Occupational Therapist Assistant (COTA)

Adaptive Home Health; Galveston (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

Adaptive Home Health is seeking a Certified Occupational Therapy Assistant (COTA) to deliver skilled visits in the Galveston area, working under an OT supervisor. This field-based role offers a full-time schedule Monday–Friday with a productivity-based pay model and a focus on patient-centered home health care.

You will perform ADLs/IADLs, safety/fall prevention, energy conservation, UE function training, and documentation, coordinating with the care team to ensure timely, high-quality care for

Qualifications

• Must have active Texas COTA license and strong clinical judgment.
• Ability to work independently in the field within supervising OT scope.
• Excellent communication and thorough documentation skills.
• Willingness to travel daily across 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 to supervising OT.
• Coordinate with nursing and broader care team; escalate changes in condition or safety concerns.
• Document promptly and thoroughly.

Skills

Strong clinical judgment

Clear communication

Documentation

Texas COTA license

Field-based travel

Tools

EMR

Job description

Certified Occupational Therapy Assistant (COTA) - Home Health

• Schedule: Full-time Monday–Friday

• Location: Field-based (Galveston pod)

• Comp: $58.00 per point

Who We Are

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

We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.

• Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.

• Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

The result: less administrative burden, fewer coordination headaches, and more time for patient care.

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: elevate changes in condition and safety concerns.

• Document promptly and thoroughly

• 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

• EMR experience