Occupational Therapist – Home Modification As
Listed compensation
$150-$200/hr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
Alta Healthcare Services is seeking a Maryland-licensed Occupational Therapist to conduct in-home environmental assessments for Medicaid clients who require home modifications.
Responsibilities
- Evaluate clients’ functional and accessibility needs.
- Assess home safety, mobility barriers, and fall risks.
- Recommend medically necessary modifications and adaptive equipment.
- Complete clear, timely Medicaid-compliant assessment reports.
- Coordinate with clients, caregivers, contractors, and care teams as needed.
Qualifications
- Active Maryland Occupational Therapist license.
- Experience with home safety, accessibility, aging in place, or disability assessments.
- Strong documentation and report-writing skills.
- Reliable transportation for home visits.
Position: Independent Contractor | Flexible Schedule | Per-Assessment Compensation
Service Area: Montgomery County and surrounding Maryland counties
Join Alta Healthcare Services and help Medicaid clients live more safely and independently at home.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Occupational Therapist Career Context
In Maryland, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$97k (129 salary observations; 402 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 Maryland is 105.0 (US average = 100; BEA Regional Price Parities (2024)). 62.9% of Maryland clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Of the 40 active Occupational Therapy listings this role was benchmarked against, 13% are remote, 43% have no call, 65% require no weekends.
Occupational Therapy pay on WeekdayDoc is up 3.7% vs. the prior quarter (through Sep 2026).
Top contract/1099 Occupational Therapist Jobs
24 matches · ranked by paySalary Distribution8 jobs
Annual compensation range
Benefits & Perks16 jobs · 15 employers
Share of similar jobs offering each benefit
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$67.06-$90.53/hrWork-life snapshot
Listing-based score, 0–10, across 9,430 comparable listings. Shaded area = the share scoring below this one.
Living in Gaithersburg
- Typical 3-bedroom home value
- $490k
- Typical market rent
- $2,167/mo
- Residents’ average commute
- 29 min
- Metro price indexU.S. average = 100
- 108.9
- State income tax
- Up to 5.8%
Sources & methodology
Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.
BEA 2024 · Washington-Arlington-Alexandria, DC-VA-MD-WV metro prices. Housing figures are city-level.
City-level figures. Not a cost-of-living guarantee.