Veterans Health Administration · Montgomery, AL · posted Nov 5, 2026
Occupational Therapy Assistant (COTA)
$56K to $73K a year
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The Certified Occupational Therapy Assistant (COTA) staff position is in the Occupational Therapy Department of the Physical Medicine and Rehabilitation Service (PM&RS) in the Central Alabama Veterans Health Care Systems (CAVHCS). The licensed COTA provides treatment that promotes the function, prevention, remediation, and rehabilitation of acute and chronic physical, cognitive, and psychological dysfunction under the direction of the Occupational Therapist.
Organizing, coordinating, and management of Level I OT students, volunteers, and job shadows. Coordinates schedules with the therapists, and orients all new Level I OT students, volunteers, and job shadows for the OT department. Manages daily duties and responsibilities of the Level I OT students, volunteers, and job shadows. Serves as a mentor to OT students, other COTA's and therapists evaluating and treating patients in the specialty or program area.
Receives and interprets requests or instructions for procedures from the occupational therapist or physician. Plans and implements specialized treatment programs and apply occupational therapy procedures to patients under the general supervision of an occupational therapist. Completes a preliminary review/examination of patient data (including medical history), compiles and organizes pertinent information, and develop/presents a patient profile to be used in assessing patient's status.
Assists with or renders a course of treatment based on the assessed needs of the patient, developing progressive types of occupational therapy treatment programs. May assist the occupational therapist in development and implementation of a comprehensive specialized treatment plan that includes long-and short-term goals. Interacts with the patients and family regarding goals for treatment. Assists in the performance of, or independently performs, highly specialized and diversified treatment procedures within the OTA Practice Act.
Instructs, motivates, and assists patients to learn activities of daily living, and instrumental activities of daily living, to improve the functional performance and safety of these activities. Utilizes the full range of modalities including heat, cold, and sound demonstrate competence. Administers self-care management activities and active passive therapeutics exercise. Assesses for and trains on the setup and use of durable medical equipment and assistive devices.
Fits, adjusts, and instructs patients in use of orthoses, prostheses, and mobility appliances. Cleans, prepares, and maintains appropriate equipment and supplies required for these treatments, and as assigned by supervisor. Prepares and presents written oral reports for health care providers, nursing staff, fellow therapists, and all other professionals concerned with the patient's care. Participates in family and multidisciplinary team meetings.
Represent the Occupational Therapy Department on different multidisciplinary teams, committees, groups, as assigned, communicating directly with team members including physicians, nursing personnel, social workers, dietician, psychologists and other health care disciplines. Responsible for all the maintenance, inventory, clinic safety, and day-to-day functions of the OT areas. Ensures adequate levels of all materials and therapy supplies are available for patient utilization and clinical operation.
Work Schedule: 8:00 am - 4:30 pm. Work schedule subject to change based on agency needs. Telework: Not Available. Virtual: This is not a virtual position. Functional Statement #: 60203F. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized.
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Individuals must meet at least one of the requirements below: (1) Associate's (or higher) degree in occupational therapy from a college or university accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA).
(2) Completion of a military training program in an OTA program accredited by the ACOTE. Certification. OTAs must have written documentation that they have passed the entry-level certification examination for OTAs administered by the National Board for Certification in Occupational Therapy (NBCOT). Licensure. OTAs must hold a full, current, and unrestricted state license to practice occupational therapy in a State, Territory, a Commonwealth of the United States (i.e.
Puerto Rico) or in the District of Columbia. Loss of Credential. Management officials, in collaboration with Human Resource (HR) Office staff must remove employees in this occupation who fail to maintain the required state or territorial licensure and the NBCOT certification, both current and in good standing, which may result in termination of employment. Exceptions for Non-Certified or Non-Licensed Occupational Therapy Assistant.
(1) OTAs who graduated from an ACOCTE approved occupational therapy assistant program but do not possess the NBCOT certification and/or licensure requirements, may be appointed, pending licensure and/or NBCOT certification on a full-time temporary appointment under the authority of 38 U.S.C. § 7405(a)(1)(B) and not to exceed two years in accordance with the timeframe in 38 U.S.C. § 7405(c)(2). (2) OTAs may provide care only under the direct supervision of a licensed OTA or OT who meets all state regulatory requirements.
(3) Temporary OTA appointments may not be extended beyond two years. Failure to Obtain License. n all cases, uncertified and/or unlicensed OTAs must actively pursue meeting certification requirements and/or State prerequisites for licensure starting from the date of their appointment. At the time of appointment, the HR Office staff will provide the uncertified and/or unlicensed OTA the written requirements for licensure and/or certification, the date by which the license and/or certification must be obtained and the consequences for not becoming licensed and/or certified by the deadline.
OTAs who fail to obtain a license and/or certification by the prescribed date will be removed from their OTA, GS-0636 position, which may result in termination of employment. NOTE: You must submit a copy of your transcripts, licensure, and certification with your application package. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations: Occupational Therapy Assistant, GS-08. Experience: One year of creditable experience comparable to the next lower grade level. Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: (a) Ability to implement delegated assessments. (b) Ability to provide reports of observations and patient performance. (c) Ability to use complex therapeutic techniques and interventions, utilizing problem-solving skills to maximize patient's functional status.
(d) Ability to modify therapeutic interventions for simple and complex cases with a wide range of diagnoses and disabilities. (e) Ability to recommend complex adaptive and assistive devices and durable medical equipment. (f) Ability to consult with health care practitioners about the patient's treatment plan and the occupational therapy scope of practice and services. Assignment. Employees at this grade level serve as a full performance level OTA.
OTAs at this level receive minimum guidance from the OT and seek guidance for more complex patients and specialized treatment procedures. They contribute to the screening, evaluation and re-evaluation process by administering delegated assessments and reporting observations and patient performance to the OT. OTAs plan, coordinate and administer occupational therapy treatment for prevention, remediation and rehabilitation of diverse diagnoses in all practice areas to both individuals and groups as well as develop and implement new programs.
They recommend and modify assistive devices and instruct patients on their care and use to ensure optimal performance. OTAs independently provide patient education on areas of occupation, assistive devices and orthotics based on patient's and families' level of cognition, cultural 7 and/or behavioral variables. OTAs collaborate with the interdisciplinary team to make recommendations for the patient's rehabilitation, reintegration and disposition needs.
They develop, participate in and ensure compliance with quality improvement activities through participation in medical center/section committees as delegated. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-8. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service.
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