Certified Occupational Therapist Assistant (COTA)

Certified Occupational Therapist Assistant (COTA) | PRN | The Avenues Transitional Care Center | San Francisco, CA | $45 to $50/Hour

Flexible Work. Real Impact. Work in San Francisco.

The Avenues Transitional Care Center is hiring a licensed Certified Occupational Therapist Assistant on a PRN basis in San Francisco, California. If you are a clinician who finds purpose in helping residents restore independence and confidence in daily life, and you want to do that work on a schedule built entirely around your availability in one of the world's most dynamic cities, this role was built for you.

You will work closely with licensed Occupational Therapists to help residents regain independence, improve daily living skills, and enhance overall quality of life in a Skilled Nursing setting in the 94116 neighborhood of San Francisco.

Our Mission: We are professionals committed to serving others, nurturing life, and promoting an individual's ability to thrive.

Why Clinicians Choose The Avenues Transitional Care Center:

Compensation

• Hourly pay range: $45.00 to $50.00 per hour, commensurate with experience
• Competitive PRN COTA rates in San Francisco and the greater Bay Area market
• Per-diem compensation that reflects the value of your clinical expertise and schedule flexibility in one of California's most competitive healthcare labor markets

Schedule and Flexibility

• True PRN flexibility with scheduling built entirely around your availability
• Work as much or as little as your life requires
• No long-term schedule commitments required

Culture and Career

• A collaborative, supportive therapy team that genuinely invests in one another
• Close working relationship with licensed Occupational Therapists in a well-supported clinical environment
• Meaningful, measurable impact on resident independence, daily living skills, and quality of life across ADLs, IADLs, upper extremity function, fine motor skills, and cognitive retraining
• Stable, Full-Time employment in one of California's most vibrant urban care communities
• A professionally managed environment aligned with federal, state, and local care standards

The Role

The Certified Occupational Therapist Assistant provides skilled occupational therapy interventions under the direction and supervision of a licensed Occupational Therapist, in accordance with California state law and professional standards of practice. This position is classified as Non-Exempt and reports to the Director of Rehabilitation, the Facility Administrator, and the supervising Occupational Therapist.

Core responsibilities include:

• Implementing occupational therapy treatment plans developed by the supervising Occupational Therapist
• Delivering skilled therapeutic interventions targeting ADLs, IADLs, neuromuscular re-education, upper extremity function, fine motor skills, cognitive retraining, and adaptive strategies
• Monitoring patient performance and response to intervention, reporting progress, barriers, or clinical concerns to the supervising OT in a timely manner
• Assisting in collecting data to support progress assessments and plan-of-care updates conducted by the Occupational Therapist
• Instructing patients and caregivers in home programs, adaptive strategies, and safe equipment use as delegated
• Assisting patients with transfer activities to all surfaces, donning and doffing of appliances, and positioning in parallel bars and therapeutic equipment
• Supporting upper extremity positioning and therapeutic handling during treatment sessions
• Lifting, repositioning, and supporting patients with or without assistive devices
• Transporting patients to and from therapy areas as needed

Physical requirements include the ability to assist with patient transfers, upper extremity positioning and therapeutic handling, lifting and repositioning patients with or without assistive devices, prolonged standing, walking, bending, reaching, kneeling, and stair navigation. The ability to assist in resident evacuation during emergency situations is also required.

What You Bring

• Current, active, and unrestricted Certified Occupational Therapist Assistant license in the State of California
• Graduate of an accredited Occupational Therapy Assistant program — required
• Successful completion of the NBCOT examination for Occupational Therapy Assistants — required
• Current CPR/BLS certification with AHA (or willingness to obtain per facility policy)
• Ongoing compliance with continuing education requirements established by the California Occupational Therapy Board
• Excellent verbal and written communication and interpersonal skills

Equal Opportunity and Accommodation

The Avenues Transitional Care Center is proud to be an Equal Opportunity Employer. We are committed to a workplace free from discrimination based on race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity, or any other characteristic protected under applicable federal, state, or California law.

In accordance with the Americans with Disabilities Act and the California Fair Employment and Housing Act, we provide reasonable accommodations to qualified applicants and employees with disabilities. If an accommodation is needed during the application or hiring process, please contact Human Resources or your facility Administrator.

Employment with The Avenues Transitional Care Center is at-will. Duties, schedule, and work location may be adjusted based on facility needs or any other lawful reason.

Apply Today

If you meet the qualifications above, we want to hear from you. Submit your application now. Our team reviews candidates promptly and will be in touch to schedule next steps.

The Avenues Transitional Care Center is located in the 94116 zip code of San Francisco, California, in the West of Twin Peaks neighborhood, proudly serving residents throughout the city and greater Bay Area.

At The Avenues Transitional Care Center in San Francisco, CA, we’ve reimagined skilled nursing and rehabilitation by putting people first, both residents and employees. Our nurses, therapists, and support staff are empowered to deliver individualized care plans, advanced therapies, and meaningful outcomes without feeling like just another number in a system. Serving families throughout San Francisco County, we provide short-term rehabilitation and long-term care focused on faster recovery, stronger outcomes, and a truly supportive environment. For our team, that means working in a setting that values clinical excellence, collaboration, and respect. We prioritize manageable workflows, strong leadership support, and a culture where your voice matters. Whether you’re at the bedside, in therapy, or supporting operations, you’ll be part of a group that’s committed to doing things differently—and doing them right. Conveniently located near local hospitals, our community offers not only a great place for residents to heal, but a place where professionals can grow, feel appreciated, and build a career with purpose.

Salary

$45.00 - $50.00 per hour

Job Type

PRN