Honolulu, Hawaii

Per Diem Occupational Therapist & COTA Opportunity - Home Health Oahu

Occupational Therapy AssistantPer Diem

Listed compensation

$100k-$120k

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

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

Posted 49m ago · Verified live

Job Description

This per diem position offers Occupational Therapists and Certified Occupational Therapy Assistants a flexible schedule, the ability to build their own caseload, competitive per-visit compensation (with an annual salary option for OTs), and a team that supports professional growth.

Compensation

OT: $80 per routine visit, or an annual salary option of $100,000–$120,000 based on caseload
COTA: $60 per visit

About the Role

You will help patients improve their ability to safely perform everyday activities and promote independence in the home environment.

Responsibilities

Deliver occupational therapy services in patients' homes
Complete initial evaluations and follow-up visits
Develop individualized treatment plans (OT) or assist with interventions established by the supervising OT (COTA)
Monitor progress and communicate changes with the interdisciplinary team
Complete accurate and timely clinical documentation

Qualifications

Active Hawaii OT or COTA license
Minimum one year of clinical experience (preferred for COTAs)
Valid driver's license and reliable transportation

The Agency

A growing Medicare-certified home health agency serving patients throughout O'ahu.

To apply

Call: 808-207-8558 (available 24/7)

Key Skills

Patient evaluationTreatment planningHome health careInterdisciplinary collaboration

Occupational Therapist Career Context

In Hawaii, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$103k (30 salary observations; 130 listings), vs ~$97k nationally (5,471 salary observations; 29,925 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 Hawaii is 110.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$110k midpoint carries the purchasing power of roughly $100k in an average-cost state. 64.8% of Hawaii clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Hawaii?
Measure	This job	Market
Listed pay	$100k–$120k	Occupational Therapy median $68k (middle half $64k–$76k)33 comparable listings, Nov 2026
Hawaii vs national	$103k median in Hawaii	$97k nationally (+6%)30 state / 5,471 national salary observations
Cost-of-living adjusted pay	~$100k in purchasing power	Hawaii index 110.0 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Hawaii	70 active	9,186 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repayment	not stated	US occupational therapist listings (all specialties): 14% state a sign-on bonus (median $5k) · 8% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings	3,221 in the last 30 days	1,726 the 30 days before (+87%)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.

Top contract/1099 OTA Jobs

3 matches · ranked by pay

Occupational Therapist Assistant | COTA

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$30-$33/hr #2

Therapist (OT/ COTA) On-CallPer Diem

Cassia · Montevideo, Minnesota

$50-$60/hr

Occupational Therapist Assistant

$27.58-$31.88/hr

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Work-life snapshot

Better work-life than 50% of Occupational Therapy Assistant listings

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

About Always Best Care Senior Services - Oahu

Health and Human Services

Honolulu, HI

Visit website

Benefits & Perks

Flexible schedule

Build your own caseload

Competitive per-visit compensation

Annual salary option for OTs

94 more from Always Best Care Senior Services - Oahu

See all 95 Always Best Care Senior Services - Oahu jobs

Living in Honolulu

Typical 3-bedroom home value: $1.20M≈ 12.0× annual pay
Typical market rent: $2,715/mo≈ 33% of gross pay
Metro price indexU.S. average = 100: 111.0
State income tax: Up to 11%

Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

BEA 2024 · Urban Honolulu, HI metro prices. Housing figures are city-level.

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