Occupational Therapist (OT)

Adaptive Home Health, LLC; Castle Hills (TX); Remote; USD 80,000 - 110,000; Full time

Job summary

Adaptive Home Health in Texas is seeking a Field-based Occupational Therapist to deliver skilled OT visits and in-home assessments. You will build Plans of Care focused on ADLs/IADLs, safety, and independence, and use adaptive equipment and home modifications as needed.

You will collaborate with nursing and the broader care team, document promptly in Homecare Homebase, and travel across assigned territory. A Texas OT license is required and you will work full-time with occasional weekend

Qualifications

• Active Texas OT license in good standing.
• Strong clinical judgment and field independence.
• Clear documentation and communication.
• Current driver's license and daily travel.
• Ability to transport basic therapy equipment.

Responsibilities

• Complete in-home OT evaluations and visits.
• Develop and execute plan of care for ADLs/IADLs.
• Recommend adaptive equipment and home modifications.
• Coordinate with nursing and care team.
• Document in HCHB promptly and thoroughly.

Skills

Strong clinical judgment

Independent field work

Excellent communication

Documentation

Education

Texas OT license

Tools

Homecare Homebase (HCHB)

Job description

• Location: Field-based
• Comp: $65/point $80,000 - $110,000 annually

• Role: Occupational Therapist (OT)
• Schedule: Full-time Monday–Friday + occasional weekends (as needed)
• Location: Field-based
• Comp: $65/point $80,000 - $110,000 annually

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)
• Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
• Strong organization and time management