Occupational Therapist (OT) - PRN

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

Benefits offered by this job

Medical/dental/vision

PTO

Job summary

Adaptive Home Health is hiring an Occupational Therapist to deliver in-home OT visits across Detroit and surrounding areas. This part-time, field-based role emphasizes high-quality patient care, ADL/IADL training, and safety assessments while leveraging our AI-native platform to streamline documentation.

You will own a caseload, coordinate with nurses and clinicians, and travel daily within the assigned territory.

Qualifications

• Active Michigan OT license in good standing.
• Strong clinical judgment and ability to work independently in the field.
• Comfort escalating changes in condition to RN/MD with clear rationale.
• Strong communication and documentation.
• Reliable transportation with daily travel across territory.
• Ability to carry/transport basic therapy equipment.
• Competency in ADL/IADL training, home safety, adaptive equipment, caregiver education.

Responsibilities

• Complete in-home OT evaluations and deliver skilled OT visits.
• Build and execute a clear plan of care focused on ADLs/IADLs, safety and independence.
• Recommend and train on adaptive equipment and home modifications as needed.
• Coordinate with nursing and broader care team when condition changes.
• Document promptly in Homecare Homebase with defensible, efficient records.

Skills

Michigan OT license

Independent field work

Travel across territory

Equipment transport

Education

Active Michigan OT license

Job description

• 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

• 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

• Carry a high-quality caseload
• 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 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
• 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

The rest of the package

• Benefits for full-time (medical/dental/vision, PTO)

Compensation Range: $100K - $130K