Elara Caring logo
Elara Caring
Fresno, Texas

Occupational Therapist OT Home Health

Occupational TherapistFull-Time

Listed compensation

$95k-$117k

The week · per this posting · weekdays assumed

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

Posted 1mo ago · Verified live

Job Description

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.

Job Description

Occupational Therapist

At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting.

Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as an Occupational Therapist.

Being a part of something this great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers.

To continue to be an industry pioneer in delivering unparalleled care, we need an Occupational Therapist with commitment and compassion. Are you one of them? If so, apply today!

Why Join the Elara Caring Mission?

  • Work in a collaborative environment.
  • Be rewarded with a unique opportunity to make a difference

Competitive Compensation Package

  • Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost
  • Opportunities for advancement
  • Comprehensive insurance plans for medical, dental, and vision benefits
  • 401(K) with employer match
  • Paid time off, paid holidays, family, and pet bereavement
  • Pet insurance
  • As an Occupational Therapist, you’ll contribute to our success in the following ways:

Evaluates the occupational therapy patient to determine the rehabilitation needs, potential for achievement, and develops a plan of care in accordance with the findings.

Participates in the implementation and development of the Plan of Care to ensure quality and continuity of care and proper discharge planning. Makes the initial therapy evaluation visit and re-evaluates the patients therapy needs during each visit. Makes follow-up assessments according to OASIS and PPS regulatory guidelines.

Communicates significant findings, problems, changes in condition or environment to the appropriate supervisor, the physician, and other team members involved with patient care.

  • Initiates plan for patient safety, using the patient, family, and community resources.
  • Verifies the Plan of Care prior to each visit and provides care according to physician’s orders, assessment data, and established standards and guidelines.
  • Writes physician orders to cover additional visits and changes to the Plan of Care, per agency policy.

Incorporates patient care goals established in the Plan of Care, into therapy care, as evidenced by documentation in therapy notes.

Performs occupational therapy services in accordance with accepted standards of practice and certified by the patient’s physician.

Instructs and provides patients and/or their families with “activities of daily living” utilizing adaptive equipment as well as sensory integration and fine motor coordination skills.

Assists patient and/or caregiver in securing necessary equipment, which may include fabrication of custom- made splints.

Instructs the patient and/or caregiver in the therapy home program providing modification and clarification when necessary.

  • Counsels and instructs the patient and family in meeting therapy and related needs.
  • Supervises and/or provides clinical direction to the Certified Occupational Therapy Assistant (COTA), Home Health Aide (HHA), and clinical staff to ensure the therapy care plan is followed and quality of care is being provided.
  • Physically demanding, high stress environment
  • Full range of body motion including handling, lifting and transfer of patients
  • Potentially work irregular hours including call hours if applicable

What Is Required?

  • Graduate of an accredited Occupational Therapy program
  • Current, unrestricted OT license valid for the state of work
  • Minimum one (1) year of experience in a clinical care setting
  • Able and willing to travel within the branch coverage area, including Fresno Katy, Missouri City, Richmond, Rosenburg, and Sugar Land
  • Scheduling support helps coordinate patient visits to minimize unnecessary drive time when possible.
  • Additional compensation is available for extended travel within the territory.
  • Must have a dependable vehicle, valid driver’s license, and current auto insurance in accordance with state laws.
  • Must be able and willing to travel 50%
  • Able to sit, stand, bend, lift and move intermittently and be able to lift 50-100 lbs.

The base salary for this position is $95,000 to $117,000 annually, based on the company's good faith estimate at the time of posting. Actual pay will be determined based on factors such as education, experience, skills, and internal equity. In addition to base salary, this position is eligible for productivity bonus opportunities.

You will report to the Branch Director, Clinical Manager, Clinical Supervisor or designee.

Equal Employment Opportunity: We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements.

Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com.

Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at careers.elara.com

EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Key Responsibilities

The Occupational Therapist evaluates patients in their homes to develop and implement personalized plans of care for rehabilitation. They also provide clinical supervision to support staff and ensure high-quality care delivery in accordance with physician orders and regulatory standards.

Requirements

Candidates must be graduates of an accredited Occupational Therapy program and hold a current, unrestricted state license. A minimum of one year of clinical experience and a valid driver's license with a dependable vehicle are required.

Qualifications

Experience
2+ years of experience

Key Skills

Patient evaluationPlan of care developmentOASIS documentationSplint fabricationHome health carePatient assessmentRehabilitation planning

Occupational Therapist Career Context

In Texas, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$95k (186 salary observations; 2,330 listings), vs ~$97k nationally (4,521 salary observations; 25,570 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 ~$106k midpoint carries the purchasing power of roughly $109k 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, 44% have no call, 62% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 3.7% vs. the prior quarter (through Sep 2026).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$106k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

18 matches · ranked by pay

Salary Distribution18 jobs · 14 employers

7
<$105k
3
$105k-120k
2
$120k-135k
3
$135k-150k
3
$150k+

Annual compensation range

Benefits & Perks18 jobs · 14 employers

401k / retirement match
94% this job
Sign-on bonus
61%
CME allowance
39% this job
Loan repayment
28%
PSLF eligible
17%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist

MGA Homecare · Fort Worth, Texas

up to $150,000
#3

Occupational Therapist (Maternity Relief)

up to $150,000
#4

Occupational Therapist

$96k-$141k
+ 16 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,471 comparable listings. Shaded area = the share scoring below this one.

Living in Fresno

Typical 3-bedroom home value
$255k≈ 2.7× annual pay
Typical market rent
$2,085/mo≈ 26% of gross pay
Residents’ average commute
34 min
State income tax
None
Sources & methodology

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

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

Elara Caring logo

About Elara Caring

Hospitals and Health Care
Dallas, Texas
5,001-10,000 employees

Benefits & Perks

Competitive Compensation
Tuition Reimbursement
Continuing Education
Medical Insurance
Dental
Vision
401(K) with Employer Match
Paid Time Off