21st Century Home Health Services logo
21st Century Home Health Services
Guerneville, California

Occupational Therapist (Home Health)

Occupational TherapistFull-Time

Listed compensation

$130k-$160k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area.

Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties!

Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.

We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.

Key Achievements Include

San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.

National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.

Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.

Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.

  • Why you Should Come Work for us as an Occupational Therapist (OT) Home Health:
  • Flexible work schedules: Create your own schedule and hours
  • Targeted territories - Smaller coverage area than any other home health company
  • Autonomy: No clocking in/out
  • Low turnover/High morale

Helpful Software and Communication Tools

Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, Flexible Spending Accounts (FSAs), Pet Insurance and more!

  • Competitive compensation with achievable incentive bonus program
  • Targeted Territory
  • Concierge Services (Charting, Quality and Administrative tasks)
  • To be a success as an Occupational Therapist (OT) Home Health:
  • Current unrestricted CA Occupational Therapist License
  • Current BLS/CPR Certification

Valid CA Driver's License

  • Knowledge of local community resources is required.
  • Knowledge and understanding of individual development and human behavior as it relates to the effects of illness/injury; and of the influence of culture on health care.
  • Knowledge of state and federal homecare regulatory guidelines preferred.
  • Experience home health care is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Case Management fundamentals is highly desired
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Leadership skills
  • Organized

$130,000 - $160,000 a year

Wage Range: Occupational Therapist: $130,000 - $160,000 annually. Starting pay is commensurate with relevant experience above the minimum requirements.

The compensation structure for this position includes an annual base salary plus eligibility for an annual performance-based bonus incentive. In addition, 21st Century offers comprehensive health benefits and a 401(k) plan with up to a 4% company match.

  • You will be assigned a primary location; however, you may occasionally be asked to provide coverage outside of that area. This may include supporting vacancies, leaves of absence, higher patient census, or other client care needs. While 21st Century Home Health makes every effort to maintain your primary territory, temporary reassignments may be necessary to ensure safe, high-quality patient care and to meet the needs of our growing organization.

Follow 21HHS on Linkedin!

21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.

Key Responsibilities

Provide occupational therapy services to patients in their homes within a designated territory. Collaborate with an interdisciplinary team to deliver high-quality care and manage patient cases effectively.

Requirements

Requires a current unrestricted California Occupational Therapist license and BLS/CPR certification. Experience in home health care and knowledge of regulatory guidelines are highly preferred.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Critical thinkingInterdisciplinary team collaborationRegulatory complianceHuman behavior knowledgeClinical documentation

Occupational Therapist Career Context

In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$115k (619 salary observations; 1,903 listings), vs ~$96k nationally (4,563 salary observations; 25,028 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 ~$145k midpoint carries the purchasing power of roughly $131k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 48 active Occupational Therapy listings this role was benchmarked against, 42% have no call, 75% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 3.5% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Occupational Therapist (Home Health) at 21st Century Home Health Services a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,334 active Occupational Therapy listings on WeekdayDoc.

Top Occupational Therapist Jobs

27 matches · ranked by pay

Salary Distribution27 jobs · 18 employers

12
<$110k
4
$110k-125k
4
$125k-140k
6
$140k-155k
1
$160k

Annual compensation range

Benefits & Perks25 jobs · 18 employers

401k / retirement match
84% this job
Sign-on bonus
56% this job
CME allowance
44%
Loan repayment
28%
Relocation assistance
12%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Citrus Heights, California

$130k-$160k
#2

Occupational Therapist

Welbe Health · Elk Grove, California

$117k-$148k
#3

Acute Care Occupational Therapist

$96k-$141k
#4

Occupational Therapist

$96k-$141k
+ 25 more · ranked by pay

Work-life snapshot

median 4.8this job 6.1
Better work-life than 60% of Occupational Therapy listings

Listing-based score, 0–10, across 9,334 comparable listings. Shaded area = the share scoring below this one.

Living in Guerneville

Typical 3-bedroom home value
$613k≈ 4.7× annual pay
Median resident rent
$1,579/mo≈ 15% of gross pay
Residents’ average commute
34 min
Metro price indexU.S. average = 100
107.8
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Santa Rosa-Petaluma, CA metro prices. Housing figures are city-level.

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

21st Century Home Health Services logo

About 21st Century Home Health Services

Hospitals and Health Care
Burlingame, California
201-500 employees

Benefits & Perks

401k with matching (up to 4% company match)
Generous PTO
Medical, Dental, Life Insurance
Flexible Spending Accounts (FSAs)
Pet Insurance
Competitive compensation with achievable incentive bonus program
Flexible work schedules
Autonomy: No clocking in/out