Occupational Therapist (OT)

Adaptive Home Health, LLC; Somerset (TX); Remote; USD 90,000 - 110,000; Full time

Job summary

Adaptive Home Health is seeking an Occupational Therapist (OT) to deliver in-home evaluations and skilled OT visits across Texas. The role emphasizes ADLs/IADLs, safety, independence, and patient-centered care.

You will train on adaptive equipment and collaborate with a multidisciplinary team to adjust plans as patient needs evolve. Our field-based OT role offers autonomy with strong operational support, a productivity‑based model, and the opportunity to impact access to high‑quality home health

Qualifications

• Active Texas OT license in good standing.
• Strong clinical judgment and ability to work independently in the field.
• Clear communication and thorough documentation.
• Willingness to travel daily across assigned territory and carry basic therapy equipment.
• Competency in ADL/IADL training and home safety.”

Responsibilities

• Perform in-home OT evaluations and skilled OT visits.
• Develop and implement a plan of care focused on ADLs/IADLs, safety, and functional independence.
• Recommend adaptive equipment and home modifications as needed.
• Collaborate with nursing and the broader care team for changing conditions.
• Document promptly in the electronic health record with accuracy.

Skills

Texas OT license

Clinical judgment

Independent field work

Communication & documentation

Travel to territory

ADL/IADL competency

Equipment handling

Job description

• Location: Field-based
• Role: Occupational Therapist (OT)
• Schedule: Full-time Monday-Friday + occasional weekends (as needed)
• Comp: $65.00/point $90,000-$110,000/year

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