
Occupational Therapist (OT)
Required skills
- Texas OT license
- clinical judgment
- escalating changes in condition
- follow-through on orders
- daily travel
- therapy equipment
- ADL/IADL training
- home safety
- adaptive equipment
- caregiver education
Nice to have
- home health experience
- neuro
- CVA
- fall risk
- dementia
- caregiver training
Role summary
Adaptive Home Health is seeking a full-time Occupational Therapist (OT) to provide skilled home health care. This field-based role involves conducting in-home OT evaluations and visits, developing care plans focused on ADLs/IADLs, safety, and functional independence. Responsibilities include recommending adaptive equipment, coordinating with the care team, and documenting thoroughly in Homecare Homebase (HCHB). The position offers schedule flexibility, cutting-edge technology to reduce documentation burden, and a mission-driven environment focused on improving patient access to high-quality home health care. Requires an active Texas OT license, strong clinical judgment, and comfort working independently.
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
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