Occupational Therapist (OT) PRN Home Health - Houston, TX - NE Corridor (21884)

Occupational Therapist 8.0 Work-LifeNo nightsPer Diem

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, call expectations, weekend coverage and time off.

Posted 6mo ago

Job Description

Job DetailsJob Location: Pivot at Houston - Houston, TX 77045Position Type: PRNJob Category: Occupational TherapyHome Health Occupational Therapist (OT) – PRN | Houston, TX PIVOT Rehabilitation is hiring a Licensed Home Health Occupational Therapist (OT) for a PRN home health occupational therapist job providing in-home occupational therapy services to adult and senior patients in Houston, TX, and the surrounding NE Houston areas.

This home health OT job is ideal for clinicians seeking flexible occupational therapist jobs in Houston, autonomy, and one-on-one patient care in the home setting. Job

Responsibilities

Perform home health occupational therapy evaluations, including OASIS assessments Develop and update individualized Plans of Care (POC) Provide skilled home health occupational therapy for orthopedic, neurological, cognitive, and post-surgical conditions Address ADLs, IADLs, upper extremity function, coordination, strength, balance, and functional mobility Implement interventions for fall prevention, home safety, and environmental modifications Train patients and caregivers in adaptive equipment and durable medical equipment (DME) Fabricate splints and recommend assistive devices as appropriate Complete accurate and timely documentation in the EMR Communicate with physicians and interdisciplinary care teams Supervise COTAs and home health aides, as applicable Follow all home health regulations, infection control, and safety standards This PRN Home Health Occupational Therapist job in Houston, TX offers flexibility and strong clinical autonomy.

What We Offer You Competitive pay Comprehensive health, dental, and vision plans (for eligible employees) Supplemental benefits (life insurance, disability, accident coverage) 401(k) with company match Generous paid time off (Vacation/Sick/Holiday) for full-time positions CEU reimbursement Career growth and advancement opportunities Supportive leadership and collaborative interdisciplinary team Patient-centered home health model Company-provided uniforms and additional perks Patient Population Adults and seniors Post-surgical recovery patients Stroke and neurological conditions Cognitive impairments Upper extremity injuries Patients requiring ADL retraining Fall-risk patients in the home setting Job Details Employment Type: PRN Schedule: Flexible daytime schedule Work Setting: Home Health / In-Home Occupational Therapy Travel: Local NE Houston community travel required Qualifications

Qualifications Bachelor’s or Master’s Degree in Occupational Therapy from an accredited program Active Texas Occupational Therapist (OT) license Home health occupational therapy experience preferred (1+ year required) Experience with OASIS documentation preferred Current CPR certification Strong communication, clinical judgment, and time-management skills Knowledge of home health regulations and Medicare guidelines preferred Valid driver’s license, reliable transportation, and current auto insurance Why Work at PIVOT Rehabilitation Patient-focused home health model Flexible scheduling and clinical autonomy PIVOT Rehabilitation

Benefits

Supportive leadership and interdisciplinary team Ongoing professional development opportunities Competitive compensation and comprehensive benefits We are an Equal Opportunity Employer. We offer an excellent benefit plan, including 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package Please visit pivot-rehab.com/careers/ for more information.

Key Responsibilities

The Occupational Therapist will perform home health evaluations, develop individualized Plans of Care, and provide skilled therapy for various adult and senior patient conditions including orthopedic, neurological, and post-surgical issues. Responsibilities also include training patients/caregivers, fabricating splints, completing timely documentation, and communicating with care teams.

Requirements

Candidates must possess a Bachelor's or Master's Degree in Occupational Therapy and hold an active Texas Occupational Therapist license. Preferred qualifications include home health experience (1+ year required), OASIS documentation experience, current CPR certification, and reliable transportation.

Qualifications

Education
Master's degree (postgraduate degree)

Certifications

CPR (preferred)

Key Skills

Plan of Care DevelopmentOrthopedic ConditionsSplint FabricationEMR DocumentationInterdisciplinary CommunicationCOTA Supervision

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (271 salary observations; 2,407 listings), vs ~$97k nationally (6,587 salary observations; 25,232 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 6% are remote, 38% have no call, 68% require no weekends.

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) PRN Home Health - Houston, TX - NE Corridor (21884) at Pivot Rehabilitation Services a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Occupational Therapy — ranked against 9,285 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no night shifts, flexible scheduling.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Occupational Therapist Jobs

40 matches · ranked by pay

Salary Distribution40 jobs · 33 employers

18
<$115k
6
$115k-135k
9
$135k-155k
7
$155k-175k

Annual compensation range

Benefits & Perks31 jobs

401k / retirement match
94% this job
CME allowance
61% this job
Sign-on bonus
45%
Loan repayment
16%
Relocation assistance
10%

Share of similar jobs offering each benefit

#1

Virtual Occupational TherapistContract

Lets Therapy · Media, Pennsylvania

$82.50 per hour
#2

Head Occupational Therapist (Inpatient Rehabilitation & Acute Care) | NYP-CUIMC | Full-Time | Mon - Fri | Day Shift

NewYork-Presbyterian Hospital · New York, New York

$70.76-$81.01/hr
#3

Occupational Therapist (Home Health)

$130k-$160k
#4

Occupational Therapist, OT, Flexible Schedule, Home Health

$70-$75/hr
+ 38 more · ranked by pay

Work-life snapshot

median 4.8this job 8.0
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,285 comparable listings. Shaded area = the share scoring below this one.

  • No nights
  • On-site

Living in Houston

Typical 3-bedroom home value
$245k
Typical market rent
$1,542/mo
Residents’ average commute
27 min
State income tax
None
Sources & methodology

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

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

Pivot Rehabilitation Services logo

About Pivot Rehabilitation Services

Hospitals and Health Care
11-50 employees

Benefits & Perks

Competitive Pay
Comprehensive Health, Dental, Vision Plans
Supplemental Benefits
401(k) with Company Match
Generous PTO for Full-Time
CEU Reimbursement
Career Growth Opportunities
Company-Provided Uniforms