Certified Occupational Therapy Assistant (ESIT)

HELP CHILDREN GROW THROUGH IN-HOME PEDIATRIC THERAPY

POSITION: ESIT Certified Occupational Therapy Assistant (COTA)

• $56,784 - $76,170 annually* depending on experience and hours per week ($27.30 - $36.62 per hour) * 52-week year equivalent; Encompass operates on a 51-week year.
• 30 - 40 hours per week (full-time benefits at 30 hours)
• Medical (80% Company-paid)
• Dental/Vision
• Company paid Life/AD&D, EAP, Wellness
• 401K and 401K Matching
• Vacation/Sick Leave
• 11 Paid Holidays, plus bonus company PTO between 12/25-and 1/1
• Build a flexible, family-friendly schedule
• Work with a team of supportive, knowledgeable providers
• In-home visits with local travel; mileage reimbursement
• Charting time paid at same rate as session time
• Based out of Encompass Child Development Center, 9050 384th Ave SE, Snoqualmie, WA
• Eligible for Public Service Loan Forgiveness (PSLF) Program

SCOPE OF POSITION

The Certified Occupational Therapy Assistant (COTA) partners with families of infants and toddlers (birth to three years of age) to support participation, learning, relationships, and development within everyday routines and activities. Services are provided in natural environments using family-centered, coaching-based practices that build caregiver confidence, competence, and capacity.

As a member of a transdisciplinary Early Supports for Infants and Toddlers (ESIT) team, the COTA contributes occupational therapy expertise while collaborating across developmental domains to support the whole child and family. Providers share discipline-specific knowledge, learn from colleagues across disciplines, and contribute to a culture of continuous learning and high-quality practice.

Essential Duties and Responsibilities

• Provide family-centered ESIT services in natural environments for eligible infants, toddlers, and their caregivers.
• Utilize coaching practices and principles of adult learning to build caregiver capacity to support their child's development within everyday routines and activities.
• Support children's participation, learning, and development across developmental domains through individualized developmental strategies.
• Conduct ongoing assessment, progress monitoring, and service planning in collaboration with families and team members.
• Participate as an active member of a transdisciplinary team through consultation, coaching, shared problem-solving, and reflective practice.
• Support onboarding, mentoring, and professional growth opportunities for colleagues, students, and trainees as appropriate.
• Maintain an assigned caseload and complete required documentation, reports, billing requirements, and service records within established timelines.
• Participate in evaluations, eligibility determination, transition planning, and other ESIT processes as appropriate.
• Support outreach activities, screenings, parent education opportunities, community events, and other program initiatives.
• Comply with agency policies, professional standards, payer requirements, and applicable federal, state, and local regulations.
• Deliver services in homes, childcare settings, community locations, and agency-based programs, requiring regular travel throughout the assigned service area.
• Perform other duties as assigned.

Discipline-Specific Responsibilities

• Provide occupational therapy services under the supervision of a licensed Occupational Therapist in accordance with state licensure requirements and agency policies.
• Support participation and independence in daily routines, including play, self-care, social engagement, regulation, and learning activities.
• Implement developmental strategies developed in collaboration with the supervising Occupational Therapist and ESIT team.
• Contribute to assessment, observation, progress monitoring, and service planning activities within the COTA scope of practice.
• Support caregivers in promoting participation, sensory processing, self-regulation, fine motor development, adaptive skills, and engagement in everyday routines.
• Collaborate with Occupational Therapists and other team members to develop integrated developmental strategies and supports.
• Implement adaptive equipment, positioning, environmental modifications, and other recommendations developed with the supervising Occupational Therapist.
• Maintain required supervision, communication, and documentation practices.

Qualifications

Minimum Qualifications

• Associate degree from an accredited Occupational Therapy Assistant program.
• Current Washington State Certified Occupational Therapy Assistant license in good standing.
• Meets Washington State ESIT personnel standards for occupational therapy personnel and is able to obtain and maintain the DCYF ESIT Practitioner Credential.
• Valid driver's license, reliable transportation, and ability to travel throughout the service area.
• Ability to pass required background checks and meet agency employment requirements.

Preferred Qualifications

• Minimum of two years of pediatric experience in any setting.
• Experience working with infants and toddlers (birth to three years of age) and their families preferred.

Join the Encompass Early Support for Infants and Toddlers (ESIT) team serving children from birth to three through in-home, family-centered early support services.

What is ESIT?

Research shows that identifying delays early and offering routines-based supports before age three can have a lasting impact on a child’s development. Early Support for Infants and Toddlers (ESIT) works alongside families, supporting children from birth to 3 years with eating, sleeping, walking, talking, playing, learning, relationships, and any other developmental concerns their caregivers might have.

Why clinicians love ESIT

• You influence the earliest years
• Support development when the brain is growing fastest
• Help families build strong foundations for lifelong success
• You coach parents, not just children
• Build caregiver confidence
• Create lasting change
• Empower families with practical strategies that fit into their daily routines
• You meet children & families where life happens: Homes, childcare settings, community environments
• You’re never practicing alone:
• Collaborative interdisciplinary team
• Ongoing consultation and support
• Shared mission and learning

Why Encompass?

For over 50 years, Encompass has proudly served the Snoqualmie Valley and Issaquah communities as a private nonprofit dedicated to helping children and families thrive. Our mission is simple yet powerful: to partner with families to build healthy foundations for children. We believe that what happens early in life truly matters and we are passionate about providing high-quality, innovative early childhood education and therapeutic services to every child in our community.

At Encompass, you’re not just taking a job. You’re becoming part of a mission-driven community that values connection, growth and impact. Every day, your work helps create a positive experience for families and supports children in reaching their fullest potential.

Encompass is a private nonprofit serving the Snoqualmie Valley and Issaquah communities for over 50 years. Our mission is to partner with families to build healthy foundations for children. We believe what happens early in life matters. We offer high quality, leading edge early childhood educational and therapeutic services to all children in our communities.

Encompass is an Equal Opportunity Employer. Qualified applicants receive consideration for employment without discrimination based on gender, marital status, race, color, religion, national origin, age, or the presence of a non job related medical condition or handicap.

The information in this job description has been designed to indicate the general nature and level of work performed by employees in this job. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees in this job.

Reasonable accommodation may be made to enable a person with a disability to perform the essential functions of the job.