Adaptive Home Health logo
Adaptive Home Health
Cleveland, Texas

Occupational Therapist (OT)

Occupational TherapistIncludes weekendsFull-Time

Listed compensation

$100k-$130k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

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

Posted 2mo ago

Job Description

  • Schedule: Full-time Monday–Friday + occasional weekends (as needed)
  • Location: Field-based
  • Comp: $75.00 / point | $100,000 - $130,000 /year

Who We Are

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access to home health care.

The OT role is the front line of that mission: you restore function in the home, build safe routines, reduce avoidable decline, and help patients regain independence in ADLs/IADLs.

We build technology to better support our field clinicians faster and more supported. Ultimately, our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.

If you have strong clinical judgment and you like owning outcomes, this role gives you autonomy, meaningful patient impact, and a support team built to remove administrative friction.

What You Will Do

  • Complete in-home OT evaluations and deliver skilled OT visits.
  • Build and execute a clear plan of care focused on ADLs/IADLs, safety/fall prevention, and functional independence.
  • Recommend and train on adaptive equipment and home modifications as needed.
  • Coordinate with nursing and the broader care team when condition or needs change.
  • Document promptly and thoroughly in Homecare Homebase (HCHB) — defensible, efficient, and consistent.

Why Adaptive

Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.

Clear productivity model with upside: You are paid per productivity point with clear expectations (market-specific).

Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.

Cutting-edge tech built for clinicians: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.

Mission-driven work: We are here to expand access to high-quality home health care, and we want therapists who take pride in raising the standard.

Requirements

  • Must-haves
  • Active Texas OT license (in good standing)
  • Strong clinical judgment and comfort working independently in the field
  • Comfort escalating changes in condition to RN/MD and documenting rationale clearly
  • Strong communication and documentation
  • Reliable follow-through on orders, frequencies, and patient goals
  • Current driver’s license and comfort with daily travel across assigned territory
  • Able to carry/transport basic therapy equipment as needed
  • Competency in core home health OT scope (ADL/IADL training, home safety, adaptive equipment, caregiver education)
  • Nice-to-haves
  • Prior home health experience
  • Homecare Homebase (HCHB) experience (or similar home health EMR)
  • Role: Occupational Therapist (OT)
  • Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
  • Strong organization and time management

Key Responsibilities

The Occupational Therapist will conduct in-home evaluations and deliver skilled therapy visits to restore patient function and independence. They are responsible for building care plans, training on adaptive equipment, and coordinating with the broader care team to ensure quality outcomes.

Qualifications

Experience
2+ years of experience

Key Skills

Occupational Therapy

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$97k (118 salary observations; 1,260 listings), vs ~$97k nationally (3,066 salary observations; 13,376 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$115k midpoint carries the purchasing power of roughly $118k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Texas?
MeasureThis jobMarket
Work-life score6.3 / 10 · above average in occupational therapyranked against 8,992 Occupational Therapy listingslisting-based score, 0–10
Listed pay$100k–$130kOccupational Therapy median $98k (middle half $90k–$103k)12 comparable listings, Nov 2026
Texas vs national$97k median in Texas$97k nationally (+1%)118 state / 3,066 national salary observations
Cost-of-living adjusted pay~$118k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Texas928 active9,140 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 4% remote · 40% no call · 52% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas occupational therapist listings (all specialties): 8% state a sign-on bonus (median $5k) · 6% offer loan repayment1,000 active listings, Nov 2026
New Occupational Therapy listings3,265 in the last 30 days1,694 the 30 days before (+93%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (8,992 Occupational Therapy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist (OT) at Adaptive Home Health 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 8,992 active Occupational Therapy listings on WeekdayDoc.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$115k midpoint, that is roughly $5k–$8k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

28 matches · ranked by pay

Salary Distribution

28 jobs · 17 employers
5
<$90k
3
$90k-105k
13
$105k-120k
5
$120k-135k
2
$140k

Annual compensation range

Benefits & Perks

25 jobs · 17 employers
401k / retirement match
100%
CME allowance
52%
Sign-on bonus
32%
Loan repayment
20%
PSLF eligible
4%

Share of similar jobs offering each benefit

#1

Occupational Therapist Marlboro NJ

Healthcare Recruitment Counselors · Marlboro, New Jersey

$140k
#2

Occupational Therapist Matawan NJ

Healthcare Recruitment Counselors · Matawan, New Jersey

$140k
#3

PACE Occupational Therapist, Compton Center

$92k-$134k
#4

Occupational Therapist (OT)

$100k-$130k
+ 26 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 8,992 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
Adaptive Home Health logo

About Adaptive Home Health

Home Health Care Services
Richardson, Texas
201-500 employees

Benefits & Perks

Schedule flexibility
Cutting-edge technology for clinicians
Supportive clinical and operational team

Living in Cleveland

Typical 3-bedroom home value
$226k≈ 2.3× annual pay
Typical market rent
$1,656/mo≈ 20% of gross pay
Residents’ average commute
37 min
State income tax
None
Sources & methodology

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.