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Looking for Home Health COTA jobs in Federal Way?
Annexia Home Health is hiring a Certified Occupational Therapy Assistant (COTA) to join our growing home health team in Federal Way, WA. This position is ideal for a clinician who enjoys one-on-one patient care, values clinical excellence, and is comfortable working independently while remaining closely connected to the therapy and interdisciplinary team.
About the Role
The Certified Occupational Therapy Assistant (COTA) provides occupational therapy services to patients in their homes under the direction and supervision of a Washington-licensed Occupational Therapist (OT).
The COTA implements the established occupational therapy plan of care, provides appropriate interventions within the COTA’s scope of practice, monitors patient response and progress, provides patient and caregiver education, and communicates clinical findings and changes in patient condition to the supervising OT and interdisciplinary team.
The COTA is also responsible for completing accurate and timely clinical documentation and following applicable professional, regulatory, payer, and agency requirements.
Key Responsibilities
- Provides occupational therapy interventions in accordance with the established plan of care and the COTA’s scope of practice.
- Implement therapeutic exercises, activities, adaptive techniques, and other interventions as directed by the supervising OT.
- Provide individualized treatment designed to improve or maintain patients’ functional abilities, independence, safety, and participation in activities of daily living.
- Monitor and document patient response to treatment and progress toward established goals.
- Communicates changes in patient condition, functional status, response to treatment, or other clinical concerns to the supervising OT and appropriate members of the care team.
- Provide patient and caregiver education related to safety, therapeutic activities, adaptive techniques, home programs, and equipment as appropriate.
- Assist with the selection, fitting, and training of patients in the use of adaptive equipment and self-help devices as directed by the supervising OT.
- Performs visits in patients’ homes and maintains a professional and respectful environment.
- Completes accurate, timely, and clinically appropriate documentation for all services provided.
- Participates in case conferences, interdisciplinary communication, in-services, and other meetings as required.
- Maintains regular, documented consultation with the supervising OT in accordance with applicable Washington requirements and Annexia Home Health policies.
- Reports patient safety concerns, changes in condition, and other significant findings promptly.
- Maintains patient confidentiality and complies with HIPAA and applicable federal and state requirements.
- Follows Annexia Home Health policies, procedures, infection prevention practices, and professional standards.
- Performs other duties consistent with the position and professional scope of practice as assigned.
Qualifications
Required Qualifications:
- Current Washington State license as an Occupational Therapy Assistant (OTA).
- Current Certified Occupational Therapy Assistant (COTA) certification through National Board for Certification in Occupational Therapy (NBCOT).
- Maintain an active Washington license.
- Current BLS certification from an approved provider, or ability to obtain certification by the required deadline.
- Valid driver’s license.
- Reliable transportation for patient visits.
- Current automobile insurance meeting applicable state and agency requirements.
- Ability to travel to patients’ homes throughout the assigned service area.
- Strong verbal, written, organizational, and interpersonal communication skills.
- Ability to work independently while maintaining effective communication with the supervising OT and interdisciplinary team.
Preferred Qualifications:
- Minimum of one (1) year of home health occupational therapy assistant experience.
- Experience working with Medicare and Medicaid populations.
- Experience working with older adults and/or patients with multiple chronic conditions.
- Familiarity with electronic medical records and home health documentation.
- Bilingual abilities (Spanish or other languages prevalent in the region).
Compensation & Benefits
Compensation:
- Competitive Pay: $40.00 – $47.00 per hour/unit, depending on experience (DEO)
- Earning Potential: $83,200 – $97,760+ annually
- Payment Schedule: Bi-weekly direct deposit
Job Types:
- Part-time or PRN (Per Diem) – Build your own schedule
- Full-time
Comprehensive Benefits Package:
- Flexible schedule – Choose the days and hours that work for you
- Travel reimbursement – Provided for all patient-to-patient travel at the prevailing federal mileage reimbursement rate
- Paid time off – Accrues based on hours worked (for full-time positions)
- Referral bonus program – Earn $500 for each qualified clinician you refer who joins our team
- Opportunities for professional growth – Clear pathways to specialty certifications, clinical mentorship roles, and leadership positions
- Clinical support – Access to our clinical leadership team for complex cases and consultation
Why Join Annexia Home Health
At Annexia, we believe in delivering exceptional, patient-centered care throughout King and Pierce counties. Our supportive, growth-oriented environment empowers every clinician to succeed. We take pride in our collaborative culture, regulatory excellence, and dedication to quality outcomes.
Our Commitment to You:
- Clinical Excellence: We maintain top ratings in quality outcomes and patient satisfaction
- Supportive Leadership: Our clinical directors are experienced home health therapists who understand your challenges
- Collaborative Team: Regular team meetings, peer consultations, and mentorship opportunities
- Work-Life Balance: True flexibility—not just a buzzword
- Career Growth: We promote from within and support your professional development goals
If you’re a dedicated COTA seeking flexible, mission-driven home health work in the Puget Sound region, we encourage you to apply.
Learn more about us on our About Us page or explore other opportunities on our Careers page.
Frequently Asked Questions (FAQ)
This role is structured as a W‑2 employee position, which includes tax withholding and eligibility for agency benefits when applicable.
Yes. Clinicians are required to have a reliable personal vehicle, a valid driver’s license, and current auto insurance. Mileage reimbursement is provided at the prevailing federal mileage rate for all patient-to-patient travel.
Compensation is paid per unit/hour within a posted rate range, with expectations that you maintain a safe, manageable caseload rather than focusing only on volume..
You will primarily serve patients in Federal Way and nearby South King and Pierce County communities, with routes planned to keep most drive times short and clustered so you spend more of your day with patients than in the car.
This position is part‑time/PRN with flexible scheduling, so you can build a visit schedule around your availability while still meeting patient and agency needs.
Most Home Health clinicians average about 4–6 patient visits per day, with occasional days slightly higher or lower depending on distance and visit type.
Prior home health experience is helpful but not required; strong candidates from outpatient, inpatient, or SNF settings who are interested in home health receive structured onboarding and support as they transition.
Ready to Apply as Home Health COTA?
Apply today for the Certified Occupational Therapy Assistant (COTA) | Home Health opportunity with Annexia Home Health.
How to Apply:
Please submit the following:
- Current resume
- Cover letter highlighting your home health experience and passion for patient-centered care
- Copy of your current Washington State COTA license
- List of three professional references
What Happens Next:
- Application Review: We review all applications within 2-3 business days
- Phone Screening: Qualified candidates will receive a call from our HR team for a brief 15-minute conversation
- In-Person Interview: Meet with our Clinical Director and team members
- Reference Check: We’ll contact your professional references
- Job Offer: Successful candidates typically receive an offer within one week of the interview
- Onboarding: Comprehensive orientation and training program (typically 1-2 weeks)
Applications are reviewed on a rolling basis—we encourage you to apply early!
Contact Information:
- 📧 Email:hr@annexiahomehealth.com
- 🌐 Website:annexiahomehealth.com
- 📍 Location: Federal Way, WA
- 📞 Questions? Call us at (253) 237-3338
We’re excited to hear from you and discuss how you can make a difference with Annexia Home Health!