Occupational Therapist (OT)
Listed compensation
$100k-$130k
The week · per this posting · Monday – Friday
Weekend work is also flagged as required; confirm which days and how often.
Ask the employer about the work setting, call expectations, nights and shift pattern and time off.
Job Description
- Role: Occupational Therapist (OT)
- Schedule: Full-time Monday–Friday + occasional weekends (as needed)
- Location: Field-based
- Comp: $75.00/point $100-$130,000/year
Who We Are
Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. Our ultimate mission is to dramatically improve patient access to home health care.
The OT role supports that mission by delivering safe, reliable skilled care in the home within OT scope — with excellent communication and escalation to the clinical team so patients stay safe and on track.
We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.
Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.
Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.
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 in Homecare Homebase (HCHB) — defensible, efficient, and consistent.
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
- Homecare Homebase (HCHB) experience (or similar home health EMR)
- Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
- Strong organization and time management
Key Responsibilities
The Occupational Therapist will conduct in-home evaluations and deliver skilled care focused on functional independence, safety, and ADL/IADL training. They are responsible for coordinating with the clinical team and maintaining thorough, defensible documentation in the Homecare Homebase system.
Qualifications
- Experience
- 2+ years of experience
Key Skills
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)), so the posted ~$115k midpoint carries the purchasing power of roughly $118k 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, 4% are remote, 40% have no call, 62% 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 6.8 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,285 active Occupational Therapy listings on WeekdayDoc.
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$115k midpoint, that is roughly $5k–$8k a year versus a typical 4–7% state rate.
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