Nursing & Rehab At Home logo
Nursing & Rehab At Home
San Mateo, California

Home Health Occupational Therapist Part Time / Per Diem

Occupational TherapistPer Diem

Listed compensation

$60-$80/hr

The week · per this posting

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

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 16m ago · Verified live

Job Description

Benefits

  • Locally Owned and Operated
  • Mileage Reimbursement
  • 401(k)
  • Bonus based on performance
  • Company parties
  • Flexible schedule

Bring Your Skills to Your Patients' Front DOOR.

Home Health Physical Therapy is where you can see the real impact of your work. You'll treat patients in the place they actually live, work with their families, and build the kind of long-term relationships that clinic settings rarely allow. If you want autonomy, variety, and time to focus on the whole person, this role is for you.

Nursing & Rehab At Home is a clinician-owned and operated, family-run agency, proudly rooted in our local community.

Many of our employees have been working with us for over a decade! We offer a relaxed, nurturing environment where patients and staff are both well cared for.

Why You'll Love It Here

Real relationships. You'll get to know your patients and their families, and you'll see them get stronger, more confident, and more independent.

Autonomy you can feel. You'll plan and guide care with trust and support from your Clinical Manager and team.

A team that has your back. You're out in the community, but you're never on your own. With regular huddles, peer support, and celebrations, working with Nursing & Rehab At Home gives you colleagues who feel like family.

Variety. No two days look alike. Different neighborhoods, different stories, different challenges.

Impact: You’ll help patients relearn daily activities, adapt their homes, and gain confidence, with results you can see.

Collaboration: You’ll work closely with physicians, nurses, therapy assistants, and other clinicians as part of a coordinated care team.

What You'll Do

Evaluate patients’ functional abilities and assess their homes for hazards or barriers to independent living

Build individualized treatment plans and goals, and share them with referring physicians and the care team

Teach or retrain patients in daily activities, and train them in adaptive equipment, prosthetics, and orthotics, including fabricating splints when needed

Take on case management for your assigned patients when requested, coordinating their care from start to discharge

  • Complete OASIS assessments as assigned
  • Educate patients, families, and caregivers so they feel equipped to support recovery
  • Supervise certified occupational therapy assistants and, when therapy is the only skilled service, home health aides
  • Connect patients and families with other home health services they may need
  • Join case conferences and in-services to keep care coordinated and your skills sharp

What You Bring

  • Graduate of an accredited occupational therapy program
  • NBCOT certification
  • Active California OT license
  • Current CPR certification
  • Reliable, insured vehicle and a valid driver’s license
  • Strong communication and organizational skills
  • 1+ year of OT experience preferred

Environmental Conditions

May be exposed to extremes of heat and cold in all weather conditions. Must drive in various weather conditions on roads in varying degrees of repair.

Working Conditions

May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed or occasionally exposed to patient elements. Subject to varying and unpredictable situations. Handles emergency or crisis situations. Travel required. OSHA exposure category: Category I — Position includes tasks that involve exposure to blood, body fluids, tissues.

Key Responsibilities

Evaluate patients' functional abilities and home environments to develop and implement individualized treatment plans. Coordinate care with physicians and the clinical team while educating patients and families to support recovery.

Requirements

Requires a graduate degree from an accredited occupational therapy program and an active California OT license. Candidates must possess NBCOT certification, current CPR certification, and a reliable vehicle for travel.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Patient evaluationTreatment planningOASIS assessmentPatient educationHome safety assessmentAdaptive equipment trainingSplint fabricationCare coordination

Occupational Therapist Career Context

In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$117k (960 salary observations; 2,084 listings), vs ~$97k nationally (6,856 salary observations; 26,330 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 California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$146k midpoint carries the purchasing power of roughly $132k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in California?
MeasureThis jobMarket
Listed pay$125k–$166kOccupational Therapy median $140k (middle half $104k–$140k)26 comparable listings, Oct 2026
California vs national$117k median in California$97k nationally (+21%)960 state / 6,856 national salary observations
Cost-of-living adjusted pay~$132k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in California924 active9,419 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 4% remote · 34% no call · 48% no weekends50 benchmarked listings
Sign-on & loan repaymentsign-on bonusCalifornia Occupational Therapist listings: 14% state a sign-on bonus (median $5k) · 6% offer loan repayment980 active listings, Oct 2026
Occupational Therapy pay trend+1.5% vs prior quarter—through Sep 2026
Nursing & Rehab At Homesilver tier, 72/100Top Employers work-life index3 active listings
Sources: WeekdayDoc live listing index, Top Employers work-life 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

50 matches · ranked by pay

Salary Distribution

35 jobs · 32 employers
11
<$130k
10
$130k-145k
9
$145k-160k
4
$160k-175k
1
$180k

Annual compensation range

Benefits & Perks

36 jobs · 32 employers
401k / retirement match
86% this job
CME allowance
53%
Sign-on bonus
25% this job
Relocation assistance
17%
Loan repayment
11%

Share of similar jobs offering each benefit

#1

Occupational Therapist

Home Care Providers Group · Yuba City, California

$95/hour
#2

Occupational Therapist (OT)- South County

Home Care Providers Group · San Diego, California

$95/hour
#3

Home Care Occupational Therapist- 1099 (Queens)

$80-$90/hr
#4

Occupational Therapist, OT, Flexible Home Health Schedule

$65-$75/hr
+ 48 more · ranked by pay

Work-life snapshot

median 4.8this job 4.8
Better work-life than 50% of Occupational Therapy listings

Listing-based score, 0–10, across 9,322 comparable listings. Shaded area = the share scoring below this one.

Nursing & Rehab At Home logo

About Nursing & Rehab At Home

Hospitals and Health Care
San Mateo, California
51-200 employees

Benefits & Perks

Locally Owned and Operated
Mileage Reimbursement
401(k)
Bonus based on performance
Company parties
Flexible schedule

Living in San Mateo

Typical 3-bedroom home value
$1.81M
Typical market rent
$3,968/mo
Residents’ average commute
26 min
State income tax
Up to 13.3%
Sources & methodology

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

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