Certified Occupational Therapy Assistant (COTA) - PRN

Nexus Health Systems; Conroe (TX); On-site; USD 34,000 - 55,000; Full time

Job summary

Nexus Health Systems is seeking a Certified Occupational Therapy Assistant (COTA) for the Nexus Neurorecovery Center in Conroe. The position is PRN, providing direct therapeutic support under an OT, implementing treatment plans, and aiding functional independence in a structured inpatient rehab setting.

The role requires Texas COTA licensure, NBCOT, CPR/BLS, and de-escalation training within 30 days. Experience with neurologic or medically complex patients is preferred, with strong teamwork

Qualifications

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

Responsibilities

• Implement occupational therapy interventions under supervision of a licensed OT.
• Assist with activities focused on daily living, mobility, and independence.
• Support patients with neurologic, developmental, or medically complex conditions.
• Monitor patient responses and report progress to supervising therapist.
• Assist with adaptive equipment 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 de-escalation techniques to maintain safety as needed.
• Support a structured rehab environment that promotes patient progress.

Skills

NBCOT certification

CPR/BLS Certification

De-escalation training

Compassionate patient-centered care

Education

Associate degree in Occupational Therapy Assistant

Job description

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 cord injuries, 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 conditions in 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
• 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

Our Core Values: GOPTIC

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?