Occupational Therapist (OT)

Occupational TherapistPer Diem

Compensation

Pay not listed

The week · per this posting

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

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

Posted 1h ago · Verified live

Job Description

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

Schedule: As needed/ One Day per week

Territory: Sterling Heights, Madison Heights, Grosse Pointe, Eastpoint, etc

How You'll Make a Difference

Care and compassion are at the heart of what you'll do as an Occupational Therapist (OT). You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population.

You'll provide home-based therapy care for patients as directed by the attending physician. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey.

Home care provides context and real-world perspective about what will really help patients restore their health.

What We Offer

We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base hourly rate plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day.

We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market.

We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program.

How You'll Work

You'll provide comprehensive skilled services as ordered by the attending physician. You will educate patients and their family members and ensures the safety of the patient. You are accountable for completing accurate documentation and remaining compliant with all legal rules and regulations.

Major Areas of Responsibility

Plan of Care: Provide skilled occupational therapy as ordered by the attending physician. Observe, record, and report patient reactions, changes, and progress to attending physician and any appropriate agency staff. Develop an individualized OT plan of care and make adjustments as needs change.

Evaluation: Evaluate the patient’s level of functioning by applying diagnostic and prognostic procedures.

Patient Outcomes: Use activities and home exercise programs to improve range of motion, muscle strength, and coordination through passive/active exercise and/or activity.

Minimize Patient Risk: Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions.

Family Educator/Advocate: Counsel patient and family on the disease/injury and how to manage in all phases of occupational therapy. Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices.

  • Supervision: Oversee and supervise total care of patient provided by COTA.
  • Communication/Collaboration: Communicate with the COTA on supervisory visit results.
  • Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
  • Rules and Regulations: Understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors.
  • Operations: Attend in-service training and mandatory agency meetings.

HARD & SOFT Skills

  • Compassionate communicator with a positive attitude
  • Patience is a virtue when working with patients, families, physicians, and coworkers
  • Attention to detail is critical, as is being observant and following directions

Requirements

  • Occupational Therapist with a current license in the state of employment.
  • Minimum one-year experience as a OT in an acute care setting.
  • Home care experience preferred.
  • Valid driver's license and auto insurance in your name as a driver
  • Capable of all physical demands

We are proud to be part of the Alternate Solutions Health Network family.

We’ll help you put your passion for patient care to work. Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.

Key Responsibilities

The Occupational Therapist will provide home-based skilled therapy services as ordered by a physician and develop individualized plans of care. They are responsible for evaluating patient functioning, educating families, and supervising COTA staff to ensure positive recovery outcomes.

Key Skills

Home health carePatient educationInterdisciplinary collaborationRehabilitationCompassionate communicationTime managementSupervision of COTAPlan of care developmentSafety assessmentProsthetic and orthotic device instruction

Occupational Therapist Career Context

In Michigan, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$89k (75 salary observations; 739 listings), vs ~$97k nationally (4,667 salary observations; 26,845 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 Michigan is 96.2 (US average = 100; BEA Regional Price Parities (2024)). 61.8% of Michigan clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Michigan?
MeasureThis jobMarket
Listed paynot listedOccupational Therapy median $89k (middle half $75k–$104k)169 comparable listings, Oct 2026
Michigan vs national$89k median in Michigan$97k nationally (−8%)75 state / 4,667 national salary observations
Cost of livingMichigan index 96.2US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Michigan307 active9,225 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 34% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentsign-on bonusMichigan Occupational Therapist listings: 19% state a sign-on bonus (median $10k) · 7% offer loan repayment335 active listings, Oct 2026
Occupational Therapy pay trend+2.7% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top contract/1099 Occupational Therapist Jobs

41 matches · ranked by pay

Salary Distribution

39 jobs · 32 employers
13
<$100k
8
$100k-115k
6
$115k-130k
7
$130k-145k
5
$145k+

Annual compensation range

Benefits & Perks

37 jobs · 32 employers
401k / retirement match
95% this job
CME allowance
49%
Sign-on bonus
43% this job
Loan repayment
19%
PSLF eligible
5%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational TherapistContract

Luna Physical Therapy · Chicago, Illinois

$68-$75/hr
#3

School-Based Occupational Therapist (OT)

$67-$73/hr
#4

Occupational Therapist

$57-$70/hr
+ 39 more · ranked by pay

Work-life snapshot

median 4.8this job 2.8
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,225 comparable listings. Shaded area = the share scoring below this one.

Alternate Solutions Health Network logo

About Alternate Solutions Health Network

Hospitals and Health Care
Kettering, Ohio
501-1,000 employees

Benefits & Perks

Guaranteed Base Hourly Rate Plus Uncapped Bonus
Mileage Reimbursement
Medical, Dental, Vision Insurance
Paid Time Off
401(k)
Company Paid Life Insurance
Employee Assistance Program (EAP)
Flexible Schedule

Living in Detroit

Typical 3-bedroom home value
$79k
Typical market rent
$1,328/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
100.3
State income tax
Up to 4.3%
Sources & methodology

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

BEA 2024 · Detroit-Warren-Dearborn, MI metro prices. Housing figures are city-level.

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