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Carilion Clinic
Roanoke, Virginia

Occupational Therapist- Flex- Homecare

Occupational TherapistNo weekendsPer Diem

Listed compensation

$56/hr

The week · per this posting · Monday – Friday

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

Posted 1h ago · Verified live

Job Description

Employment Status: Variable / Flex

Shift: Day/Evening (United States of America)

Facility

  • 1615 Franklin Rd - Roanoke
  • R163288 Occupational Therapist- Flex- Homecare (Open)

How You’ll Help Transform Healthcare

The Occupational Therapist confirms and interprets physician referrals, performs patient assessments and plans and implements individualized treatment programs taking into account the patient’s developmental and/or chronological age and medical diagnoses in accordance with the regulations governing the principles and practice of Occupational Therapy.

Homecare setting. Flex/PRN schedule. Greater Roanoke Region.

The Occupational Therapist confirms and interprets physician referrals, performs patient assessments and plans and implements individualized treatment programs taking into account the patient’s developmental and/or chronological age and medical diagnoses in accordance with the regulations governing the principles and practice of Occupational Therapy.

Provides patient care based upon physician referral and age-appropriate assessment taking into consideration the patient’s developmental/chronological age and medical diagnoses when planning/implementing treatment programs designed to achieve goals set in conjunction with the patient and/or family member.

Coordinates patient care and clinical activities through written and/or verbal communication with patients, families, therapists, Clinical Team Leaders, managers, physicians 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 OTAs and collaborates with other therapy staff, support staff, volunteers and students to achieve efficient clinical activity and quality patient care.

Participates in other patient care and departmental/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.

Supervises Certified Occupational Therapist Assistants (COTAs) as provided by State of Virginia licensure/practice standards and Federal regulations. Orients new employees and may provide guidance to volunteers, students, support, or contract staff.

Communication commonly occurs with persons who have similar or different functions inside or outside the organization. May provide problem-solving, consultation, advising or interpretation services to others. May work with outside vendors, but does not have the authority to commit for the organization. Access and exposure to patient information is required for the performance of the job.

Suggests cost containment initiatives in immediate work unit/department. Within scope of license, age-specific criteria and per physician referral, interprets physician orders, performs patient assessments, and plans and implements individualized patient treatment programs.

Impact of work is generally within department or service line. 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, hydro-therapy or home evaluations. Work requires physical activity with patients including lifting, manipulating, pushing, pulling, bending and walking.

What We Require

Education

Bachelor's or master's degree in occupational therapy from an accredited occupational therapy program required..

Experience

Experience in site specific level of care preferred but not required. For Home Health positions one year of clinical experience required.

Licensure, certification, and/or registration: Licensed to practice as an Occupational Therapist in the Commonwealth of Virginia.

Life Support: AHA BLS-certified (from a Carilion approved program) 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

Compensation Range

$56.00 - $56.00

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

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, Personify Health
  • Discounts on childcare
  • Continued education and training

Key Responsibilities

The Occupational Therapist performs patient assessments and implements individualized treatment programs within a homecare setting. They coordinate care with the clinical team, document patient progress, and supervise Certified Occupational Therapist Assistants.

Requirements

Candidates must hold a bachelor's or master's degree in occupational therapy and possess a valid license to practice in the Commonwealth of Virginia. One year of clinical experience is required for home health positions, along with AHA BLS certification.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Patient assessmentTreatment planningClinical documentationPhysician referral interpretationSupervision of OTAsHome health careAge-appropriate careRegulatory complianceCare coordination

Occupational Therapist Career Context

In Virginia, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$97k (167 salary observations; 644 listings), vs ~$97k nationally (6,810 salary observations; 26,145 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).

What does the Occupational Therapy market look like in Virginia?
MeasureThis jobMarket
Work-life score6.3 / 10 · above average in occupational therapyranked against 9,265 Occupational Therapy listingslisting-based score, 0–10
Listed paynot listedOccupational Therapy median $112k (middle half $101k–$125k)18 comparable listings, Oct 2026
Virginia vs national$97k median in Virginia$97k nationally (+1%)167 state / 6,810 national salary observations
Cost of livingVirginia index 101.1US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Virginia251 active9,263 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 5% remote · 35% no call · 63% no weekends40 benchmarked listings
Occupational Therapy pay trend+1.5% vs prior quarter—through Sep 2026
Carilion Clinicsilver tier, 75/100Top Employers work-life index116 active listings
Sources: WeekdayDoc live listing index (9,265 Occupational Therapy listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist- Flex- Homecare at Carilion Clinic a 6.3 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,265 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top contract/1099 Occupational Therapist Jobs

40 matches · ranked by pay

Salary Distribution

29 jobs · 26 employers
9
<$115k
4
$115k-130k
10
$130k-145k
4
$145k-160k
2
$160k+

Annual compensation range

Benefits & Perks

33 jobs · 26 employers
401k / retirement match
82% this job
CME allowance
67%
Sign-on bonus
36%
Loan repayment
15%
Relocation assistance
9%

Share of similar jobs offering each benefit

#1

Occupational Therapist (OT)- South County

Home Care Providers Group · San Diego, California

$95/hour
#2

Home Care Occupational Therapist- 1099 (Queens)Per Diem

US Physical Therapy · Flushing, New York

$80-$90/hr
#3

Occupational Therapist, OT, Flexible Home Health Schedule

$65-$75/hr
#4

Occupational Therapist, OT

$65-$75/hr
+ 38 more · ranked by pay

Work-life snapshot

median 4.8this job 6.3
Better work-life than 70% of Occupational Therapy listings

Listing-based score, 0–10, across 9,265 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site
Carilion Clinic logo

About Carilion Clinic

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

Benefits & Perks

Medical
Dental
Vision
Pension Plan
403b
Paid Time Off
Onsite Fitness Studios
Childcare Discounts

Living in Roanoke

Typical 3-bedroom home value
$264k
Typical market rent
$1,368/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 (Sep 2026), Zillow market rents (Sep 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.