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Royale Care VA
Alexandria, Virginia

Home Health Occupational Therapist

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 52m ago · Verified live

Job Description

Royale Care VA Home Health is looking for a Home Health Occupational Therapist (OT) to join our team on a Per Diem or Part-Time basis. The OT helps to fulfill the care requirements of our patients who are located all over Northern Virginia. The OT ensures competent care and safety is consistently delivered to all patients. Our Alexandria office serves our patients located in Alexandria and surrounding areas.

This per diem role requires Home Health experience.

As a home health occupational therapist, you will be an integral member of a multi-disciplinary health care team that provides skilled nursing and rehabilitative care to clients, providing them the opportunity to receive the medical care required to remain safely at home.

  • The ideal candidate is able to cover most parts of Central Northern Virginia.
  • The Occupational Therapists responsibilities include but are not limited to:
  • Completing home health visits to clients in our coverage areas
  • Evaluating the home environment for hazards or barriers to independent living.

Performing thorough evaluations of patients’ functional status, including muscle function, endurance, visual coordination, written and verbal communication skills, and ADL and IADL performance.

Assessing cognitive, psychological and motor aspects of performance and developinf individualized intervention plans

  • Identifying equipment needs and environmental adaptations resulting in enhanced outcomes for clients.
  • Continually assessing and revising the occupational therapy care plan,
  • Participating with nursing in the multidisciplinary care rounds, as appropriate.

Educating and instructing patients, family members, or other patient representatives, in rehabilitative care and activities necessary to promote the client's health, safety and independent living.

Accurately documenting observations, interventions, and evaluations pertaining to patient care management and services provided, using our electronic medical record (EMR) in a timely manner.

Qualifications

A degree from an occupational therapy program accredited jointly bythe Committee on Allied Health Education and Accreditation of the AMA and the AOTA

A current VA Occupational Therapist license.

Prior Home Care Experience Required

  • A minimum of one year of recent work experience as an Occupational Therapist.
  • Ability to work independently and manage time effectively.
  • Strong interpersonal skills, organizational skills, and problem solving skills.

Strong computer skills; prior experience with home healthelectronic medical records (EMR) (Wellsky Kinnser preferred).

Key Responsibilities

The Occupational Therapist will conduct home visits to evaluate patient functional status and develop individualized intervention plans to promote independent living. They will also collaborate with a multidisciplinary team and educate patients and their families on rehabilitative care and safety.

Qualifications

Experience
2+ years of experience

Key Skills

Home Health CarePatient EvaluationCare PlanningADL AssessmentIADL AssessmentElectronic Medical RecordsTime ManagementPatient EducationMultidisciplinary Collaboration

Occupational Therapist Career Context

In Virginia, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$99k (129 salary observations; 758 listings), vs ~$96k nationally (4,943 salary observations; 28,957 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; 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
Virginia vs national$99k median in Virginia$96k nationally (+3%)129 state / 4,943 national salary observations
Cost of livingVirginia index 101.1US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in Virginia247 active9,068 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 6% remote · 46% no call · 62% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedVirginia occupational therapist listings (all specialties): 16% state a sign-on bonus (median $5k) · 13% offer loan repayment283 active listings, Nov 2026
New Occupational Therapy listings3,166 in the last 30 days1,639 the 30 days before (+93%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top contract/1099 Occupational Therapist Jobs

40 matches · ranked by pay

Salary Distribution

34 jobs · 32 employers
7
<$100k
13
$100k-115k
3
$115k-130k
8
$130k-145k
3
$145k+

Annual compensation range

Benefits & Perks

34 jobs · 32 employers
401k / retirement match
97%
CME allowance
62%
Sign-on bonus
24%
Loan repayment
24%
PSLF eligible
6%

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 Therapist (OT) – Flexible ScheduleContract

Concierge Home Care · Brandon, Florida

$70-$75/hr
#3

School-Based Occupational Therapist (OT)

$67-$73/hr
#4

Occupational Therapist-Home Health

$96k-$141k
+ 38 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 9,068 comparable listings. Shaded area = the share scoring below this one.

Living in Alexandria

Typical 3-bedroom home value
$700k
Typical market rent
$2,275/mo
Residents’ average commute
28 min
Metro price indexU.S. average = 100
108.9
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 · Washington-Arlington-Alexandria, DC-VA-MD-WV metro prices. Housing figures are city-level.

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