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Pivot Rehabilitation
Flower Mound, Texas

Pivot Occupational Therapist Assistant (OT)

Occupational Therapy AssistantFull-Time

Listed compensation

$33-$42/hr

The week · per this posting · weekdays assumed

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

Posted 32m ago · Verified live

Job Description

The Occupational Therapist Assistant – Home Health provides occupational therapy services under the supervision of a licensed Occupational Therapist to support patient recovery and functional independence in the home setting.

This role implements individualized treatment plans, assists patients with activities of daily living, and reinforces therapeutic interventions designed to improve mobility, self-care skills, and overall quality of life.

The Occupational Therapist Assistant collaborates with patients, caregivers, and interdisciplinary healthcare teams to promote successful rehabilitation outcomes and safe home functioning.

Responsibilities

Implement occupational therapy treatments, therapeutic activities, and self-care retraining programs as delegated by the supervising Occupational Therapist.

Guide patients through interventions designed to improve upper extremity function, fine motor coordination, dressing, grooming, and home management skills.

Assist patients with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) to promote greater independence and functional performance.

Support patient use of adaptive equipment and durable medical equipment (DME) as prescribed by the supervising Occupational Therapist.

Maintain accurate, timely, and compliant clinical documentation within the Electronic Medical Record (EMR) system.

Monitor patient progress and report changes in functional status, treatment response, or rehabilitation potential to the supervising Occupational Therapist.

Collaborate with home health clinicians and interdisciplinary care team members to support coordinated patient care and rehabilitation goals.

Reinforce patient and caregiver education related to occupational therapy interventions, safety techniques, and home exercise activities.

Qualifications

  • Associate degree from an accredited Occupational Therapy Assistant program.
  • Active, unencumbered Occupational Therapy Assistant (OTA) license in the applicable state of practice.
  • Current CPR or Basic Life Support (BLS) certification.
  • Minimum of one (1) year of clinical experience as a licensed Occupational Therapy Assistant; home health or geriatric rehabilitation experience preferred.
  • Strong observational, communication, and interpersonal skills.
  • Ability to work independently in community-based healthcare settings.
  • Valid driver’s license, reliable transportation, and current automobile insurance coverage.
  • Benefits/EEO

What We Offer You

  • Competitive Wages
  • 401k with match
  • Medical, Dental, Vision & Supplemental Insurance
  • Vacation, Sick, Personal Holiday & Paid Holidays
  • Short-Term Disability
  • Life Insurance
  • Tuition & CEU Reimbursement
  • Rewards & Recognition Program

EEOC

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

Pay Range

USD $33.00 - USD $42.00 /Hr.

Key Skills

Patient rehabilitationHome health carePatient educationHome exercise programsInterdisciplinary collaboration

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (226 salary observations; 2,983 listings), vs ~$97k nationally (5,303 salary observations; 28,995 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$78k midpoint carries the purchasing power of roughly $80k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Listed pay$69k–$87kOccupational Therapy median $69k (middle half $68k–$78k)37 comparable listings, Nov 2026
Texas vs national$94k median in Texas$97k nationally (−3%)226 state / 5,303 national salary observations
Cost-of-living adjusted pay~$80k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas932 active9,160 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedTexas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings3,140 in the last 30 days1,727 the 30 days before (+82%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+4.1% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$78k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy Assistant listings

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

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About Pivot Rehabilitation

Benefits & Perks

401k with match
Medical, Dental, Vision & Supplemental Insurance
Vacation, Sick, Personal Holiday & Paid Holidays
Short-Term Disability
Life Insurance
Tuition & CEU Reimbursement
Rewards & Recognition Program

Living in Flower Mound

Typical 3-bedroom home value
$436k
Typical market rent
$2,298/mo
Residents’ average commute
26 min
Metro price indexU.S. average = 100
103.1
State income tax
None
Sources & methodology

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

BEA 2024 · Dallas-Fort Worth-Arlington, TX metro prices. Housing figures are city-level.

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