Occupational Therapist Assistant (COTA) - Mobile Outpatient
Quick facts
- Pay
- $35.00 - $44.00 /Hr. Bonus: $3,000.00
- Type
- Full-time
- Location
- Dover, NH
- Background
- MD / physician
- Industry
- Health and Care — 3087 open jobs
- Visa in listing
- H-1B
- Apply
- Free to apply — never pay anyone for a job offer or visa sponsorship
Job description
Overview: Occupational Therapist Assistant - Dover NH
Mobile Outpatient Therapy
ALF/ILF and community residents
Full time with full benefits
Offering $3,000 Bonus!
At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
- Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
- Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
- Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
- Continuing Education: Keep growing with free CEUs through Medbridge.
- H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
- Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Responsibilities:
The Occupational Therapist will primarily provide outpatient rehabilitation services in an in-home setting for the older adult population. The in-home setting could be a patient's private residence or in a patient's room in an independent living facility. Powerback Rehabilitation To You allows the Occupational Therapist to evaluate and treat in the most functional environment which is the patient's home. The Occupational Therapist organizes and conducts occupational therapy programs for the agency to facilitate rehabilitation. In addition, they direct patient participation in selected tasks to restore, reinforce, and enhance performance. The Occupational Therapist facilitates the learning of those skills and functions essential for adaptation and productivity, in order to diminish or correct pathology. This position provides a flexible schedule and work environment in various settings.
- As necessary or applicable, supervision of Occupational Therapy Assistants, temporary licensees, students and support personnel in accordance with state licensure requirements and professional standards.
- Responsible for adherence to department and patient treatment schedule, timely clinical and billing documentation requirements as well as work related meetings.
- Attends and contributes to patient care, staffing conferences and other related meetings.
- Makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient.
- Consults with other members of the rehabilitation team, including the community physician, to select the most appropriate therapeutic regimen consistent with the needs and capabilities of each patient.
- Adapts program and/or plan of care according to the needs of individual patients.
- Promotes a safe environment and enforces the elimination of fire and safety hazards.
- Orders supplies and equipment as necessary.
- Cleans, maintains, identifies, and reports the need for repair of equipment as necessary.
- Puts patient service first: ensures that patients and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights.
- Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the occupational therapy treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as:
- cognitive skills
- muscle strength
- coordination
- endurance
- mobility
- perceptual abilities
- sensory awareness
- sitting and standing tolerance
- balance
- activities of daily living
- joint protection
- work simplification
- orientation
- physical agent modalities
- low vision
- falls risk management
- medication management
- health and wellness
- community integration and reintegration
- Case Management skills in the home and community space
- Designs, fabricates, fits and/or applies adaptive devices, and trains patients in the use of adaptive devices including orthotics and prosthetics.
- Selects appropriate activities suited to the individual's physical and mental capacity, intelligence level and interest.
- Instructs patients in the skills and techniques required for participation in functional activities and evaluates patient progress, attitudes, and behavior as related to rehabilitative potential.
- Performs routine reexamination as needed/required to modify/progress plan of treatment.
- Performs other related duties as required.
Qualifications:
- They must have a Bachelor's degree in an occupational therapy curriculum accredited by ACOTE standards.
- They must have initial registration from the National Board for Certification in Occupational Therapy.
- The Occupational Therapist must hold a valid and unencumbered occupational therapy license as required in the state of practice.
- Must have a valid driver's license or reliable, independent transportation to and from the patient's residence.
Posted Salary Range: USD $35.00 - USD $44.00 /Hr. Bonus: USD $3,000.00
Visa sponsorship record: Powerback Rehabilitation, LLC
Sponsors actively| Fiscal year | H-1B LCAs | USCIS approvals | USCIS denials | PERM |
|---|---|---|---|---|
| FY2026 | 13 | 8 | 0 | — |
| FY2025 | 20 | 16 | 0 | — |
| FY2024 | 12 | 12 | 0 | — |
✔ Powerback Rehabilitation, LLC filed 7 H-1B applications for this kind of role (Occupational Therapists) in the period above.
Also filed: E-3 Australian × 1 — a good sign for Australian (E-3), Chilean and Singaporean (H-1B1) candidates.
Roles they sponsor most
- physical therapist20 LCAs · median $87k
- director of rehab pt10 LCAs · median $101k
- occupational therapist7 LCAs · median $87k
- director of rehab occupational therapist2 LCAs · median $111k
- speech therapist2 LCAs · median $110k
Which visas can work for this job
Occupation: Occupational Therapists (SOC 29-1122) — estimated from the job title.
- Mentioned in the listing
H-1B
- H-1B cap-exempt employer
Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).
- TN (citizens of Canada and Mexico)
This kind of role may fit the USMCA profession “Occupational Therapist” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.
- E-3 (Australia) and H-1B1 (Chile, Singapore)
This employer has filed before (E-3 Australian: 1). Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.
- O-1 (extraordinary ability)
For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.
Salary vs prevailing wage
Below Level IOccupational Therapists · Boston-Cambridge-Newton, MA-NH. Annual prevailing wages set by the Department of Labor (OFLC).
| Level | Prevailing wage | H-1B lottery odds* |
|---|---|---|
| Level I | $78,208 | ~15% |
| Level II | $89,419 | ~31% |
| Level III | $100,610 | ~46% |
| Level IV | $111,821 | ~61% |
This job pays $72,800–$91,520 a year (converted from an hourly rate, 2,080 hours) — below the Level I prevailing wage. For H-1B the employer must pay at least the prevailing wage, so the offer would have to go up.
* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.
Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.