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Occupational Therapist Assistant (COTA), Acute

Facility Fleming County Hospital
Location Flemingsburg, KY
Career Area Therapy
Schedule Full Time
Workplace On-site
Job Shift Day
Date Posted 10/23/2025
Job ID #320175

Fleming County Hospital, Acute

Occupational Therapist Assistant (COTA)

Full-time | Days

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Fleming County Hospital is a 25-bed critical access hospital with a reputation for continuous quality improvement, patient-centered care, payment innovation, and professionalism. We are accredited by The Joint Commission and recently received Chest Pain Accreditation through the American College of Cardiology.

Where We Are:

Flemingsburg is a delightful town and great place to live! It is surrounded by beautiful rolling farmland with three lovely old wooden covered bridges. Antique shops, folk artists, and talented crafts persons complete the picture of life at an enjoyable pace. Golf, fishing, camping, swimming, tennis, hiking, hunting, and boating are all available.

Not ready to complete an application, or have questions?

Please contact Melissa Gilbert by texting 615-324-9804, calling 629-257-6058 or schedule a time and date that works for you by clicking the link below.

Why Choose Us:

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

  • Professional Development: Ongoing learning and career advancement opportunities.

Position Summary:

The Occupational Therapist Assistant (COTA) functions under the direct supervision of the Occupational Therapist and as directed by a licensed physician, is responsible for a specific patient's care. The COTA assumes responsibility and accountability for providing occupational therapy modalities and treatment procedures as determined by a treatment plan established by an Occupational Therapist in order to restore function and prevent disability following patient illness or injury. The COTA carries out these responsibilities in accordance with established hospital and departmental policies while maintaining the highest degree of quality patient care.

  • Under guidance of supervising OTR/L: Acquires pertinent information and implements comprehensive program using varied techniques and treatment activities; reviews and modifies treatment in response to changing patient needs; identifies equipment and discharge needs.

  • Is aware of patient injury/diagnosis and takes all necessary precautions for observing indications and contradictions.

  • Provides treatment to diverse diagnostic populations and completes supporting documentation according to hospital policy and State Practice Act.

  • Observes treatment affect, accomplishment of short- and long-term goals and recommends change to the supervising OTR/L, if needed.

  • Communicates collaborates with support personnel regarding treatment orders as directed by the supervising OTR/L.

  • Conducts the class/group situations (stroke, SCI, BI) as appropriate.

  • When necessary, instructs care giver/family members in home exercise program as related to the patient's functional and self-care status: discusses necessary equipment for the home situation.

  • Complies with department, hospital, and regulatory agency guidelines with respect to ethics, legal issues and supervisory relationships. Demonstrates professional accountability per AOTA Occupational Therapy Code of Ethics and Standards of Practice.

  • Demonstrates appropriate and effective written, verbal and non-verbal communication with team members through the continuum of care.

  • Completes timely and accurate documentation, including QI scoring, of patient treatment in the patient medical record as indicated

  • The population is adult and geriatric patients requiring an adult medical rehabilitation program and services.

  • Able to assess patient pain interfering with optimal level of function of participation in rehabilitation; makes appropriate interventions to reduce pain after consulting with supervising OTR/L and makes appropriate physician contact as indicated.

  • Protects patient confidentiality in regard to medical, emotional, and social status.

  • Keeps the supervising therapist informed of patient's status, problem areas, progress, etc.

  • Perceives the existence of problems and notifies supervising therapist for implementation of safe, effective and timely solutions.

  • Demonstrates appropriate safety measures when implementing treatment programs.

  • Provides input/suggestions for the physical functioning of the department in the areas of equipment management, space utilization, storage, etc.

  • Assists in inventory and ordering of supplies and equipment.

  • Assists in maintenance of safe, clean work environment.

  • Assists in preparation/maintenance of daily treatment schedule.

  • Develops home programs and instructs patients in the programs as delegated by the supervising occupational therapist.

  • Provides written and updated treatment/coverage programs for days off.

  • Performs discharge planning under the direct supervision of the OTR/L (prescriptions, equipment requests, and referrals).

  • Reports on patient's status at patient care in team conference when necessary. (Team conferences should be attended by the supervising OTR/L and with the COTA in attendance.)

  • Assists in program development and preparation to meet regulatory agency standards i.e. Joint Commission, CARF.

  • Observes, measures and records the cardiovascular responses of heart rate, blood pressure, and oxygen saturation.

  • Plans and presents educational programs for department; hospital and/or community.

  • Provides orientation, instruction, supervision and/or guidance to ancillary staff, COTA students, and volunteers.

  • May transport patients/equipment to/from therapy gym.

  • Uses computer system to assist in preparation/maintenance/printing of work list and entering of charges.

  • Utilizes specialized equipment, testing procedures and/or advanced treatment techniques with appropriate competency

  • Other duties as assigned Physical and Safety Requirements:

  • Good general health and stress coping ability

  • Full mobility and ability to participate in vigorous activity

  • Ability to clearly and effectively communicate with all constituents (patients, families, peers, and other healthcare team members)

  • Possess near vision acuity for accurate reading of equipment and recording in patient medical record

  • Must be physically able to lift, support and move patients.

  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

Minimum Qualifications:

  • Current state licensure/certification as a Certified Occupational Therapy Assistant.

  • Previous experience in the care of patients preferred.

  • Current BLS/CPR.

EEOC Statement:

Fleming County Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.