Home Health Occupational Therapist
Listed compensation
$55-$65/hr
The week · per this posting · Monday – FridayWeekdays only
Ask the employer about call expectations and time off.
Job Description
Signature Healthcare at Home is seeking to add an Occupational Therapist for Island County!
This position would cover Island County (Oak Harbor, Coupeville, Clinton, Freeland, Langley, Camano) for home health occupational therapy services.
This position works Monday through Friday day shift, with self-directed scheduling dependent on patient needs and territory. If you enjoy a high level of autonomy, travel and meeting patients where they are, apply today!
Duties and Responsibilities
Assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s).
Provides patient, family and/or caregiver education, counseling, and refers patient to other home health services as appropriate.
Evaluates patient’s functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self-care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care.
- Supervises Certified Occupational Therapy Assistants according to organization policy and state regulations.
- Participates in discharge planning for patient.
- Knowledge, Skills and Experience
- Must have graduated from an OT program accredited by the Accreditation Council for Occupational Therapy Education (“ACOTE”) of the American Occupational Therapy Association (“AOTA) or any successor organization of the ACOTE.
- Must be licensed and able to practice in Washington State.
Must be eligible for or have taken the OT certification examination administered by the National Board for Certification in Occupational Therapy (“NBCOT”).
The ability to drive and/or have access to transportation for agency related travel (e. g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver’s license, maintain automobile insurance coverage and have access to an automobile.
Preferred Qualifications
- Clinicians with experience in Home Health or post-acute care.
- Familiarity with Homecare Homebase EMR.
- Schedule, Pay and Benefits
- Full-time and Part-Time Monday through Friday available, flexible hours!
- Hourly $55 - 65 (Dependent on Experience) + Mileage Reimbursement.
- Medical/Dental/Vision available the 1st of the month after hire.
- Paid company holidays, 2+ weeks PTO and 401k match after 90 days for full-time employees.
Contact us if this role sounds like you!
Learn More About Us
Exceptional In-Home Healthcare | Signature | Oregon & Washington
Providing Life-Changing Service | Pennant
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at pennantgroup.com.
Key Responsibilities
The Occupational Therapist will conduct interdisciplinary assessments and develop individualized plans of care for patients in their homes. They are responsible for evaluating functional status, identifying equipment needs, and supervising Certified Occupational Therapy Assistants.
Requirements
Candidates must hold a degree from an ACOTE-accredited program and possess a valid Washington State license. A valid driver's license, reliable transportation, and automobile insurance are required for travel to patient locations.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Occupational Therapist Career Context
In Washington, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$113k (234 salary observations; 533 listings), vs ~$97k nationally (5,202 salary observations; 27,817 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.
The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$125k midpoint carries the purchasing power of roughly $117k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.8 / 10 · top 25% in occupational therapy | ranked against 9,077 Occupational Therapy listingslisting-based score, 0–10 |
| Listed pay | $114k–$135k | Occupational Therapy median $130k (middle half $119k–$131k)12 comparable listings, Nov 2026 |
| Washington vs national | $113k median in Washington | $97k nationally (+17%)234 state / 5,202 national salary observations |
| Cost-of-living adjusted pay | ~$117k in purchasing power | Washington index 107.0 (US = 100)BEA Regional Price Parities (2024) |
| Occupational Therapy listings in Washington | 226 active | 8,913 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 35% no call · 53% no weekends40 benchmarked listings |
| Sign-on & loan repayment | not stated | Washington Occupational Therapist listings: 15% state a sign-on bonus (median $10k) · 11% offer loan repayment262 active listings, Nov 2026 |
| New Occupational Therapy listings | 3,033 in the last 30 days | 1,687 the 30 days before (+80%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Occupational Therapy pay trend | +2.9% vs prior quarter | —through Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Home Health Occupational Therapist at Signature Healthcare at Home a 6.8 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Occupational Therapy — ranked against 9,077 active Occupational Therapy listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.
Location & Logistics
Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$125k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.
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