Adaptive Home Health logo
Adaptive Home Health
Fair Oaks Ranch, Texas

Occupational Therapist (OT)

Occupational TherapistIncludes weekendsFull-Time

Compensation

Pay not listed

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

Posted 4m ago · Verified live

Job Description

  • Role: Occupational Therapist (OT)
  • Schedule: Full-time Monday–Friday + occasional weekends (as needed)
  • Location: Field-based
  • Comp: &5$/point

Who We Are

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access to home health care.

The OT role is the front line of that mission: you restore function in the home, build safe routines, reduce avoidable decline, and help patients regain independence in ADLs/IADLs.

We build technology to better support our field clinicians faster and more supported. Ultimately, our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.

If you have strong clinical judgment and you like owning outcomes, this role gives you autonomy, meaningful patient impact, and a support team built to remove administrative friction.

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 therapy visits to restore patient function and independence. They are responsible for building clear plans of care, recommending adaptive equipment, and coordinating with the broader care team to ensure patient safety.

Qualifications

Experience
2+ years of experience

Key Skills

Occupational therapyPatient evaluationCare coordination

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$94k (269 salary observations; 2,399 listings), vs ~$97k nationally (6,554 salary observations; 25,097 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).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 4% are remote, 42% have no call, 76% 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 6.0 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy — ranked against 9,226 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.

Top Occupational Therapist Jobs

40 matches · ranked by pay

Salary Distribution40 jobs · 32 employers

22
<$115k
6
$115k-135k
8
$135k-155k
4
$156k

Annual compensation range

Benefits & Perks34 jobs · 32 employers

401k / retirement match
94%
CME allowance
62%
Sign-on bonus
44%
Loan repayment
12%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

Occupational Therapist, OT, Flexible Schedule, Home HealthContract

Concierge Home Care · Melbourne, Florida

$70-$75/hr
#2

Occupational TherapistContract

Luna Physical Therapy · Chicago, Illinois

$68-$75/hr
#3

School Occupational Therapist (OT) - Manhattan

$75 an hour
#4

School Occupational Therapist (OT) - Brooklyn

$75 an hour
+ 38 more · ranked by pay

Work-life snapshot

median 4.8this job 6.0
Better work-life than 60% of Occupational Therapy listings

Listing-based score, 0–10, across 9,226 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Living in Fair Oaks Ranch

Typical 3-bedroom home value
$597k
Median resident rent
$2,108/mo
Residents’ average commute
38 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

Sources: Zillow home values (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.

Adaptive Home Health logo

About Adaptive Home Health

Home Health Care Services
Richardson, Texas
201-500 employees

Benefits & Perks

Paid per productivity point
Schedule flexibility
Cutting-edge tech built for clinicians
Operations support