Occupational Therapist Assistant (COTA)

Certified Occupational Therapy Assistant (COTA) - Home Health

Schedule: Full-time Monday–Friday + occasional weekends (as needed)

Location: Field-based

• •Comp: $58 per Point, $80,000-$100,000/yr
• 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)

Role: Occupational Therapist (OT)

Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)

Strong organization and time management