Certified Occupational Therapy Assistant (COTA) - PRN

Nexus Health Systems Ltd; Conroe (TX); On-site; USD 39,000 - 58,000; Part time

Job summary

Nexus Neurorecovery Center – Conroe is seeking a Certified Occupational Therapy Assistant (COTA) for PRN shifts at our Conroe inpatient rehab unit. You will support treatment plans under a licensed OT and help patients with neurological injuries and complex medical conditions.

The role emphasizes functional skill development, teamwork with rehab disciplines, accurate documentation, safety, and de-escalation when needed.

Qualifications

• Active COTA license in the State of Texas.
• NBCOT certification required.
• CPR / BLS Certification – required.
• De-escalation training – required within 30 days of hire.
• An Associate degree from an accredited Occupational Therapy Assistant program required.
• Experience working with neurologic, rehabilitation, or medically complex patients preferred.
• Hospital, inpatient, or rehabilitation experience strongly preferred.
• Ability to work effectively within a multidisciplinary clinical team.
• Compassionate, patient-centered approach to care.

Responsibilities

• Implement occupational therapy interventions under the supervision of a licensed Occupational Therapist.
• Assist with therapeutic activities focused on daily living skills, mobility, and functional independence.
• Support patients with neurologic, developmental, or medically complex conditions.
• Monitor patient response to treatment and report progress to supervising therapist.
• Assist with adaptive equipment, assistive technology, and therapeutic exercises.
• Collaborate with physical therapy, speech therapy, psychology, nursing, and medical staff.
• Maintain accurate documentation in the electronic medical record.
• Follow Nexus policies, HIPAA standards, and safety procedures.
• Use approved de-escalation techniques when needed to maintain safety.
• Support a structured, therapeutic environment that promotes patient progress.

Skills

COTA license

NBCOT

CPR/BLS

De-escalation training

Multidisciplinary teamwork

Education

Associat e degree in OTA

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Certified Occupational Therapy Assistant (COTA) - PRN

390000 TNC Day Program Mgmt PRN Professional Nexus Neurorecovery Center Conroe, Conroe, TX, US 1 Attachments

3 days ago Requisition ID: 2040

Certified Occupational Therapy Assistant (COTA) – PRN

Nexus Neurorecovery Center – Conroe
Schedule: PRN

About Nexus Neurorecovery Center – Conroe

Our Conroe Neurorecovery inpatient rehab provides interdisciplinary, patient-centered care, focused on improving functional independence and quality of life for patients with neurological injuries and complex diagnoses.

The program at Conroe focuses on neurological rehabilitation, functional skill development, and stability in a structured, assisted-living rehab environment.Our interdisciplinary team works closely with residents and their families to promote independence, safety, and long-term progress through individualized treatment plans, therapeutic programming, and evidence-based care.

We serve individuals with traumatic brain injuries, strokes, spinal cordinjuries, and complex neurological conditions, who require ongoing rehabilitation and support to improve quality of life and daily functioning.

Position Summary

The Certified Occupational Therapy Assistant (COTA) provides direct therapeutic support to patients with neurological, developmental, and medically complex conditions. Working under the supervision of a licensed Occupational Therapist, the COTA assists with implementing treatment plans, facilitating therapeutic activities, and supporting functional independence.

This role requires consistency, strong attention to detail, and the ability to work with patients who may have cognitive, neurological, behavioral, or complex medical conditionsin a structured rehabilitation environment.

Key Responsibilities

• Implement occupational therapy interventions under the supervision of a licensed Occupational Therapist
• Assist with therapeutic activities focused on daily living skills, mobility, and functional independence
• Support patients with neurologic, developmental, or medically complex conditions
• Monitor patient response to treatment and report progress to supervising therapist
• Assist with adaptive equipment, assistive technology, and therapeutic exercises
• Collaborate with physical therapy, speech therapy, psychology, nursing, and medical staff
• Maintain accurate documentation in the electronic medical record
• Follow Nexus policies, HIPAA standards, and safety procedures
• Use approved de-escalation techniques when needed to maintain safety
• Support a structured, therapeutic environment that promotes patient progress

Qualifications

• Active COTA license in the State of Texas required
• NBCOTcertification required
• CPR / BLS Certification – required
• De-escalation training – required within 30 days of hire
• An Associate degree from an accredited Occupational Therapy Assistant program required
• Experience working with neurologic, rehabilitation, or medically complex patients preferred
• Hospital, inpatient, or rehabilitation experience strongly preferred
• Ability to work effectively within a multidisciplinary clinical team
• Compassionate, patient-centered approach to care

Our Core Values: GOPTIC

At Nexus, GOPTIC is more than a slogan—it’s the foundation of how we care for patients and families!

Genuine – We act with honesty, integrity, and empathy in all interactions.

Ownership – We take responsibility for our actions and celebrate our shared success.

Positivity – We create a hopeful and encouraging environment for every child and family.

Teamwork – We work together across disciplines to achieve the best outcomes.

Innovation – We constantly seek better, more creative ways to support healing and growth.

Compassion – We put our patients first, leading with kindness and understanding.

Before You Apply

Ask yourself:

• Have you worked with patients who have neurological or medically complex conditions?
• Are you comfortable working in a rehabilitation setting?
• Are you available to work PRN?
• Do you enjoy working as part of an interdisciplinary therapy team?
• Do you live the GOPTIC values every day?