Occupational Therapist (OT)

Adaptive Home Health•Universal City, TX

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas to improve patient access to home health care. The Occupational Therapist is a field-based clinician who helps patients restore function at home, establish safe routines, reduce avoidable decline, and regain independence in activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The role offers clinical autonomy and support from an experienced clinical and operational team. Adaptive Home Health also builds technology intended to support field clinicians, reduce documentation burden, and improve visit coordination. Compensation is based on productivity points, with market-specific expectations.

Requirements

  • Active Texas 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.
  • Current driver's license and comfort with daily travel across an assigned territory.
  • Ability to carry and transport basic therapy equipment as needed.
  • Competency in core home health OT practice, including ADL/IADL training, home safety, adaptive equipment, and caregiver education.

Nice To Haves

  • Prior home health experience.
  • Experience with Homecare Homebase (HCHB) or a similar home health EMR.
  • 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 and provide training on adaptive equipment and home modifications as needed.
  • Coordinate with nursing and the broader care team when a patient's condition or needs change.
  • Document promptly and thoroughly in Homecare Homebase (HCHB), with clear rationale and consistent, defensible documentation.
  • Follow through reliably on orders, visit frequencies, and patient goals.
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