Carilion Clinic logo
Carilion Clinic
Roanoke, Virginia

Occupational Therapist- Homecare

Occupational TherapistNo weekendsNo nightsFull-Time

Listed compensation

$36.87-$55.31/hr

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about 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: R159889 Occupational Therapist- 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.

This posting is for a Float position based out of Roanoke and covering various areas in Southwest Virginia. Full time. Homecare services. Roanoke Region. Sign on bonus eligible.

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.

This posting is for a Float position based out of Roanoke and covering various areas in Southwest Virginia.

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: Licensed to practice as an Occupational Therapist in the Commonwealth of Virginia. Other: Effective interpersonal, communication, customer service and teamwork skills required. BLS-certified (from a Carilion-approved program) within six months of employment.

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

The Occupational Therapist performs patient assessments and implements individualized treatment programs based on physician referrals. They coordinate care with families and healthcare teams while supervising COTAs and documenting patient progress.

Requirements

Requires a Bachelor's or Master's degree in Occupational Therapy and a valid license to practice in Virginia. One year of clinical experience is required for home health positions, along with BLS certification within six months.

Qualifications

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

Key Skills

Patient AssessmentTreatment PlanningClinical DocumentationSupervisionCase Coordination

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)), so the posted ~$96k midpoint carries the purchasing power of roughly $95k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 45 active Occupational Therapy listings this role was benchmarked against, 2% are remote, 58% have no call, 64% require no weekends.

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- Homecare 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 — ranked against 9,334 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Top Occupational Therapist Jobs

27 matches · ranked by pay

Salary Distribution27 jobs · 18 employers

7
<$105k
5
$105k-120k
6
$120k-135k
7
$135k-150k
2
$150k+

Annual compensation range

Benefits & Perks26 jobs · 18 employers

401k / retirement match
92% this job
Sign-on bonus
50% this job
CME allowance
50%
Loan repayment
31%
Relocation assistance
15%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Citrus Heights, California

$130k-$160k
#2

Occupational Therapist (Maternity Relief)

MGA Homecare · McKinney, Texas

up to $150,000
#3

Acute Care Occupational Therapist

$96k-$141k
#4

Occupational Therapist

$96k-$141k
+ 25 more · ranked by pay

Work-life snapshot

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

Listing-based score, 0–10, across 9,334 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
Comprehensive Medical, Dental, & Vision Benefits
Employer Funded Pension Plan
Paid Time Off
Onsite fitness studios
Wellness center discounts
Health and wellness app
Childcare discounts