Occupational Therapy Assistant

About Acceptance Occupational Therapy

At Acceptance Occupational Therapy, we proudly serve neurodivergent youth by supporting their developmental goals and access through individualized occupational therapy, family coaching, and advocacy. Our primary goal is to ensure clients and their families feel truly understood, safe, and valued through person-led interventions and a strong therapeutic relationship. Specialized interventions offered at this clinic include Ayres Sensory Integration (ASI) and DIR Floortime.

We actively cultivate an inclusive, supportive environment for our staff, our clients, and the diverse families we serve.

Position Overview

We are seeking a compassionate, enthusiastic, and dedicated Certified Occupational Therapy Assistant (COTA)

Company: Acceptance Occupational Therapy

Location: 4780 Capitol Blvd SE, Unit 2, Tumwater, WA 98501 (In-Person)

Position Type: Part-Time or Full-Time 

Compensation: $28-$40 per hour

Reports To: Samantha Trout, Owner / Lead OT

Hours 5- 40/hrs a week

In this role, you will collaborate with the occupational therapist to provide treatment to pediatric and young adult clients.

Key Responsibilities & Clinical Duties

• Clinical Service Delivery: Provide pediatric occupational therapy intervention in a small clinic environment. Address participation in Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and all life and family contexts. Service delivery can also include family coaching or coordinating with other providers. Typical areas of participation difficulty include toileting, dressing, grooming, self-feeding, self management, and social participation.
• Collaboration with Occupational Therapist: Review and implement plans of care developed by the occupational therapist. Document and report in writing or verbally on client’s progress. Collaborate with occupational therapist through consistent supervision meetings.
• Therapeutic Relationship & Environment: Establish safe, welcoming, and empowering spaces where trust, playful connection, and relationship-centered care guide every session.
• Collaboration & Care Coordination: Coordinate care with caregivers, educators, physicians, and interdisciplinary teams when requested.
• Caregiver Coaching & Engagement: Deliver practical home strategies and caregiver coaching to enhance functional participation in daily life.
• Documentation & Compliance: Maintain patient records, documentation, and appropriate billing in accordance with federal and state regulations and company policy to ensure excellent standard of care. Complete billing logs for accurate reimbursement.
• Fulfill necessary onboarding: credentialing, licensing, and ongoing professional development requirements.

Qualifications & Requirements

• Education: Successful completion of an accredited Certified Occupational Therapy Assistant training program.
• Licensure: Valid Washington State Occupational Therapist Assistant license (verifiable via WA Dept of Health)
• Current CPR Certification
• Ability to pass a criminal background check

Required Experience: At least 1+ years experience as an Occupational Therapy Assistant in a clinical or school setting.

• Strong interpersonal, communication, and interdisciplinary collaboration skills, with a professional, positive, and cooperative approach.
• Proven ability to build meaningful rapport with clients, parents, and team members, including parent coaching and caregiver consultation.
• Demonstrated success working independently and applying critical thinking skills in work contexts.
• Strong time management and organizational skills to prioritize duties and accomplish clinical goals efficiently.
• Reliable transportation for travel to/from worksite

Preferred Experience

• Interest or experience using a neurodiversity-affirming framework to support neurodivergent clients, including Autism, Attention Deficit Hyperactivity Disorder (ADHD), Trauma, Developmental Delays, brain injuries, learning disabilities, and other developmental or acquired disabilities.
• Familiarity with Ayres Sensory Integration (ASI) or sensory integration concepts
• Familiarity or experience with DIR Floortime
• Familiarity with interoception curriculum
• Ability to design and implement therapeutic activities that build foundational skills (motor, sensory, executive functioning, self-regulation, etc) and promote participation in Activities of Daily Living.
• Spanish-bilingual clinicians are strongly encouraged to apply
• Experience supporting teens and young adults with transition to adulthood

Demeanor: Compassionate, inclusive, patient, and empathetic demeanor with families.

Skills: Exceptional interpersonal and communication skills, with a strong ability to teach and collaborate with families.

Benefits & Compensation

• Competitive Hourly Pay: $28-$40 depending on experience
• Benefits Package: Paid Time Off, Paid Administrative Time, Paid Sick Time

Why You'll Love Working With Us

• Flexible & Predictable Scheduling: Enjoy a mutually agreed-upon schedule designed to promote work-life balance.
• Administrative & Scheduling Support: Dedicated administrative staff for scheduling and care coordination.
• Dedicated Administrative Time: Built-in non-client contact hours to ensure sufficient time for documentation and session planning.
• Collaborative Culture: Thrive in a supportive, friendly team environment where clinical expertise is respected and valued. Mentorship and knowledge-sharing is valued.
• Thoughtfully Equipped Space: Work in a specialized clinic with an abundance of materials and dedicated rooms for gross motor, fine motor, crafts, sensory integration, and feeding therapy.
• Community-Rooted Leadership: Locally owned and operated practice committed to meaningful community impact.

How to Apply: directly on indeed or please send your resume and a brief cover letter sharing your background with the subject line "Occupational Therapist Application - [Your Name]".