Adaptive Home Health logo
Adaptive Home Health
Detroit, Michigan

Occupational Therapist (OT) - PRN

Occupational TherapistNo weekendsPer Diem

Listed compensation

$100k-$130k

The week · per this posting

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 48m ago · Verified live

Job Description

  • Role: Occupational Therapist (OT)
  • Schedule: Part-time flexibility (pick up visits based on your availability; weekdays and/or weekends as needed)
  • Location: Field Based
  • Compensation (Productivity Points): $75.00 / point
  • We're fixing home healthcare, and we're building our presence in Detroit

Adaptive is building an AI-native home healthcare platform that enables clinicians to focus on delivering best-in-class care for their patients by leveraging software and innovative support solutions. We’re building our team in Detroit with plans to quickly develop an exceptional reputation of delivering excellent patient care.

The Mission of This Role

Deliver excellent home health care to our patients in Detroit, and set the clinical bar, the documentation standard, and the referral-source trust that our market will be built on.

Objectives

Carry a High-quality Caseload

Own your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality.

Be a referral-source ambassador: every discharge planner, ALF, and physician you touch should want to send the next patient to us because you were responsive and excellent.

Set the standard others copy: your charting, cadence, and judgment become the template we onboard the next cohort against as the pod grows.

What You'll Own

  • Complete in-home OT evaluations and deliver skilled OT visits.
  • Build and execute a clear plan of care focused on ADLs/IADLs, safety/fall prevention, and functional independence.
  • Recommend and train on adaptive equipment and home modifications as needed.
  • Coordinate with nursing and the broader care team when condition or needs change.
  • Document promptly and thoroughly in Homecare Homebase (HCHB) — defensible, efficient, and consistent.
  • Who you are / how you operate
  • Dedicated clinician: home health experience strongly preferred
  • High ownership: you treat your caseload like your own panel and your pod like your own business.
  • Open mindset: Energized by the opportunity to shape the playbook and refine SOPs
  • Tech-forward: You want to leverage software to accelerate the charting process, and you'll give us blunt feedback to make it better
  • Trust-builder: Patients, families, and referral partners believe you because you do what you say.
  • Must-haves
  • Active Michigan OT license (in good standing)
  • Strong clinical judgment and comfort working independently in the field
  • Comfort escalating changes in condition to RN/MD and documenting rationale clearly
  • Strong communication and documentation
  • Reliable follow-through on orders, frequencies, and patient goals
  • Valid driver’s license, auto insurance, and reliable transportation and comfort with daily travel across assigned territory.
  • Able to carry/transport basic therapy equipment as needed
  • Competency in core home health OT scope (ADL/IADL training, home safety, adaptive equipment, caregiver education)
  • Nice-to-haves

Prior Home Health Experience

  • Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
  • Strong organization and time management
  • The rest of the package
  • Mileage reimbursement
  • $1,000 referral bonuses

Key Responsibilities

The Occupational Therapist will conduct in-home evaluations and deliver skilled therapy visits to patients in the Detroit area. They are responsible for building care plans focused on functional independence and maintaining high-quality documentation in the Homecare Homebase platform.

Requirements

Candidates must hold an active Michigan Occupational Therapy license and possess strong clinical judgment for independent field work. Reliable transportation, a valid driver's license, and experience in home health settings are required.

Qualifications

Experience
2+ years of experience

Key Skills

Patient evaluationADL trainingAdaptive equipment trainingHome safety assessmentClinical documentationCare planningInterdisciplinary coordination

Occupational Therapist Career Context

In Michigan, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$91k (88 salary observations; 814 listings), vs ~$97k nationally (5,566 salary observations; 27,651 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 Michigan is 96.2 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$115k midpoint carries the purchasing power of roughly $120k in an average-cost state. 61.8% of Michigan clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Michigan?
MeasureThis jobMarket
Work-life score5.7 / 10 · above average in occupational therapyranked against 9,033 Occupational Therapy listingslisting-based score, 0–10
Listed pay$100k–$130kOccupational Therapy median $98k (middle half $87k–$104k)14 comparable listings, Nov 2026
Michigan vs national$91k median in Michigan$97k nationally (−6%)88 state / 5,566 national salary observations
Cost-of-living adjusted pay~$120k in purchasing powerMichigan index 96.2 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Michigan305 active9,045 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 34% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMichigan Occupational Therapist listings: 19% state a sign-on bonus (median $10k) · 7% offer loan repayment331 active listings, Nov 2026
New Occupational Therapy listings3,074 in the last 30 days1,790 the 30 days before (+72%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+3.5% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (9,033 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top contract/1099 Occupational Therapist Jobs

23 matches · ranked by pay

Salary Distribution

23 jobs · 13 employers
10
<$95k
5
$95k-105k
6
$105k-115k
1
$120k
1
$160k

Annual compensation range

Benefits & Perks

23 jobs · 13 employers
401k / retirement match
100%
Sign-on bonus
30%
CME allowance
30%
Loan repayment
13%
PSLF eligible
4%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist - Hand Therapist CHT

Select Physical Therapy · Kingwood, Texas

$85k-$120k
#3

Occupational Therapist (OT) - Santa Clara

From $109,000
#4

Occupational Therapist (OT) - Napa

From $109,000
+ 21 more · ranked by pay

Work-life snapshot

median 4.8this job 5.7
Better work-life than 60% of Occupational Therapy listings

Listing-based score, 0–10, across 9,033 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
Adaptive Home Health logo

About Adaptive Home Health

Home Health Care Services
Richardson, Texas
201-500 employees

Benefits & Perks

Mileage reimbursement
$1,000 referral bonuses

Living in Detroit

Typical 3-bedroom home value
$79k≈ 0.8× annual pay
Typical market rent
$1,328/mo≈ 16% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
100.3
State income tax
Up to 4.3%
Sources & methodology

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

BEA 2024 · Detroit-Warren-Dearborn, MI metro prices. Housing figures are city-level.

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