Occupational Therapist (OT) - PRN

Adaptive Home Health; Detroit (MI); On-site; USD 45,000 - 65,000; Part time

Benefits offered by this job

Mileage reimbursement

Referral bonus

Job summary

Adaptive is fixing home healthcare and building a Detroit presence by delivering high-quality in-home Occupational Therapy. This field-based role requires a Michigan OT license, strong clinical judgment, and the ability to work independently to manage a high-quality caseload.

You will perform in-home evaluations, develop care plans focused on ADLs/IADLs and safety, and coordinate with nursing and the care team. Mileage reimbursement and referral bonuses are offered.

Qualifications

• Active Michigan OT license (in good standing).
• Strong clinical judgment; ability to work independently in the field.
• Comfort escalating changes in condition to RN/MD and documenting rationale clearly.
• Strong communication and documentation skills.
• Reliable follow-through on orders, frequencies, and patient goals.

Responsibilities

• 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 HCHB — defensible, efficient, and consistent.

Skills

Home health OT

Independent field work

Strong communication

Documentation

Travel readiness

Education

OT degree (Bachelor/Master)

Tools

HCHB (Homecare Homebase)

Job description

• Role: Occupational Therapist (OT)

• Schedule: Part-time flexibility (pick up visits based on your availability; weekdays and/or weekends as needed)

• Location: Field Based

• Compensation (Productivity Points): $75.00 / point

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

1. Carry a high-quality caseload

2. Own your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality.

3. 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.

4. 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 in Homecare Homebase (HCHB) — 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

The rest of the package

• Mileage reimbursement

• $1,000 referral bonuses