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Carilion Clinic
Roanoke, Virginia

Occupational Therapist Assistant- Home Care

Occupational TherapistNo weekendsNo nightsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 4mo ago

Job Description

Employment Status: Full time Shift: Day (United States of America) Facility: 1615 Franklin Rd - Roanoke Requisition Number: R159891 Occupational Therapist Assistant- Home Care (Open) How You’ll Help Transform Healthcare: This is Carilion Clinic...

An organization where innovation happens, collaboration is expected, and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award-winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

The Occupational Therapist Assistant performs selected procedures under the direction of a licensed Occupational therapist who has evaluated the patient and developed a plan of care.

Provides services in compliance with regulations governing the practice of occupational therapy and during the course of treatment, takes into consideration the patient’s chronological and developmental ages. This posting is for a Float position based out of Roanoke and covering various areas in Southwest Virginia.

Mileage Reimbursement. Company equipment.

Sign on bonus Eligible** The Occupational Therapist Assistant Provides patient care based upon therapist evaluation and plan of care and takes into consideration the patients age and level of development when implementing treatment programs and assisting with changes in treatment goals.

Coordinates patient care and clinical activities through written and/or verbal communication with patients, families, therapists, Clinical Team Leaders, mangers and other members of the health care team.

Documents in the patient's medical record and completes other patient care-related forms in compliance with regulatory agencies and department/hospital policies and procedures. Supervises and collaborates with support staff, volunteers and students to achieve efficient clinical activity and quality patient care.

Participates in other patient care and department/professional activities as requested/assigned including but not limited to presenting/attending in-services, performance improvement, program development/evaluation, new employee orientation, committee membership, peer review and attending staff meetings.

Performs job within scope of certification, age-specific criteria, departmental guidelines/protocols, and per OTR and physician instructions performs individualized patient treatment programs. Work is performed primarily indoors in a clinical setting including hospital, nursing home or outpatient sites.

May be required to work at other Carilion facilities to meet staffing needs, in which case will provide own transportation. For Home Care Departments work is performed at patient’s home.

On occasion work may be performed outside of a clinic setting such as work with the driving program, hydrotherapy or home evaluations. Home care practitioners must provide own transportation and travel daily between patient homes.

This posting is for a Float position based out of Roanoke and covering various areas in Southwest Virginia. What We Require: Education: Associate degree from an AOTA accredited program. Experience: none Licensure/Certification: Licensed to practice in the Commonwealth of Virginia.

AHA BLS-HCP required within six months of employment. Other Minimum Qualifications: Effective interpersonal, communication, customer service and teamwork skills required.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Recruiter: Chris Fitzgerald Recruiter Email: cdfitzgerald@carilionclinic.org For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace.

For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a. m. to 4:30 p. m., Monday through Friday.

For more information on E-Verify: carilionclinic.org Benefits, Pay and Well-being at Carilion Clinic Carilion understands the importance of prioritizing your well-being to help you develop and thrive.

That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself.

Below are benefits available to you when you join Carilion: Comprehensive Medical, Dental, & Vision

Benefits

Employer Funded Pension Plan, vested after five years (Voluntary 403B) Paid Time Off (accrued from day one) Onsite fitness studios and discounts to our Carilion Wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training In our workplace, we're devoted to the success of our employees.

No matter where you are in your career, we will help you continue to learn, grow, and share your knowledge with others. Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match.

Join an organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, fully dedicated, and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, and multi-specialty physician practices spanning southwestern Virginia.

Join us and begin your career in a place where every day is a new adventure of creating the future of health care.

Key Responsibilities

Perform selected occupational therapy procedures and implement treatment programs under the direction of a licensed Occupational Therapist. Coordinate patient care through communication with families and healthcare teams while maintaining detailed medical records.

Requirements

Requires an Associate degree from an AOTA accredited program and a valid license to practice in the Commonwealth of Virginia. AHA BLS-HCP certification is required within six months of employment.

Key Skills

Treatment PlanningClinical DocumentationPatient EvaluationSupervisionRegulatory Compliance

Occupational Therapist Career Context

In Virginia, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$96k (100 salary observations; 609 listings), vs ~$96k nationally (4,384 salary observations; 23,944 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 Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Carilion Clinic holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 72/100, 88 active listings.

Occupational Therapy pay on WeekdayDoc is up 3.8% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist Assistant- Home Care at Carilion Clinic a 6.4 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 weekend requirements, no night shifts.

Top OTA Jobs

3 matches · ranked by pay
#1

Occupational Therapist Assistant - COTA

Rehab Without Walls Neuro Rehabilitation · Sacramento, California

$47-$52/hr
#2

COTA / Certified Occupational Therapist Assistant - Home Health

Adoration Health · Richmond, Virginia

$35-$40/hr
#3

Certified Occupational Therapist Assistant (COTA) - Home Health

$26.55-$39.85/hr
+ 1 more · ranked by pay

Work-life snapshot

median 4.8this job 6.4
Better work-life than 70% of Occupational Therapy Assistant listings

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

  • No weekends
  • No nights
  • On-site

Living in Roanoke

Typical 3-bedroom home value
$265k
Typical market rent
$1,413/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

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

Carilion Clinic logo

About Carilion Clinic

Hospitals and Health Care
Roanoke, Virginia
5,001-10,000 employees

Benefits & Perks

Sign-on bonus eligible
Mileage reimbursement
Company equipment
Comprehensive Medical, Dental, & Vision Benefits
Employer Funded Pension Plan
Paid Time Off
Onsite fitness studios
Wellness center discounts