Occupational Therapist Assistant (COTA)

Adaptive Home Health; Wayne (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Adaptive Home Health is hiring a Certified Occupational Therapy Assistant (COTA) to deliver skilled visits in patients' homes across Detroit and surrounding areas. Under the supervising OT, you will implement the plan of care, support ADLs/IADLs, and promote safety, independence, and energy conservation.

We back you with experienced clinical and operational support, a clear productivity model, and scheduling tools to coordinate visits.

Qualifications

• Active Michigan COTA license (in good standing).
• Strong clinical judgment and ability to work independently in the field (within COTA scope and under OT supervision).
• Strong communication and documentation skills.
• Current driver’s license and 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/concerns to the supervising OT.
• Coordinate with nursing and the broader care team: coordinate changes in condition and safety concerns.
• Document promptly and thoroughly — defensible, efficient, and consistent.

Skills

COTA license

Field patient care

Communication

Documentation

Travel readiness

Job description

Certified Occupational Therapy Assistant (COTA) - Home Health

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

• Location: Field-based

Who We Are

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Detroit. Our ultimate mission is to 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: coordinate changes in condition and safety concerns.

• Document promptly and thoroughly — 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.

Must-haves

• Active Michigan 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