COTA, PRN

We are looking for a compassionate, flexible, and dedicated PRN COTA to join our therapy team at Home of the Innocents. If you are seeking a meaningful, impact-driven opportunity to support medically complex children and young adults, while enjoying the flexibility of PRN scheduling, we want you on our team!

A Day in the Life

As a PRN Certified Occupational Therapy Assistant, you will provide high-quality, safety-focused therapy services based on the needs of the KCC. You will work collaboratively with the Occupational Therapist and interdisciplinary team to ensure each resident receives appropriate and timely therapy support.

This is a true PRN position with no minimum hour requirements. Most of our PRN help cover for conferences, weekends, vacation, etc!

How This Position Contributes to Our Mission

• Ensures residents receive safe, effective therapy services during times of fluctuating therapeutic needs or staffing gaps.
• Strengthens the care team by providing flexible, high-quality clinical support when needed.
• Enhances family communication and trust by offering clear and compassionate updates during assigned shifts.
• Reinforces trauma-informed, resident-centered care across the KCPCC.
• Helps maintain safety, functional support, and developmental progress for medically complex children and young adults.

Skills and Qualifications

• Associate of Applied Science degree with successful completion of an Occupational Therapy Assistant program required.
• Current NBCOT certification and active Kentucky OTA licensure required.
• At least 1 year of pediatric experience, including clinical rotation experience, required.
• Experience with pediatric tracheostomies, ventilators, assistive technology, and children with multiple disabilities highly preferred.
• Basic computer proficiency.
• Strong communication skills with the 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 customer service.

What You’ll Receive as a Valued PRN Team Member

• True PRN, no minimum hourly requirements

• Supportive interdisciplinary environment
• Paid training opportunities
• Access to organizational resources and development opportunities
• 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 for youth with complex behavioral and emotional needs
• Emergency shelter for children in crisis
• Foster care and adoption support
• Community-based behavioral health services
• Kosair for Kids Complex Care Center (KCC): Kentucky’s only pediatric skilled nursing facility providing residential and respite care for children and young adults with complex medical needs.