21st Century Home Health Services logo
21st Century Home Health Services
Citrus Heights, California

Occupational Therapist (Home Health)

Occupational TherapistFull-Time

Listed compensation

$130k-$160k

The week · per this posting · weekdays assumed

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

Posted 1mo ago · Verified live

Job Description

At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area.

Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties!

Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.

We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.

Key Achievements Include

San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.

National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.

Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.

Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.

  • Full Time Occupational Therapist
  • Anticipated Territory: Citrus Heights Area
  • What you’ll do as an Occupational Therapist (OT) Home Health:

In partnership with the Case Manager you will provide skilled services to evaluate and address the needs of individuals in their homes, so they can live safely and productively in their home environment.

These areas may include home safety medication management, wheelchair seating and positioning, pain management, falls prevention, management of chronic diseases and dementia family caregiver training. You will serve as an educator, patient advocate and a member of the interdisciplinary care team

  • Why you Should Come Work for us as an Occupational Therapist (OT) Home Health:
  • Flexible work schedules: Create your own schedule and hours
  • Targeted territories - Smaller coverage area than any other home health company
  • Autonomy: No clocking in/out
  • Low turnover/High morale

Helpful Software and Communication Tools

Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, Flexible Spending Accounts (FSAs), Pet Insurance and more!

  • Competitive compensation with achievable incentive bonus program
  • Targeted Territory
  • Concierge Services (Charting, Quality and Administrative tasks)
  • To be a success as an Occupational Therapist (OT) Home Health:
  • Current unrestricted CA Occupational Therapist License
  • Current BLS/CPR Certification

Valid CA Driver's License

  • Knowledge of local community resources is required.
  • Knowledge and understanding of individual development and human behavior as it relates to the effects of illness/injury; and of the influence of culture on health care.
  • Knowledge of state and federal homecare regulatory guidelines preferred.
  • Experience home health care is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Case Management fundamentals is highly desired
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Leadership skills
  • Organized

By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: 21hhs.com

$130,000 - $160,000 a year

Wage Range: Occupational Therapist: $130,000 - $160,000 annually. Starting pay is commensurate with relevant experience above the minimum requirements.

The compensation structure for this position includes an annual base salary plus eligibility for an annual performance-based bonus incentive. In addition, 21st Century offers comprehensive health benefits and a 401(k) plan with up to a 4% company match.

  • You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high-quality patient care and to meet the needs of our growing organization.

Follow 21HHS on Linkedin!

21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.

Key Responsibilities

The Occupational Therapist will partner with case managers to evaluate and address patient needs within their homes to ensure safe and productive living. They will serve as educators and patient advocates while providing skilled services such as pain management, falls prevention, and caregiver training.

Requirements

Candidates must hold a current unrestricted California Occupational Therapist license and a valid driver's license. BLS/CPR certification is required, and experience in home health care is highly preferred.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Occupational therapyPatient advocacyCritical thinkingClinical documentation

Occupational Therapist Career Context

In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$116k (757 salary observations; 2,372 listings), vs ~$97k nationally (5,357 salary observations; 29,628 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$145k midpoint carries the purchasing power of roughly $131k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in California?
MeasureThis jobMarket
Work-life score6.4 / 10 · top 25% in occupational therapyranked against 8,992 Occupational Therapy listingslisting-based score, 0–10
Listed pay$130k–$160kOccupational Therapy median $104k (middle half $99k–$109k)24 comparable listings, Nov 2026
California vs national$116k median in California$97k nationally (+20%)757 state / 5,357 national salary observations
Cost-of-living adjusted pay~$131k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in California906 active9,091 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 41% no call · 61% no weekends49 benchmarked listings
Sign-on & loan repaymentsign-on bonusCalifornia occupational therapist listings (all specialties): 16% state a sign-on bonus (median $5k) · 5% offer loan repayment956 active listings, Nov 2026
New Occupational Therapy listings3,267 in the last 30 days1,694 the 30 days before (+93%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (8,992 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist (Home Health) at 21st Century Home Health Services a 6.4 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Occupational Therapy — ranked against 8,992 active Occupational Therapy listings on WeekdayDoc.

Top Occupational Therapist Jobs

27 matches · ranked by pay

Salary Distribution

27 jobs · 14 employers
4
<$95k
16
$95k-110k
1
$123k
4
$125k-140k
2
$140k

Annual compensation range

Benefits & Perks

26 jobs · 14 employers
401k / retirement match
100% this job
CME allowance
38%
Sign-on bonus
31% this job
Loan repayment
4%
PSLF eligible
4%

Share of similar jobs offering each benefit

#1

Occupational Therapist Marlboro NJ

Healthcare Recruitment Counselors · Marlboro, New Jersey

$140k
#2

Occupational Therapist Matawan NJ

Healthcare Recruitment Counselors · Matawan, New Jersey

$140k
#3

PACE Occupational Therapist, Compton Center

$92k-$134k
#4

OT / Occupational Therapist - Home Health- $5K SIgn-on Bonus

$92k-$129k
+ 25 more · ranked by pay

Work-life snapshot

median 4.8this job 6.4
Better work-life than 80% of Occupational Therapy listings

Listing-based score, 0–10, across 8,992 comparable listings. Shaded area = the share scoring below this one.

21st Century Home Health Services logo

About 21st Century Home Health Services

Hospitals and Health Care
Burlingame, California
201-500 employees

Benefits & Perks

401k with up to 4% match
Generous PTO
Medical Insurance
Dental Insurance
Life Insurance
Flexible Spending Accounts (FSAs)
Pet Insurance
Incentive Bonus Program

Living in Citrus Heights

Typical 3-bedroom home value
$459k≈ 3.5× annual pay
Typical market rent
$1,883/mo≈ 17% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.