PRN Cota

Are you a compassionate, flexible, and dedicated COTA looking for meaningful PRN work? Home of the Innocents is seeking a Certified Occupational Therapy Assistant to join our therapy team at the Kosair for Kids Complex Care Center, Kentucky's only pediatric skilled nursing facility for medically complex children and young adults.

This is a true PRN position with no minimum hour requirements. You'll step in when our team needs you most, covering conferences, weekends, vacations, and staffing gaps — and you'll do it within a supportive interdisciplinary environment where your clinical skills directly improve lives.

A Day in the Life

As a PRN COTA at Kosair for Kids Complex Care Center, you'll provide high-quality, safety-focused occupational therapy services under the supervision of our Occupational Therapist, working collaboratively with the full interdisciplinary team to ensure each resident receives timely and appropriate therapy support. The children and young adults in our care have complex medical needs — and the work you do keeps them active, functional, and moving toward their goals.

Schedule: PRN (as needed) — no minimum hour requirement. Coverage is primarily for conferences, weekends, vacation, and staffing gaps. Flexible scheduling within a 24/7 care environment. How This Position Contributes to Our Mission Ensure residents receive safe, effective therapy services during times of fluctuating therapeutic needs or staffing gaps Strengthen the care team by providing flexible, high-quality clinical support when needed Enhance family communication and trust by offering clear and compassionate updates during assigned shifts Reinforce trauma-informed, resident-centered care across Kosair for Kids Complex Care Center Help maintain safety, functional support, and developmental progress for medically complex children and young adults Document occupational therapy services accurately in the EMR and communicate resident progress to the supervising OT and care team Skills and Qualifications Required: Associate of Applied Science degree with successful completion of an Occupational Therapy Assistant program Current NBCOT certification and active Kentucky OTA licensure At least 1 year of pediatric experience, including clinical rotation experience Basic computer proficiency Strong communication skills — ability to read, write, and communicate effectively in English Ability to interact with children, families, and team members with dignity and professionalism High integrity and commitment to providing excellent care Preferred: Experience with pediatric tracheostomies, ventilators, and assistive technology Experience working with children with multiple disabilities and complex medical needs Long-term care or skilled nursing facility experience What You'll Receive as a Valued Member of Home of the Innocents True PRN flexibility — no minimum hour requirements Supportive interdisciplinary team environment Paid training opportunities Access to organizational resources and professional development The opportunity to make a meaningful impact with Kentucky's most medically complex pediatric population Who We Are Home of the Innocents is one of Louisville's longest-serving non-profit organizations, approaching 150 years of service to children and families.

Our mission is simple and clear: to enrich lives with hope, health, and happiness. We are a trauma-informed organization, prioritizing safety, recovery, and strong relationships in everything we do. Our leadership is committed to building a workforce grounded in compassion, excellence, empowerment, and wellness. We are an organization growing to meet the needs of children and young adults in our community — expanding our programs and investing in our campus, including the addition of a new wing at the Kosair for Kids Complex Care Center that will double our capacity to serve medically complex individuals.

Our Impact 3,976 children and families served in 2025 22-acre campus located near downtown Louisville Second largest Residential Treatment Program in Kentucky Only dedicated emergency shelter for children in the city 10 programs supporting children and families across a range of needs, including: Therapeutic and residential treatment, emergency shelter, foster care and adoption support, and community-based behavioral health services Kosair for Kids Complex Care Center: Kentucky's only pediatric skilled nursing facility providing residential and respite care for children and young adults with complex medical needs.

Ready to bring your skills to a place where they truly matter? Apply today and join the team at Home of the Innocents.