Occupational Therapist (OT) & Certified Occupational Therapy Assistant (COTA) — Per Diem | O'ahu, HI
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 the work setting, call expectations, weekend coverage and time off.
Job Description
Occupational Therapist (OT) & Certified Occupational Therapy Assistant (COTA) — Per Diem | O'ahu, HI
Potential to Earn $100,000–$120,000/Year
Pay
- OT: $80 per visit (potential $100,000–$120,000/year based on caseload)
- COTA: $60 per visit
Location: O'ahu, HI (reliable transportation required)
Schedule: Flexible / Per diem — choose your own patients
Make a Difference in Home-Based & Senior Care
We're a growing Medicare-certified Home Health agency on O'ahu, dedicated to fall prevention and empowering residents to thrive in the comfort of their homes. We're currently hiring licensed Occupational Therapists (OT) and Certified Occupational Therapy Assistants (COTA) who are passionate about improving lives through quality, in-home and community-based therapy.
Get a feel for our team culture — watch our "Now Hiring" TV commercial: youtu. be
What You'll Do
- Deliver occupational therapy services to clients in their homes
- Conduct initial and follow-up assessments, including fall risk evaluations
- Oversee client progress and ensure top-notch care
What We're Looking For
- Licensed OT or COTA in Hawaii
- 1+ year of clinical or home health experience
- Strong communication and documentation skills
- Comfortable with outreach and public presentations
- Valid driver's license and reliable transportation
Perks & Benefits
- Competitive per-visit pay
- Flexible scheduling — choose your own patients
- Supportive team and work environment
- Room to grow with a growing agency
Ready to Apply?
Call us: 808-207-8558 (available 24/7), or book your interview today at abcoahu.com
Key Responsibilities
Deliver occupational therapy services and conduct initial and follow-up assessments in clients' homes. Oversee client progress and perform fall risk evaluations to empower residents to thrive.
Requirements
Must be a licensed OT or COTA in Hawaii with at least one year of clinical or home health experience. Requires a valid driver's license, reliable transportation, and strong communication skills.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Occupational Therapist Career Context
In Hawaii, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$105k (36 salary observations; 131 listings), vs ~$97k nationally (6,663 salary observations; 25,614 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).
Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).
Top contract/1099 OTA Jobs
1 matches · ranked by payCertified Occupational Therapist Assistant (COTA)Per Diem
Healthpro Heritage · Glen Cove, New York
Work-life snapshot
Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.
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.
Benefits & Perks
100+ more from Always Best Care Senior Services - Oahu
- Occupational Therapist (OT) & COTA - Diamond Head · 25+ locations$120k
- Occupational Therapist (OT) & COTA - Openings Available, Oahu · Honolulu, Hawaii$120k
- Occupational Therapist (OT) & COTA - Join Our Ohana, Oahu · Honolulu, Hawaii$120k