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Adaptive Home Health
Livingston, Texas

Occupational Therapist (OT)

Occupational TherapistNo weekendsFull-Time

Listed compensation

$75.00/point

The week · per this posting · Monday – Friday

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

Posted 2mo ago · Verified live

Job Description

  • Schedule: Full-time Monday–Friday
  • Location: Field-based
  • Comp: $75.00 / point

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 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

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

  • Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
  • Strong organization and time management
  • Experience using charting systems / EMRs

Key Responsibilities

Perform in-home occupational therapy evaluations and execute care plans focused on functional independence and safety. Coordinate with the broader care team and document patient progress to reduce avoidable decline.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Home Safety AssessmentAdaptive Equipment RecommendationPatient EvaluationClinical DocumentationCare CoordinationCase Management

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (271 salary observations; 2,482 listings), vs ~$97k nationally (6,664 salary observations; 25,616 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 Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $77k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 36% have no call, 60% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist (OT) at Adaptive Home Health a 7.9 out of 10 for work-life balance — classified as very good. This places the position in the top 5% in Occupational Therapy — ranked against 9,356 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$75k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

20 matches · ranked by pay

Salary Distribution20 jobs · 11 employers

1
$90k
13
$95k-110k
2
$110k-140k
4
$140k+

Annual compensation range

Benefits & Perks19 jobs · 11 employers

401k / retirement match
89%
Sign-on bonus
53%
CME allowance
32%
Loan repayment
16%
Relocation assistance
5%

Share of similar jobs offering each benefit

#1

Occupational Therapist

MGA Homecare · Dallas, Texas

up to $150,000
#2

Occupational Therapist (Maternity Relief)

MGA Homecare · McKinney, Texas

up to $150,000
#3

Occupational Therapist Matawan NJ

$140k
#4

Occupational Therapist Marlboro NJ

$140k
+ 18 more · ranked by pay

Work-life snapshot

median 4.8this job 7.9
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,356 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Livingston

Typical 3-bedroom home value
$254k≈ 3.4× annual pay
Typical market rent
$1,474/mo≈ 24% of gross pay
Residents’ average commute
17 min
State income tax
None
Sources & methodology

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

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

Adaptive Home Health logo

About Adaptive Home Health

Home Health Care Services
Richardson, Texas
51-200 employees

Benefits & Perks

Flexible schedule
Cutting-edge tech for clinicians
Clinical and operational support