Certified Occupational Therapy Assistant (COTA)

About the Role

Lifetime Assistance is seeking a Certified Occupational Therapy Assistant (COTA) to join our mission-driven team in Rochester, NY. This full-time position involves providing occupational therapy services across multiple residential program sites, working under the supervision of a Registered Occupational Therapist (OTR) to support individuals with intellectual and developmental disabilities in achieving independence and dignity.

Why You Should Work for Lifetime Assistance

• No-Premium Health Insurance: Access comprehensive healthcare without added cost.
• Education Support: Tuition assistance, scholarships — 50% off tuition for two courses per semester plus up to $3,000 scholarship per semester — plus micro-credential stipends up to $750 and SUNY partnerships.
• Paid Training & Coaching: Receive hands-on onboarding with a Success Coach, immersive learning, e-learning, and ongoing paid training.
• Career Growth: Clear pathways to advancement, leadership training, and coaching support.
• Work-Life Harmony: Generous paid time off and supportive scheduling.
• Join a Caring Culture: Be part of a compassionate, mission-driven team that values every person — both those we support and our employees alike.

Responsibilities

• Provide occupational therapy services under the supervision of an OTR, including initial and annual assessments, treatment, and progress reporting.
• Develop and implement goals and objectives for inclusion in Individual Program Plans (IPP), collaborating with the Interdisciplinary Team (IT).
• Deliver therapy to preserve and improve motor skills, mobility, daily living skills, and independence, while preventing progressive disabilities.
• Ensure integration of OT services with Day Programs and community supports when appropriate.
• Participate in all IT meetings, reviews, and staff development sessions.
• Maintain documentation including progress notes, monthly summaries, and clinical reports.
• Collaborate with OTR to identify and request necessary equipment and supplies.
• Provide consultation and clinical supervision to IT members, students, and volunteers as required.

Requirements

• Current NYS license and registration as a Certified Occupational Therapy Assistant (COTA).
• One (1) year of experience working with individuals with developmental disabilities preferred.
• Strong communication, collaboration, and documentation skills.
• Ability to work effectively as part of an interdisciplinary team.
• Commitment to person-centered care and supporting individuals in achieving independence.

Our Mission & Culture

• Mission-Driven Work: Empowering individuals to live with independence and purpose—here, your work truly matters.
• Inclusive & Supportive: A workplace built on respect, dignity, and a shared vision of inclusion.
• Community Impact: Join efforts that reflect Lifetime Assistance's dedication to community partnerships and enhanced quality of life for all.

Location: Rochester, NY – Multiple Residential Program Sites
Employment Type: Full-Time
Starting Wage: $25-$30 per hour
Reports To: Occupational Therapist, Registered (OTR)