PRN COTA

Home of the Innocents•Louisville, KY
•Onsite

About The Position

Home of the Innocents is seeking a PRN Certified Occupational Therapy Assistant (COTA) for the Kosair for Kids Complex Care Center, Kentucky’s only pediatric skilled nursing facility for medically complex children and young adults. This is an as-needed position with no minimum hour requirements. Coverage is primarily needed for conferences, weekends, vacations, and staffing gaps, with flexible scheduling in a 24/7 care environment. The COTA provides high-quality, safety-focused occupational therapy services under the supervision of an Occupational Therapist and collaborates with the interdisciplinary team to ensure residents receive timely, appropriate therapy support. The role supports children and young adults with complex medical needs in maintaining activity and function and progressing toward their goals. It also contributes to trauma-informed, resident-centered care, family communication, accurate EMR documentation, and communication of resident progress to the supervising OT and care team.

Requirements

  • Associate of Applied Science degree and successful completion of an Occupational Therapy Assistant program.
  • Current NBCOT certification and active Kentucky OTA licensure.
  • At least 1 year of pediatric experience, including clinical rotation experience.
  • Basic computer proficiency.
  • Ability to read, write, and communicate effectively in English.
  • Ability to interact with children, families, and team members with dignity and professionalism.
  • High integrity and commitment to providing excellent care.

Nice To Haves

  • Experience with pediatric tracheostomies, ventilators, and assistive technology.
  • Experience working with children with multiple disabilities and complex medical needs.
  • Long-term care or skilled nursing facility experience.

Responsibilities

  • Provide safe, effective occupational therapy services when therapeutic needs fluctuate or staffing gaps occur.
  • Provide flexible, high-quality clinical support to strengthen the care team.
  • Offer clear and compassionate updates to families during assigned shifts.
  • Reinforce trauma-informed, resident-centered care.
  • Help maintain resident safety, functional support, and developmental progress.
  • Document occupational therapy services accurately in the EMR.
  • Communicate resident progress to the supervising Occupational Therapist and care team.

Benefits

  • True PRN flexibility with no minimum hour requirements.
  • Supportive interdisciplinary team environment.
  • Paid training opportunities.
  • Access to organizational resources and professional development.
  • Opportunity to make a meaningful impact with Kentucky’s most medically complex pediatric population.
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