Occupational Therapist (OT) and COTA - Per Diem, Oahu
Listed compensation
$110k-$120k
The week · per this posting
Ask the employer about weekend coverage, nights and shift pattern and time off.
Job Description
Occupational Therapist (OT) & Certified Occupational Therapy Assistant (COTA) - Per Diem | Oahu, HI
Potential to Earn $110,000-$120,000/Year
Pay
- OT: $80 per visit
- COTA: $60 per visit
Location: Oahu, HI (reliable transportation required)
Schedule: Flexible / Per diem, build your own caseload
Help Kupuna Thrive at Home
Always Best Care Home Health is a growing Medicare-certified agency serving patients across Oahu. We're looking for compassionate Occupational Therapists and Certified Occupational Therapy Assistants who help patients regain independence through personalized, in-home care.
See what makes our team different, watch our "Now Hiring" TV commercial: youtu. be
What You'll Do
- Deliver occupational therapy services to clients in their homes
- Conduct evaluations, reassessments, and fall-risk screenings
- Track patient progress and coordinate with the care team
What You Bring
- Licensed OT or COTA in Hawaii
- At least 1 year of clinical experience (home health a plus)
- Strong documentation and communication skills
- A valid driver's license and reliable transportation
Why Join Us
- Set your own schedule, true per diem flexibility
- Competitive per-visit pay
- A supportive team that has your back
- Real room to grow as the agency grows
Ready to Get Started?
Call 808-207-8558 (available 24/7) or book your interview at abcoahu.com
Key Responsibilities
Deliver personalized occupational therapy services to clients in their homes to help them regain independence. Conduct evaluations, reassessments, and fall-risk screenings while coordinating progress with the care team.
Requirements
Must be a licensed OT or COTA in Hawaii with at least one year of clinical experience. A valid driver's license and reliable transportation are required.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Occupational Therapist Career Context
In Hawaii, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$105k (36 salary observations; 131 listings), vs ~$97k nationally (6,664 salary observations; 25,616 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 Hawaii is 110.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$115k midpoint carries the purchasing power of roughly $105k in an average-cost state. 64.8% of Hawaii clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Occupational Therapist (OT) and COTA - Per Diem, Oahu at Always Best Care Senior Services - Oahu a 6.9 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc. Contributing factors include no on-call duties.
Top contract/1099 OTA Jobs
1 matches · ranked by payCertified Occupational Therapist Assistant (COTA)Per Diem
Healthpro Heritage · Glen Cove, New York
Work-life snapshot
Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.
- No call
- On-site
Living in Honolulu
- Typical 3-bedroom home value
- $1.20M≈ 10.9× annual pay
- Typical market rent
- $2,733/mo≈ 30% of gross pay
- Metro price indexU.S. average = 100
- 111.0
- State income tax
- Up to 11%
Sources & methodology
Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 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.
Benefits & Perks
100+ more from Always Best Care Senior Services - Oahu
- Occupational Therapist (OT) & COTA - Diamond Head · 25+ locations$120k
- Occupational Therapist (OT) & COTA - Openings Available, Oahu · Honolulu, Hawaii$120k
- Occupational Therapist (OT) & COTA - Join Our Ohana, Oahu · Honolulu, Hawaii$120k