Certified Occupational Therapy Assistant (ESIT)

ENCOMPASS•Snoqualmie, WA
•$56,784 - $76,170•Onsite

About The Position

The Certified Occupational Therapy Assistant (COTA) partners with families of infants and toddlers from birth to three years old to support participation, learning, relationships, and development in everyday routines and activities. Services are delivered in natural environments using family-centered, coaching-based practices that build caregivers’ confidence, competence, and capacity. As part of a transdisciplinary Early Supports for Infants and Toddlers (ESIT) team, the COTA contributes occupational therapy expertise and collaborates with colleagues across developmental domains to support children and families. The role provides in-home and community-based services in homes, childcare settings, community locations, and agency-based programs, with regular travel throughout the assigned service area. The COTA works under the supervision of a licensed Occupational Therapist and follows state licensure requirements and agency policies. The position is based at Encompass Child Development Center in Snoqualmie, Washington. It is full-time, 30–40 hours per week, with full-time benefits available at 30 hours. Charting time is paid at the same rate as session time. Salary is $56,784–$76,170 annually, depending on experience and hours per week, equivalent to $27.30–$36.62 per hour. Encompass operates on a 51-week year.

Requirements

  • Associate degree from an accredited Occupational Therapy Assistant program.
  • Current Washington State Certified Occupational Therapy Assistant license in good standing.
  • Meet Washington State ESIT personnel standards for occupational therapy personnel and be able to obtain and maintain the DCYF ESIT Practitioner Credential.
  • Valid driver's license, reliable transportation, and ability to travel throughout the service area.
  • Ability to pass required background checks and meet agency employment requirements.

Nice To Haves

  • Minimum of two years of pediatric experience in any setting.
  • Experience working with infants and toddlers from birth to three years old and their families.

Responsibilities

  • Provide family-centered ESIT services in natural environments for eligible infants, toddlers, and caregivers.
  • Use coaching practices and adult-learning principles to build caregivers’ capacity to support child development in everyday routines and activities.
  • Support children's participation, learning, and development across developmental domains through individualized developmental strategies.
  • Conduct ongoing assessment, progress monitoring, and service planning in collaboration with families and team members.
  • Participate in the transdisciplinary team through consultation, coaching, shared problem-solving, and reflective practice.
  • Support onboarding, mentoring, and professional growth for colleagues, students, and trainees as appropriate.
  • Maintain an assigned caseload and complete documentation, reports, billing requirements, and service records within established timelines.
  • Participate in evaluations, eligibility determination, transition planning, and other ESIT processes as appropriate.
  • Support outreach, screenings, parent education, community events, and other program initiatives.
  • Comply with agency policies, professional standards, payer requirements, and applicable federal, state, and local regulations.
  • Travel regularly throughout the assigned service area to deliver services in homes, childcare settings, community locations, and agency-based programs.
  • Provide occupational therapy services under the supervision of a licensed Occupational Therapist in accordance with state licensure requirements and agency policies.
  • Support participation and independence in daily routines, including play, self-care, social engagement, regulation, and learning activities.
  • Implement developmental strategies developed with the supervising Occupational Therapist and ESIT team.
  • Contribute to assessment, observation, progress monitoring, and service planning within the COTA scope of practice.
  • Support caregivers in promoting participation, sensory processing, self-regulation, fine motor development, adaptive skills, and engagement in everyday routines.
  • Collaborate with Occupational Therapists and other team members to develop integrated developmental strategies and supports.
  • Implement adaptive equipment, positioning, environmental modifications, and other recommendations developed with the supervising Occupational Therapist.
  • Maintain required supervision, communication, and documentation practices.
  • Perform other duties as assigned.

Benefits

  • Medical insurance, 80% company-paid.
  • Company-paid dental and vision insurance.
  • Life and AD&D coverage.
  • Employee Assistance Program (EAP).
  • Wellness benefit.
  • 401(k) and 401(k) matching.
  • Vacation and sick leave.
  • 11 paid holidays, plus bonus company PTO between December 25 and January 1.
  • Flexible, family-friendly schedule.
  • Mileage reimbursement for local travel.
  • Charting time paid at the same rate as session time.
  • Eligible for the Public Service Loan Forgiveness (PSLF) Program.
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