Occupational Therapy Assistant COTA OnSite

Therapy Solutions; Seattle (WA); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Weekly pay

12-month salaried option

Full benefits (medical, dental, vision

Tech packages & IT support

Flexible scheduling

Referral bonuses

Job summary

Therapy Solutions Collective is seeking a School-Based Certified Occupational Therapy Assistant (COTA) to join our Seattle team for the 2026–2027 school year. You will implement IEP goals under supervision, deliver school-based OT services, and help students develop motor and self-care skills in various school settings.

You’ll collaborate with OTs, teachers, and staff to integrate therapy into the classroom, collect progress data, and ensure regulatory compliance while fostering student

Qualifications

• Active COTA license in the state where services will be provided.
• Associate's degree from an accredited OTA program.
• Knowledge of school-based OT practices, IEPs, and special education services.
• Strong collaboration and communication with OTs, educators, families, and team.
• Pediatric or school-based setting experience preferred.

Responsibilities

• Support the implementation of IEP goals under supervision of a licensed OT.
• Provide direct and consultative occupational therapy services to students in school settings.
• Assist students in developing fine motor, sensory, visual-motor, and self-care skills for school participation.
• Collaborate with teachers and support staff to integrate therapy strategies into the classroom.
• Collect data and document student progress toward IEP goals, reporting to the supervising OT.
• Prepare and organize materials and activities aligned with therapeutic goals.
• Participate in team meetings, including IEP meetings, when appropriate.
• Promote independence and functional participation in the educational environment.
• Maintain accurate records and ensure services meet regulations.

Skills

COTA license

School OT practices

Collaboration

Treatment plan adaptation

Pediatric/school experience

Education

Associate’s degree in OTA program

Job description

School-Based Certified Occupational Therapy Assistant (COTA)
Location: Seattle, WA
Model: Full-time | On-site
School Year: 2026–2027

Therapy Solutions Collective (TSCO) is looking for dedicated and motivated Certified Occupational Therapy Assistant (COTA) to join our team for the 2026–2027 school year. We partner with school districts across the country, providing school-based opportunities for COTAs in a variety of settings. Whether you're looking for a full-time, part-time, on-site, hybrid, or remote role, we have options that will fit your needs!

We are a creative and innovative team, and we’d love for you to join us in providing essential services to students across the country. From our leadership team to the clinicians, we aim to support each other, make an impact, and create a work environment that fosters collaboration and positive relationships with our districts.

What You’ll Be Doing*:

• Support the implementation of Individualized Education Program (IEP) goals under the supervision of a licensed Occupational Therapist.
• Provide direct and consultative occupational therapy services to students in a variety of school settings.
• Assist students in developing fine motor skills, sensory processing, visual motor integration, and self-care skills needed for school participation.
• Collaborate with teachers and support staff to integrate therapy strategies into the classroom environment.
• Collect data and document student progress toward IEP goals, reporting regularly to the supervising OT.
• Prepare and organize materials and activities that align with therapeutic goals and student needs.
• Participate in team meetings, including IEP meetings, when appropriate, to share observations and progress.
• Promote independence and functional participation in the educational environment.
• Maintain accurate records and ensure services are delivered in accordance with district, state, and federal regulations.
• Adapt activities and environments to meet the unique needs of individual students.

*More specific job roles will vary based on state and district requirements

What We’re Looking For:

• Associate’s degree from an accredited Occupational Therapy Assistant program.
• Active Certified Occupational Therapy Assistant (COTA) license in the state where services will be provided.
• Knowledge of school-based OT practices, IEPs, and special education services.
• Strong collaboration and communication skills to work effectively with OTs, educators, families, and other team members.
• Ability to follow treatment plans and adapt activities based on student response and progress.
• Pediatric or school-based setting experience preferred.

Why Work With TSCO:

• W2 employment with weekly pay
• Option for 12-month salaried pay if starting at the beginning of the school year
• (Clinicians starting later in the year may receive prorated salary or hourly pay)
• Full benefits available (medical, dental, vision, PTO, 401k match, CEU support)
• In-house tech team to provide tech packages and IT support as needed
• Flexible scheduling and clinician-first culture
• Direct access to leadership and a responsive, supportive team
• Referral bonuses for referring other qualified clinicians to join TSCO
• A team that advocates for our clinicians, provides support, and values work-life balance
• We prioritize collaboration, teamwork, and creating an environment where you feel appreciated and respected