You became an Occupational Therapy Assistant to help students build independence and thrive in their daily lives. Let’s make that impact where it matters most. At Thrive Therapies, our COTAs work hand-in-hand with supervising OTs, educators, and families to support students’ access to learning, participation, and well-being. We aren’t a traditional healthcare company. We’re a provider-first, mission-centered organization where you’ll find real support, meaningful collaboration, and a team that values your expertise.

- School-based, student-centered model

- Caseloads designed to support quality work

- Access to shared assessments and tools

- Collaborative IEP teams and educator-aligned practices

- Flexible scheduling and autonomy for contractors

- Current certification from the National Board for Certification in Occupational Therapy (NBCOT)

- Tennessee licensure as a Certified Occupational Therapy Assistant (COTA)

- Minimum of 1 year of school-based experience (preferred)

- Passion for educational equity and whole-child support

- Commitment to trauma-informed, culturally responsive practice

- Must pass a background check

1099 Contractor: $26–$38/hour

We center you, the provider. Whether you’re helping a kindergartner practice fine motor skills, guiding a middle schooler through sensory strategies, or supporting a high schooler’s independence, we’re here to help you thrive. We work shoulder-to-shoulder with our COTAs, OTs, and school partners so you’re supported, respected, and never on your own.

Thrive is on a mission to revolutionize the care of children with disabilities. We provide results-driven services and intelligent tools to support children’s development, well-being, and health. At the heart of this mission are the people who change the trajectories of children’s lives. We work for them.

We’re actively interviewing for the 2025–2026 school year. Apply today and let’s build a role that fits you.

$26 - $38 an hour