Occupational Therapist (OT) - PRN

Adaptive Home Health•Detroit, MI

2d•$100,000 - $130,000•Onsite

About The Position

Adaptive is building an AI-native home healthcare platform and expanding its presence in Detroit. The Occupational Therapist delivers excellent home health care to patients in Detroit while helping establish the clinical standards, documentation practices, and referral-source trust that will support the market’s growth. The role involves completing in-home OT evaluations and skilled visits, developing plans of care focused on ADLs/IADLs, safety, fall prevention, and functional independence, and recommending and training patients on adaptive equipment and home modifications. The therapist coordinates with nursing and the broader care team when patient conditions or needs change and documents care promptly and thoroughly in Homecare Homebase (HCHB). This is a field-based, part-time flexible PRN role. The therapist picks up visits based on availability, on weekdays and/or weekends as needed, and travels throughout an assigned territory. The clinician is expected to take ownership of patient outcomes and their caseload, contribute to quality improvement through case conferences and team huddles, build strong relationships with referral partners, and help shape the team’s playbook and standard operating procedures.

Requirements

Active Michigan occupational therapy license in good standing.
Strong clinical judgment and ability to work independently in the field.
Comfort escalating changes in condition to an RN or MD and clearly documenting the rationale.
Strong communication and documentation skills.
Reliable follow-through on orders, visit frequencies, and patient goals.
Valid driver’s license, auto insurance, and reliable transportation; comfort with daily travel across the assigned territory.
Ability to carry or transport basic therapy equipment as needed.
Competency in core home health OT scope, including ADL/IADL training, home safety, adaptive equipment, and caregiver education.

Nice To Haves

Prior home health experience.
Deeper experience with neuro, CVA, fall-risk, or dementia/caregiver-training populations.
Strong organization and time-management skills.

Responsibilities

Complete in-home occupational therapy evaluations and deliver skilled OT visits.
Build and execute plans of care focused on ADLs/IADLs, safety and fall prevention, and functional independence.
Recommend adaptive equipment and home modifications, and train patients or caregivers in their use as needed.
Coordinate with nursing and the broader care team when a patient’s condition or needs change.
Document care promptly and thoroughly in Homecare Homebase (HCHB), maintaining defensible, efficient, and consistent records.
Take ownership of patient outcomes, including supporting low avoidable-hospitalization rates and strong patient-experience scores.
Participate in case conferences and team huddles to improve quality.
Build trust with discharge planners, assisted living facilities, physicians, patients, and families through responsive, reliable care.
Help establish clinical, documentation, and care-delivery standards as the team grows.
Provide feedback on software and contribute to refining the team’s playbook and standard operating procedures.