In-Home OT Therapist - Flexible Schedule & Tech-Driven Care

Adaptive Home Health; Livingston (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

Adaptive Home Health is hiring an Occupational Therapist to deliver skilled home visits in a field-based role across Texas. The role supports patient-centered, high-acuity home health with a focus on ADLs/IADLs, safety, and independence.

You will build care plans, train on adaptive equipment, and coordinate with nursing and the care team. A Texas OT license, strong clinical judgment, and daily travel are required.

Qualifications

• 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).

Responsibilities

• 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

Skills

Texas OT license

Independent field work

Documentation skills

Communication

Driver’s license

Home safety assessment

Job description

Adaptive Home Health is hiring an Occupational Therapist to deliver skilled home visits in a field-based role across Texas. The role supports patient-centered, high-acuity home health with a focus on ADLs/IADLs, safety, and independence.

You will build care plans, train on adaptive equipment, and coordinate with nursing and the care team. A Texas OT license, strong clinical judgment, and daily travel are required.