Occupational Therapist Assistant (COTA)

Adaptive Home Health; Dallas (TX); On-site; USD 81,000 - 100,000; Full time

Job summary

Adaptive Home Health is seeking a Certified Occupational Therapy Assistant (COTA) to perform field-based home visits across Texas. This full-time role operates Monday–Friday with a field-based location and compensation structured around productivity points.

You will deliver functional COTA visits, implement ADLs/IADLs and safety-focused plans under OT supervision, and collaborate with nursing and care teams. Travel across the assigned territory is required.

Qualifications

• Active Texas COTA license in good standing.
• Strong clinical judgment and ability to work independently in the field under OT supervision.
• Clear communication and thorough documentation.
• Current driver's license and willingness to travel daily across the assigned territory.

Responsibilities

• Deliver skilled COTA visits in the home under the supervising OT's plan of care.
• Execute functional treatment plans: ADLs/IADLs, safety/fall prevention, energy conservation, UE function, adaptive equipment training.
• Track objective functional progress and communicate updates/concerns to the supervising OT.
• Coordinate with nursing and broader care team; escalate changes in condition or safety concerns.

Skills

Home health experience

Strong clinical judgment

Strong communication

Driver's license & travel

Education

Texas COTA license

Job description

Certified Occupational Therapy Assistant (COTA) - Home Health

• Schedule: Full-time Monday-Friday

• Location: Field-based

• Comp: $58 per point/30 points per week

Who We Are

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. Our ultimate mission is dramatically improve patient access to home health care.

The COTA role is the front line of that mission: you deliver high-quality functional visits in the home under the OT plan of care, helping patients stay safe and independent.

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.

What you will do

• Deliver skilled COTA visits in the home under the supervising OT's plan of care.

• Execute functional treatment plans: ADLs/IADLs, safety/fall prevention, energy conservation, UE function, adaptive equipment training.

• Track objective functional progress and communicate updates/concerns to the supervising OT.

• Coordinate with nursing and the broader care team: escalates changes in condition and safety concerns.

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 COTA license (in good standing)

• Strong clinical judgment and comfort working independently in the field (within COTA scope and under OT supervision)

• Strong communication and documentation

• Current driver's license and comfort with daily travel across assigned territory

Nice-to-haves

• Prior home health experience