Occupational Therapist (OT) Per Diem (PRN)

Occupational TherapistPer Diem

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

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

Posted 3mo ago

Job Description

Position Overview

  • Title: Occupational Therapist (Per Diem/PRN)
  • Company: Xencare Inc. (DBA Wellpointe Home Health)

Work Location

  • Fresno Guest Homes facilities and Office
  • Reports to: Business Office Manager
  • Location: Fresno, CA

About Fresno Guest Homes

Fresno Guest Homes is a leading provider of affordable, boutique-style residential assisted living services in Fresno, CA that specializes in offering a coordinated and integrated system of care to high-acuity older adults with multiple chronic illnesses, including Alzheimer’s and other dementia.

Fresno Guest Homes differentiates itself by providing complex care and medical services coordination in a home-like environment, communicating effectively, and making resident and family satisfaction its top priority.

Position Summary

The Occupational Therapist (Per Diem/PRN) is responsible for providing high-quality, patient-centered therapy services in the home setting. The OT evaluates, plans, and implements individualized treatment programs to improve patients’ ability to perform daily activities, promote safety, and enhance overall well-being. This position works collaboratively with the interdisciplinary home health team to ensure effective, coordinated care.

Key Responsibilities

Conduct comprehensive assessments to evaluate functional abilities, home environment, and rehabilitation potential.

Develop individualized care plans and treatment goals that address physical, cognitive, and psychosocial needs.

Provide therapeutic interventions to improve strength, coordination, fine motor skills, and independence in activities of daily living (ADLs).

Educate patients and caregivers on adaptive techniques, safety strategies, energy conservation, and use of assistive devices or equipment.

Recommend and coordinate durable medical equipment (DME) and environmental modifications as needed.

Document all evaluations, treatments, and progress notes in compliance with Wellpointe Home Health policies, state, and federal regulations.

Collaborate with nurses, physical therapists, speech therapists, and medical social workers to ensure a cohesive plan of care.

  • Participate in case conferences, team meetings, and quality improvement initiatives as requested.
  • Communicate effectively with physicians and care coordinators regarding patient progress and needs.

Qualifications

Education

  • Bachelor’s or Master’s degree in Occupational Therapy from an accredited program.
  • Licensure: Current and valid Occupational Therapy license in the State of California.

Experience

  • Minimum of one (1) year of occupational therapy experience preferred; home health experience strongly desired.
  • Certifications: Current CPR certification.

Other Requirements

  • Valid driver’s license and reliable transportation.
  • Proof of automobile insurance.
  • Strong organizational and time-management skills for per diem scheduling.

Skills and Competencies

  • Comprehensive understanding of home health regulations and documentation standards (OASIS familiarity preferred).
  • Excellent assessment, communication, and patient education skills.
  • Compassionate, patient-centered approach to care.
  • Ability to work independently and manage a flexible caseload.
  • Proficiency with electronic medical record (EMR) systems, Axxess preferred.
  • Commitment to maintaining clinical excellence and compliance standards.
  • Schedule & Compensation
  • Status: PRN / Per Diem / As Needed
  • Schedule: Flexible, based on patient needs and caseload availability.
  • Compensation: Competitive per-visit or hourly rate, commensurate with experience.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Patient AssessmentCare PlanningDurable Medical Equipment CoordinationClinical DocumentationInterdisciplinary CollaborationCase ManagementElectronic Medical Records

Occupational Therapist Career Context

In California, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$117k (932 salary observations; 2,030 listings), vs ~$97k nationally (6,625 salary observations; 25,396 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)). 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Occupational Therapy listings this role was benchmarked against, 2% are remote, 36% 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) Per Diem (PRN) at Wellpointe Family of Companies a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 10% in Occupational Therapy — ranked against 9,297 active Occupational Therapy listings on WeekdayDoc.

Top contract/1099 Occupational Therapist Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 38 employers

19
<$120k
12
$120k-140k
10
$140k-160k
6
$160k-180k
3
$180k+

Annual compensation range

Benefits & Perks39 jobs · 38 employers

401k / retirement match
90%
CME allowance
49%
Sign-on bonus
33%
Relocation assistance
13%
Loan repayment
10%

Share of similar jobs offering each benefit

#1

Occupational Therapist III EX

UCSF · Oakland, California

$67.06-$90.53/hr
#2

Occupational Therapist

Ironside Human Resources · Fairfield, California

$75-$90/hr
#3

Occupational Therapist II, Inpatient Acute Rehabilitation

$61.91-$86.67/hr
#4

Occupational Therapist II EX

$64.05-$86.19/hr
+ 48 more · ranked by pay

Work-life snapshot

median 4.8this job 7.2
Among the best 10% of Occupational Therapy listings for work-life

Listing-based score, 0–10, across 9,297 comparable listings. Shaded area = the share scoring below this one.

Living in Fresno

Typical 3-bedroom home value
$380k
Typical market rent
$1,941/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Wellpointe Family of Companies logo

About Wellpointe Family of Companies

Nursing Homes and Residential Care Facilities
Fresno, California
11-50 employees

Benefits & Perks

Flexible Schedule