Occupational Therapist (OT) Home Health Full-Time - Houston, TX (21881)

Occupational TherapistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 6mo ago · Verified live

Job Description

Job DetailsJob Location: Pivot at Houston - Houston, TX 77045Position Type: Full TimeJob Category: Occupational TherapyHome Health Occupational Therapist (OT) – Full Time | Houston, TX PIVOT Rehabilitation is hiring a Licensed Home Health Occupational Therapist (OT) for a Full-Time home health occupational therapist job providing in-home occupational therapy services to adult and senior patients in Houston, TX.

This home health OT job is ideal for clinicians seeking flexible occupational therapist jobs in Houston, autonomy, and one-on-one patient care in the home setting. Job

Responsibilities

Perform home health occupational therapy evaluations, including OASIS assessments Develop and update individualized Plans of Care (POC) Provide skilled home health occupational therapy for orthopedic, neurological, cognitive, and post-surgical conditions Address ADLs, IADLs, upper extremity function, coordination, strength, balance, and functional mobility Implement interventions for fall prevention, home safety, and environmental modifications Train patients and caregivers in adaptive equipment and durable medical equipment (DME) Fabricate splints and recommend assistive devices as appropriate Complete accurate and timely documentation in the EMR Communicate with physicians and interdisciplinary care teams Supervise COTAs and home health aides, as applicable Follow all home health regulations, infection control, and safety standards This full-time home health occupational therapist job in Houston, TX offers flexibility and strong clinical autonomy.

What We Offer You Competitive pay Comprehensive health, dental, and vision plans (for eligible employees) Supplemental benefits (life insurance, disability, accident coverage) 401(k) with company match Generous paid time off (Vacation/Sick/Holiday) for full-time positions CEU reimbursement Career growth and advancement opportunities Supportive leadership and a collaborative interdisciplinary team Patient-centered home health model Company-provided uniforms and additional perks Patient Population Adults and seniors Post-surgical recovery patients Stroke and neurological conditions Cognitive impairments Upper extremity injuries Patients requiring ADL retraining Fall-risk patients in the home setting Job Details Employment Type: PRN Schedule: Flexible daytime schedule Work Setting: Home Health / In-Home Occupational Therapy Travel: Local Houston and the local community travel required.

Qualifications

Qualifications Bachelor’s or Master’s Degree in Occupational Therapy from an accredited program Active Texas Occupational Therapist (OT) license Home health occupational therapy experience preferred (1+ year required) Experience with OASIS documentation preferred Current CPR certification Strong communication, clinical judgment, and time-management skills Knowledge of home health regulations and Medicare guidelines preferred Valid driver’s license, reliable transportation, and current auto insurance Why Work at PIVOT Rehabilitation Patient-focused home health model Flexible scheduling and clinical autonomy PIVOT Rehabilitation

Benefits

Supportive leadership and interdisciplinary team Ongoing professional development opportunities Competitive compensation and comprehensive benefits We are an Equal Opportunity Employer. We offer an excellent benefit plan, including 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package Please visit pivot-rehab.com/careers/ for more information

Key Responsibilities

The Occupational Therapist will perform home health evaluations, develop individualized Plans of Care, and provide skilled therapy for various adult and senior patient conditions, focusing on ADLs, functional mobility, and safety.

Requirements

Candidates must possess a Bachelor's or Master's Degree in Occupational Therapy and hold an active Texas Occupational Therapist license, with at least one year of home health experience being required.

Qualifications

Education
Master's degree (postgraduate degree)

Certifications

CPR (preferred)

Key Skills

Plan of Care DevelopmentOrthopedic ConditionsSplint FabricationEMR Documentation

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$95k (186 salary observations; 2,330 listings), vs ~$97k nationally (4,521 salary observations; 25,570 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, 42% have no call, 66% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 3.7% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist (OT) Home Health Full-Time - Houston, TX (21881) at Cantex Continuing Care Network a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Occupational Therapy — ranked against 9,471 active Occupational Therapy listings on WeekdayDoc. Contributing factors include flexible scheduling.

Location & Logistics

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

Top Occupational Therapist Jobs

41 matches · ranked by pay

Salary Distribution41 jobs · 33 employers

18
<$115k
9
$115k-135k
9
$135k-155k
5
$155k-175k

Annual compensation range

Benefits & Perks34 jobs · 33 employers

401k / retirement match
94% this job
CME allowance
56% this job
Sign-on bonus
38%
Loan repayment
12%
Relocation assistance
12%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#3

Occupational Therapist

$68-$75/hr
#4

School Occupational Therapist (OT) - Manhattan

$75 an hour
+ 39 more · ranked by pay

Work-life snapshot

median 4.8this job 7.2
Better work-life than 80% of Occupational Therapy listings

Listing-based score, 0–10, across 9,471 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.

Cantex Continuing Care Network logo

About Cantex Continuing Care Network

Hospitals and Health Care
Carrollton, TX
1,001-5,000 employees

Benefits & Perks

Health Insurance
Dental
Vision
401k with Company Match
Generous Paid Time Off
CEU Reimbursement
Career Growth Opportunities
Company-Provided Uniforms