Certified Occupational Therapist Assistant (COTA) Home Health Full-Time - San Antonio, TX (23644)

Occupational TherapistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 3mo ago

Job Description

Job DetailsJob Location: TheraCare Home Health - San Antonio - San Antonio, TX 78229Position Type: Full TimeJob Category: Occupational TherapyCertified Occupational Therapist Assistant (COTA) Home Health – Full-Time Location: San Antonio, TX TheraCare is seeking a licensed Certified Occupational Therapist Assistant (COTA) for a Full-Time home health opportunity providing in-home physical therapy services to adult and geriatric patients throughout San Antonio and surrounding areas.

This Full-Time home health COTA position is ideal for clinicians looking for flexibility, autonomy, and the ability to provide one-on-one patient care in the home setting.

Therapists enjoy creating their own schedules while helping patients improve mobility, strength, safety, and overall independence in the comfort of their homes. Job

Responsibilities

Provide skilled home health occupational therapy interventions under the supervision of a licensed Occupational Therapist (OT) Implement and carry out individualized Plans of Care (POC) developed and delegated by the supervising OT Treat patients with orthopedic, neurological, cardiac, and post-surgical conditions Administer therapeutic exercises, gait training, balance training, transfer training, and functional mobility activities Apply manual therapy techniques and non-complex modalities including heat, cold, electrical stimulation, and other physician-ordered treatments Educate patients and caregivers on home exercise programs (HEP), fall prevention, and safe mobility strategies Monitor patient response to treatment and promptly report changes in condition to the supervising Physical Therapist Complete accurate and timely electronic documentation in compliance with Medicare home health regulations Follow infection control standards and home health safety protocols Participate in QAPI and agency performance improvement initiatives This Full-Time home health certified occupational therapist assistant job in San Antonio, TX is ideal for clinicians seeking flexible occupational therapist jobs with in-home patient care.

What We Offer: Competitive

Compensation

Package Mileage Reimbursement Over-Productivity Pay Comprehensive Health, Vision, and Dental Plan Options Supplemental Benefits (Life, Disability, and Accident Insurance) 401(k) with Matching Contributions Paid time off (Vacation/Sick/Holiday) for Full-Time Employees CEU Reimbursement Employee Recognition Program with Financial Rewards Patient Population Adults and seniors Post-surgical recovery Stroke and neurological conditions Chronic pain and mobility limitations Fall-risk patients in the home setting Job Details Employment Type: Full-Time Schedule: Flexible daytime schedule Work Setting: Home Health / In-Home Physical Therapy Location: San Antonio, TX Qualifications

Qualifications Associate Degree from an accredited Occupational Therapy Assistant (COTA) program Active Certified Occupational Therapy Assistant (COTA) license in the state of Texas Home Health experience (1 year required) HomeCareHomeBase (HCHB) experience (preferred) Current CPR certification Strong communication, clinical judgment, and time-management skills Valid driver’s license, reliable transportation, and current auto insurance Why Work at TheraCare Patient-focused home health model Flexible scheduling and clinical autonomy Supportive leadership & collaborative interdisciplinary team Ongoing professional development opportunities Competitive compensation and comprehensive benefits We are an Equal Opportunity Employer. We offer an excellent benefit plan, including 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package Please visit cantexcc.com for more information

Key Responsibilities

Provide skilled home health occupational therapy interventions and implement individualized plans of care for adult and geriatric patients. Educate patients and caregivers on safety and mobility while maintaining accurate electronic documentation in compliance with Medicare regulations.

Requirements

Requires an Associate Degree from an accredited COTA program and an active Texas COTA license. Candidates must have at least one year of home health experience, a valid driver's license, and current CPR certification.

Qualifications

Experience
2+ years of experience

Certifications

CPR (preferred)

Key Skills

Plan Of Care ImplementationPatient Education

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (271 salary observations; 2,407 listings), vs ~$97k nationally (6,587 salary observations; 25,232 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)). 57.7% of Texas 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).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant (COTA) Home Health Full-Time - San Antonio, TX (23644) at Cantex Continuing Care Network a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top OTA Jobs

3 matches · ranked by pay
#1

Cert Occupational Therapist Assistant, COTA

Kalesta Healthcare Group · Manteca, California

$48-$55/hr
#2

Occupational Therapist Assistant (COTA)- $50 rate per visit W/Retention of 1,500

BrightStar Care - Rio Grande Valley, TX · Edinburg, Texas

$50/visit
#3

COTA / Certified Occupational Therapist Assistant - Home Health

$35-$40/hr
+ 1 more · ranked by pay

Work-life snapshot

median 4.8this job 7.2
Better work-life than 80% of Occupational Therapy Assistant listings

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

Living in San Antonio

Typical 3-bedroom home value
$226k
Typical market rent
$1,386/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

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

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

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

Cantex Continuing Care Network logo

About Cantex Continuing Care Network

Hospitals and Health Care
Carrollton, TX
1,001-5,000 employees

Benefits & Perks

Competitive Compensation Package
Mileage Reimbursement
Over-Productivity Pay
Comprehensive Health, Vision, and Dental Plan Options
Supplemental Benefits (Life, Disability, and Accident Insurance)
401(k) with Matching Contributions
Paid time off (Vacation/Sick/Holiday) for Full-Time Employees
CEU Reimbursement