Occupational Therapist (OT)

Adaptive Home Health; Wayne (MI); On-site; USD 100,000 - 130,000; Full time

Benefits offered by this job

Referral bonus

Medical/dental/vision benefits

Job summary

Adaptive Home Health is seeking an Occupational Therapist to deliver in-home OT services in Detroit and surrounding areas. The role emphasizes building a high-quality plan of care focused on ADLs/IADLs, safety, and functional independence, with strong documentation and collaboration with the care team.

You will drive patient outcomes, manage a full caseload, and travel daily across the assigned territory. A Michigan OT license and reliable transportation are required; field-based work is

Qualifications

• Active Michigan OT license in good standing.
• Demonstrated clinical judgment in field settings.
• Strong communication and documentation skills.
• Ability to travel daily across assigned territory.

Responsibilities

• Complete in-home OT evaluations and deliver skilled OT visits.
• Develop and implement plan of care focused on ADLs/IADLs, safety, and independence.
• Recommend adaptive equipment and home modifications as needed.
• Coordinate with nursing and care team when conditions change.

Skills

Home health OT

Clinical judgment

Independent field work

Documentation

Driving/travel readiness

Tools

EHR software

Job description

• Location: Field Based
• Compensation (Productivity Points): $75.00 / point | $100,000-$130,000/year

• Role: Occupational Therapist (OT)
• Schedule: Full-time Monday–Friday + occasional weekends (as needed)
• Location: Field Based
• Compensation (Productivity Points): $75.00 / point | $100,000-$130,000/year

We're fixing home healthcare, and we're building our presence in Detroit

Adaptive is building an AI-native home healthcare platform that enables clinicians to focus on delivering best-in-class care for their patients by leveraging software and innovative support solutions. We’re building our team in Detroit with plans to quickly develop an exceptional reputation of delivering excellent patient care.

The mission of this role

Deliver excellent home health care to our patients in Detroit, and set the clinical bar, the documentation standard, and the referral-source trust that our market will be built on.

Objectives

• Carry a full, high-quality caseload: ramp to ~28 productivity points/week at target visit quality.
• Own your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality.
• Be a referral-source ambassador: every discharge planner, ALF, and physician you touch should want to send the next patient to us because you were responsive and excellent.
• Set the standard others copy: your charting, cadence, and judgment become the template we onboard the next cohort against as the pod grows.

What you'll own

• 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 — defensible, efficient, and consistent.

Who You Are / How You Operate

• Dedicated clinician: home health experience strongly preferred
• High ownership: you treat your caseload like your own panel and your pod like your own business.
• Open mindset: Energized by the opportunity to shape the playbook and refine SOPs
• Tech-forward: You want to leverage software to accelerate the charting process, and you’ll give us blunt feedback to make it better
• Trust-builder: Patients, families, and referral partners believe you because you do what you say.

Must-haves

• Active Michigan 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
• Valid driver’s license, auto insurance, and reliable transportation 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
• Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
• Strong organization and time management

Our guarantee

• Full-time target: ~28 productivity points/week; clinicians earn more for exceeding it.

The rest of the package

• $1k bonus for referrals (we’re growing)!
• Benefits for full-time (medical/dental/vision, PTO)

Compensation Range: $100K - $130K