Occupational Therapist (OT) & COTA - Hiring Now, Oahu

Occupational TherapistPer Diem

Listed compensation

$100k-$120k

The week · per this posting

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

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago · Verified live

Job Description

Home Health | per DIEM | O'ahu, Hawaii

Occupational Therapist (OT)

$80 per visit or $100,000–$120,000 annually (based on caseload)

Certified Occupational Therapy Assistant (COTA)

$60 per visit

Location: O'ahu, Hawaii (Reliable transportation required)

Schedule: Flexible Per Diem | Build Your Own Caseload

Provide Therapy Where It Matters MOST

Always Best Care Home Health is a growing Medicare-certified home health agency serving patients throughout O'ahu. We're seeking compassionate Occupational Therapists (OTs) and Certified Occupational Therapy Assistants (COTAs) who are passionate about helping patients regain independence and improve their quality of life through personalized in-home therapy.

If you're looking for flexibility, autonomy, and the opportunity to build meaningful relationships with patients, we'd love to hear from you.

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Compensation

Occupational Therapist (OT)

  • $80 per routine visit
  • Annual salary option: $100,000–$120,000 (based on caseload)

Certified Occupational Therapy Assistant (COTA)

  • $60 per visit

Why Join Always Best Care

  • Flexible per diem scheduling
  • Build and manage your own caseload
  • One-on-one patient care in patients' homes
  • Supportive clinical and administrative team
  • Meaningful relationships with patients and families
  • Opportunity to improve patient independence and safety
  • Locally operated agency focused on quality care

About the Role

As an Occupational Therapist or Certified Occupational Therapy Assistant, you'll help patients improve their ability to safely perform everyday activities while promoting independence in the home environment.

Responsibilities

  • Deliver occupational therapy services in patients' homes
  • Complete initial evaluations and follow-up visits
  • Perform fall risk assessments and home safety evaluations
  • Develop and implement individualized treatment plans (OT)
  • Assist with treatment interventions established by the supervising OT (COTA)
  • Educate patients and caregivers on adaptive techniques and equipment
  • Monitor patient progress and communicate changes with the interdisciplinary team
  • Complete accurate and timely clinical documentation

Qualifications

Occupational Therapist

  • Active Hawaii Occupational Therapist license
  • Minimum one year of clinical experience
  • Home health experience preferred but not required

Certified Occupational Therapy Assistant

  • Active Hawaii Certified Occupational Therapy Assistant license
  • Minimum one year of clinical experience preferred

For Both Positions

  • Strong communication and documentation skills
  • Comfortable with community outreach and educational presentations
  • Valid driver's license and reliable transportation
  • Ability to work independently while collaborating with the interdisciplinary team

We're actively interviewing qualified Occupational Therapists and Certified Occupational Therapy Assistants.

Call 808-207-8558 (available 24/7)

Join a team that values your expertise, supports your professional growth, and gives you the flexibility to provide exceptional therapy services while making a meaningful difference throughout O'ahu.

Key Skills

Patient evaluationFall risk assessmentHome safety evaluationTreatment planningPatient educationCommunication skillsInterdisciplinary collaboration

Occupational Therapist Career Context

In Hawaii, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$104k (37 salary observations; 133 listings), vs ~$97k nationally (6,734 salary observations; 25,870 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 Hawaii is 110.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$110k midpoint carries the purchasing power of roughly $100k in an average-cost state. 64.8% of Hawaii clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in Hawaii?
MeasureThis jobMarket
Listed pay$100k–$120kOccupational Therapy median $70k (middle half $64k–$77k)44 comparable listings, Oct 2026
Hawaii vs national$104k median in Hawaii$97k nationally (+8%)37 state / 6,734 national salary observations
Cost-of-living adjusted pay~$100k in purchasing powerHawaii index 110.0 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in Hawaii94 active9,373 nationallylive on WeekdayDoc, Oct 2026
Occupational Therapy pay trend+1.5% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing 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 OTA Jobs

4 matches · ranked by pay
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Work-life snapshot

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

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

  • On-site
Always Best Care Senior Services - Oahu logo

About Always Best Care Senior Services - Oahu

Health and Human Services
Honolulu, HI

Benefits & Perks

Flexible per diem scheduling
Build your own caseload
One-on-one patient care
Supportive clinical and administrative team

Living in Honolulu

Typical 3-bedroom home value
$1.20M≈ 12.0× annual pay
Typical market rent
$2,733/mo≈ 33% of gross pay
Metro price indexU.S. average = 100
111.0
State income tax
Up to 11%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026).

BEA 2024 · Urban Honolulu, HI metro prices. Housing figures are city-level.

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