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Houston, Texas

Occupational Therapist (PRN)

Occupational TherapistPer Diem

Listed compensation

$0 an hour

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Occupational Therapist (PRN)

Location In-person Houston, TX Candidate distance preference Within 50 miles Includes candidates willing to relocate

Nurturing Home Healthcare is seeking a compassionate and motivated Occupational Therapist (OT) to join our Home Health team on a PRN basis.

The Occupational Therapist will evaluate, develop, and implement individualized treatment plans designed to help patients improve their ability to perform daily living activities and maintain independence within their homes.

The ideal candidate is patient-focused, clinically skilled, and passionate about helping individuals overcome physical, cognitive, and environmental challenges that impact their quality of life. This role requires collaboration with physicians, nurses, caregivers, and other healthcare professionals to ensure the highest level of patient care and outcomes.

Key Responsibilities

Perform comprehensive occupational therapy evaluations in patients' homes. Develop individualized treatment plans based on physician orders and patient needs. Assess patients' functional abilities, including activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

Provide therapeutic interventions aimed at improving strength, coordination, mobility, cognition, and independence. Educate patients and caregivers on adaptive techniques, safety practices, and home exercise programs.

Recommend adaptive equipment, assistive devices, and home modifications to enhance patient safety and function. Monitor patient progress toward established goals and modify treatment plans as appropriate.

Collaborate with physicians, nurses, physical therapists, speech therapists, and other healthcare professionals to coordinate care. Identify changes in patient condition and communicate findings to the appropriate members of the healthcare team.

Complete accurate and timely clinical documentation in accordance with agency policies and regulatory requirements. Participate in interdisciplinary team meetings and case conferences. Ensure compliance with Medicare regulations, professional standards, and company policies. Promote patient safety, independence, and improved quality of life.

Required Qualifications

Current and active Texas Occupational Therapist (OT) License. Graduate of an accredited Occupational Therapy program. Minimum of one (1) year of Occupational Therapy experience. Strong knowledge of occupational therapy principles, assessments, and treatment techniques.

Excellent clinical judgment and problem-solving skills. Strong verbal and written communication abilities. Ability to work independently and manage a flexible caseload. Valid driver's license, reliable transportation, and proof of automobile insurance. Current CPR certification or ability to obtain upon hire.

Ability to maintain accurate and timely patient documentation. Commitment to patient-centered care and professional excellence.

Preferred Qualifications

Previous Home Health Occupational Therapy experience. Experience treating geriatric, neurological, orthopedic, or medically complex patients. Knowledge of Medicare Home Health regulations and documentation requirements. Experience with electronic health record systems such as WellSky (Kinnser) or similar platforms.

Familiarity with interdisciplinary care planning and coordination. Experience recommending adaptive equipment and environmental modifications. Bilingual (English/Spanish) preferred. Master's or Doctorate degree in Occupational Therapy preferred. Certification in a specialized area of Occupational Therapy is a plus.

Physical Requirements

Ability to travel regularly throughout the assigned service area. Ability to stand, walk, bend, kneel, crouch, and reach during patient visits and treatment sessions. Ability to assist patients with mobility and daily living activities when necessary.

Ability to lift, push, pull, and carry up to 50 pounds with appropriate assistance when required. Ability to operate therapy equipment and demonstrate therapeutic activities safely. Ability to use computers, tablets, and mobile devices for documentation and communication.

Visual acuity sufficient to evaluate patient performance and review clinical records. Manual dexterity required to perform therapy techniques, assessments, and documentation. Ability to work safely and effectively in a variety of patient home environments.

Compensation & Visit Structure (1099)

  • This is a PRN, per-visit position
  • Visits approximately 45 minutes
  • Different rates based on documentation turnaround

#HireFinder

$0 - $0 an hour

Requirements

Requires an active Texas Occupational Therapist license, graduation from an accredited occupational therapy program, and at least one year of occupational therapy experience. Candidates must have strong clinical and communication skills, be able to manage a flexible caseload independently, and have a valid driver's license, reliable transportation, automobile insurance, and current CPR certification or the ability to obtain it upon hire.

Qualifications

Education
Professional certificate or licensure

Key Skills

Occupational Therapy EvaluationIndividualized Treatment PlanningActivities Of Daily Living AssessmentPatient And Caregiver EducationAdaptive Equipment RecommendationsHome Safety AssessmentPatient Progress MonitoringInterdisciplinary Care CoordinationPatient Mobility AssistanceMedicare Home Health ComplianceElectronic Health Records

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (271 salary observations; 2,407 listings), vs ~$97k nationally (6,587 salary observations; 25,232 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 46% have no call, 72% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Occupational Therapist Jobs

38 matches · ranked by pay

Salary Distribution38 jobs · 30 employers

21
<$115k
6
$115k-135k
7
$135k-155k
4
$156k

Annual compensation range

Benefits & Perks32 jobs · 30 employers

401k / retirement match
94%
CME allowance
50%
Sign-on bonus
41%
Loan repayment
13%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational TherapistContract

Luna Physical Therapy · Chicago, Illinois

$68-$75/hr
#3

School Occupational Therapist (OT) - Manhattan

$75 an hour
#4

School Occupational Therapist (OT) - Brooklyn

$75 an hour
+ 36 more · ranked by pay

Work-life snapshot

median 4.8this job 4.8
Better work-life than 50% of Occupational Therapy listings

Listing-based score, 0–10, across 9,297 comparable listings. Shaded area = the share scoring below this one.

Living in Houston

Typical 3-bedroom home value
$245k
Typical market rent
$1,542/mo
Residents’ average commute
27 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.