Certified Occupational Therapy Assistant (COTA) – Pediatric Clinic Weekend Schedule

MedCare Pediatric · Houston, TX Full Time
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Job Description

Certified Occupational Therapy Assistant (COTA) – Pediatric Outpatient Clinic MedCare Pediatric is seeking a compassionate and dedicated Certified Occupational Therapy Assistant (COTA) to join our growing pediatric outpatient therapy team . If you are passionate about helping children improve their independence, confidence, and daily living skills, we invite you to become part of our mission-driven team. At MedCare Pediatric, we provide individualized, child-centered occupational therapy services in a supportive clinic-based environment . As a COTA, you will work closely with a licensed Occupational Therapist to provide hands-on therapy that helps children develop fine motor skills, sensory processing skills, coordination, self-care abilities, and functional independence. You will collaborate with a multidisciplinary team including Occupational Therapists, Physical Therapists, Speech-Language Pathologists, and Board Certified Behavior Analysts (BCBAs) to provide comprehensive pediatric care. Our team values collaboration, professional growth, mentorship, and creating a positive environment where both our employees and patients can thrive. Occupational Therapy Assistant (COTA) Qualifications & Responsibilities: Certified Occupational Therapy Assistant (COTA) Qualifications Graduate of an accredited Occupational Therapy Assistant program. Current Texas Certified Occupational Therapy Assistant (COTA) license or eligible to obtain licensure by anticipated start date. Pediatric occupational therapy experience preferred, but new graduates are encouraged to apply. Experience working with children with developmental delays, autism spectrum disorder (ASD), sensory processing challenges, or neurological conditions is a plus. Bilingual in Spanish and English preferred. Strong communication, organization, and teamwork skills. Passion for working with children and supporting families. Certified Occupational Therapy Assistant (COTA) Responsibilities Provide individualized occupational therapy interventions under the supervision of a licensed Occupational Therapist. Implement treatment plans focused on improving fine motor skills, sensory integration, visual-motor skills, coordination, strength, self-care skills, and independence. Assist children in achieving developmental milestones through engaging and age-appropriate therapeutic activities. Complete accurate and timely documentation of therapy sessions and patient progress. Communicate with families and caregivers regarding therapy goals and progress. Collaborate with Occupational Therapists and other members of the pediatric therapy team to ensure high-quality patient care. Maintain a fun, safe, and encouraging clinic environment for children and families. Why Join MedCare Pediatric? Pediatric outpatient clinic setting Consistent clinic-based schedule One-on-one patient care Collaborative multidisciplinary team Supportive leadership and mentorship Opportunities for professional growth and continuing education Work-life balance Paid PTO Paid Holidays/Flex Days Short-term and long-term disability benefits Meaningful work helping children and families reach their goals We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $11.27/hr ($23,442/yr). The typical range is $10.92 – $13.35/hr (25th–75th percentile).

Entry Level (10th) $22,235/yr
Houston Median $23,442/yr
Experienced (90th) $31,928/yr
vs. National Median -34.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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