Certified Occupational Therapist Assistant

Occupational Therapist Assistant – Outpatient Ortho

Grow Your Outpatient COTA Career with us! Vancouver, WA

At Peoples Injury Network Northwest part of the Upstream Rehabilitation network, you'll have the support, mentorship, and tools you need to thrive as an Occupational Therapist Assistant (COTA) in a modern outpatient orthopedic setting.

We're hiring full-time, part-time, and PRN COTAs who are passionate about helping patients recover movement and return to the activities they love. Whether you're a recent graduate or an experienced clinician, you'll find a collaborative environment, competitive pay, and a clear career path that grows with you.

Why Clinicians Choose Peoples Injury Network Northwest

• Competitive COTA Compensation: $25.00 - $35.00 per hour
• Achievable monthly clinical incentive bonus program, over 90% of clinicians qualify
• Reasonable caseloads: 10-12 visits/day expectation
• Medical, Dental and Vision insurance (100% employer paid medical health insurance premium option available)
• 401k with company match
• Generous PTO and paid holidays
• Structured onboarding and 1:1 mentorship for new-grad COTAs
• Robust CEU opportunities through IAMT + $1500 annual allowance for external courses!
• Free Medbridge account / ongoing access
• Pathways for professional development and long-term career advancement
• New in 2026! Upstream clinicians are supported by Generative AI Documentation Scribe – purpose-built AI technology that automatically generates compliant clinical documentation in real time, so you can stay fully present with your patients and deliver the meaningful, undivided care they deserve
• A supportive team and leadership invested in your success

What You'll Do as an Occupational Therapist Assistant

• Deliver hands-on, evidence-based care under the supervision of a licensed Occupational Therapist
• Help patients improve mobility, strength, and function through individualized treatment plans
• Track patient progress and collaborate closely with your clinical team
• Foster positive relationships with patients, providers, and your local community
• Continue your professional growth through Upstream's mentorship and learning programs

Qualifications

• Graduate of an accredited Occupational Therapy Assistant program (or upcoming graduate)
• Active / pending State COTA license (or eligibility)

A Better Place to Build Your COTA Career

When you join Upstream Rehabilitation, you get the strength of a national network with the feel of a local clinic. Our central support teams handle the administrative work so you can focus on what matters most — yourself, your patients, and your team.

With more than 1,200 clinics across 26 brand partners, we lead the industry in clinical outcomes. We leverage data, technology, and innovative tools to reduce administrative burden and support your success. You'll join an incredible community of clinicians who shape our culture, support one another, and have fun along the way. It's easy to see why so many Occupational Therapist Assistants grow at Upstream!

Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.