OT

Alt; Killeen, Northern (TX, KY); On-site; USD 100,000 - 130,000; Full time

Job summary

Adaptive Home Health in Texas is seeking a licensed Occupational Therapist to perform in-home evaluations and provide skilled OT visits across the field, emphasizing ADLs/IADLs, safety, and functional independence.

You will use Homecare Homebase for documentation, coordinate with nursing and care teams, and recommend adaptive equipment and home modifications. The role offers full-time schedule with occasional weekends and a field-based work model.

Qualifications

• Active Texas OT license (in good standing).
• Strong clinical judgment and ability to work 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.
• Competency in core home health OT scope (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/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.

Skills

Texas OT license

Clinical judgment

Independent field work

Communication skills

Documentation

Driver's license

ADL/IADL training

Caregiver education

Job description

• Schedule: Full-time Monday–Friday + occasional weekends (as needed)

• Location: Field-based

• Comp: $75.00 / point | $100,000 - $130,000 /year

Who we are

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. Our ultimate mission is to dramatically improve patient access to home health care.

The LVN role supports that mission by delivering safe, reliable skilled care in the home within LVN scope — with excellent communication and escalation to the RN/clinical team so patients stay safe and on track.

We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.

• Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.

• Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

The result: less administrative burden, fewer coordination headaches, and more time for patient care.

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)

  • Role: Occupational Therapist (OT)

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

• Strong organization and time management