Occupational Therapist (OT)

Fira Health

$100K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active Texas OT license in good standing
  • Strong clinical judgment and ability to work independently in the field
  • Comfort with escalating changes in patient condition to RN/MD and documenting clearly
  • Excellent communication and documentation skills
  • Reliability in following through on treatment orders and patient goals
  • Current driver's license with willingness to travel across assigned territory
  • Ability to transport basic therapy equipment when needed
  • Competency in core OT practices such as ADL/IADL training and home safety

Responsibilities

  • Conduct in-home OT evaluations and provide skilled OT visits
  • Develop and implement a detailed plan of care focusing on safety and functional independence
  • Recommend and instruct on adaptive equipment and necessary home modifications
  • Collaborate with nursing and the wider care team regarding patient changes
  • Document patient interactions and care plans promptly in Homecare Homebase

Benefits

  • Support from experienced clinical and operational teams to prioritize patient care
  • Performance-based pay with transparent productivity expectations
  • Flexible scheduling tailored for sustainable field work
  • Access to innovative technology designed specifically for clinicians
  • Opportunity to contribute to a mission of expanding high-quality home health care
Full Job Description
  • Schedule: Full-time Monday-Friday + occasional weekends (as needed)
  • Location: Field-based
  • Comp: $75.00 / point | $100,000 - $130,000 /year

The OT role is the front line of that mission: you restore function in the home, build safe routines, reduce avoidable decline, and help patients regain independence in ADLs/IADLs.

We build technology to better support our field clinicians faster and more supported. Ultimately, our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.

If you have strong clinical judgment and you like owning outcomes, this role gives you autonomy, meaningful patient impact, and a support team built to remove administrative friction.
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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