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Certified Occupational Therapy Assistant (COTA) - Home Health
Company : Encompass Health
Location : Nashville, TN, 37214
Job Type : Full Time / Part Time
Date Posted : 28 December 2025
Overview
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.
As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
- 30 days PDO – Up to 6 weeks (PDO includes company observed holidays)
- Continuing education opportunities
- Scholarship program for employees
- Matching 401(k) plan for all employees
- Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
- Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
- Flexible spending account plans for full-time employees
- Minimum essential coverage health insurance plan for all employees
- Electronic medical records and mobile devices for all clinicians
- Incentivized bonus plan
Responsibilities
The Certified Occupational Therapy Assistant is a qualified professional who, under the supervision of the Director of Nurses and licensed Occupational Therapist, provides therapy services to clients in their homes under the Plan of Care established by the Occupational Therapist.
Qualifications
1. Must be a licensed Certified Occupational Therapy Assistant in the state in which he/she practices.
2. Must have dependable transportation, and be able to drive in all weather conditions.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
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Frequently asked questions
In home health, a Certified Occupational Therapy Assistant (COTA) adapts therapy plans to patients’ unique home environments, often providing more personalized care. Unlike clinics, it requires strong independence and flexibility to manage diverse household settings while ensuring safety and effective rehabilitation.
To work as a COTA in Tennessee, obtaining state licensure through the Tennessee Board of Occupational Therapy is mandatory. Additionally, national certification from the NBCOT validates your credentials, ensuring compliance with local regulations and enhancing employability within home health agencies.
COTAs in home health can advance by pursuing specialized certifications in areas like geriatrics or pediatrics, participating in continuing education, or transitioning towards occupational therapy roles. Home health offers unique exposure to diverse patient cases, enriching practical skills and broadening career trajectories.
Working with Encompass Health in Nashville means navigating varied home environments and patient needs amid a busy regional healthcare market. COTAs must balance clinical expertise with cultural sensitivity, time management, and adapting to the city’s evolving healthcare demands.
Encompass Health offers flexible scheduling, competitive paid time off, and wellness programs tailored for home health professionals. Their commitment to employee well-being helps COTAs in Nashville manage demanding caseloads without compromising personal health or family time.
Certified Occupational Therapy Assistants in Nashville earn approximately $50,000 to $58,000 annually, depending on experience and certifications. This aligns with regional healthcare trends, reflecting demand for skilled home health professionals and competitive compensation packages.
Nashville’s healthcare regulations emphasize patient privacy, proper documentation, and compliance with state licensure requirements. Home health COTAs must stay informed about local guidelines to ensure ethical care delivery and maintain the integrity of occupational therapy services.
The Nashville area shows moderate to high demand for home health COTAs, driven by an aging population and expanding home care services. While competition exists, certified professionals with reliable transportation and strong clinical skills have favorable hiring prospects.
Essential skills include patient assessment, adaptive equipment training, effective communication, and problem-solving in non-clinical settings. A COTA must also be proficient with electronic medical records and comfortable delivering care independently within patients’ homes.
Encompass Health’s reputation for innovation and employee development attracts COTAs looking for growth and stability. Their investment in technology, ongoing education, and inclusive culture creates a supportive environment uniquely suited to home health practitioners in Nashville.