board Certification

Tools

Adaptive equipment

Job description

Certified Occupational Therapy Assistant (COTA)

San Antonio, United States | Posted on 09/17/2026

• Specialty Allied - Occupational Therapy Assistant
• Job Type Contract
• Date Opened 09/17/2026
• State/Province Texas
• City San Antonio
• Country United States

Job Description

Adelphi is seeking a qualified Certified Occupational Therapy Assistant (COTA) to provide school occupational therapy support services in a school setting in San Antonio, Texas .

The ideal candidate will assist/provide direct and consultative occupational therapy services, adaptive equipment support, and IEP-related documentation to students in accordance with school district requirements while supporting student health, safety, and continuity of care.

Job Quick Facts:

• Specialty: Occupational Therapist Assistant (COTA)
• Facility Type: School
• Shift Schedule: Minimum 16hrs up to maximum 40 hours a week

Requirements:

• National Board Occupational Therapy Certification, or Texas Occupational Therapy Certification (or equivalent) for Occupational Therapy Assistant.
• Previous school-based, pediatric, or public school OT assistant experience preferred.

Responsibilities:

• Plan and provide direct and consultative OT services consistent with goals outlined in students' IEPs.
• Assess students and plan therapeutic intervention to maximize physical/mental functioning and independence.
• Participate in Admission, Review, and Dismissal (ARD) Committee meetings to assist with assessment interpretation, placement, and goal setting.
• Evaluate student progress and determine readiness for termination of OT services in consultation with the supervising Occupational Therapist.
• Design, construct, and alter adaptive equipment and devices to promote maximum student independence.
• Consult with educational staff, parents, and administrators regarding occupational therapy needs and programming.
• Provide staff development/training to school personnel on selection and use of adaptive equipment.
• Maintain auditable student records and compile/file all required reports and documentation.
• Comply with District dress code, administrative guidelines, and compliance policies.