Pivot Occupational Therapist Assistant (OT)
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.
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
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).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $69k–$87k | Occupational 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 power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Texas | 932 active | 9,160 nationallylive on WeekdayDoc, Nov 2026 |
| Sign-on & loan repayment | not stated | Texas 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 listings | 3,140 in the last 30 days | 1,727 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 |
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.
