Occupational Therapist (OT)

Fira Health

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

Qualifications

  • Active Michigan OT license in good standing
  • Strong clinical judgment in independent fieldwork
  • Ability to escalate patient condition changes clearly
  • Excellent communication and documentation skills
  • Dependable follow-through on orders and goals
  • Valid driver's license and reliable transportation
  • Familiarity with core home health OT skills (ADL/IADL, safety training, equipment recommendations)

Responsibilities

  • Deliver comprehensive in-home OT evaluations and skilled visits
  • Create and implement care plans focused on patient independence
  • Recommend adaptive equipment and home modifications
  • Collaborate with nursing and care teams to address changing patient needs
  • Maintain accurate and timely documentation in Homecare Homebase (HCHB)

Benefits

  • Mileage reimbursement at IRS rate (~$0.67/mi)
  • $1k sign-on bonus after 90 days
  • $1k referral bonus for hiring
  • Comprehensive benefits including medical, dental, vision, and PTO for full-time employees
Full Job Description
  • Role: Occupational Therapist (OT)
  • Schedule: Full-time Monday-Friday + occasional weekends (as needed)
  • Location: Field Based
  • Compensation (Productivity Points): $75.00 / point | $100,000-$130,000/year


The mission of this role

Deliver excellent home health care to our patients in Detroit, and set the clinical bar, the documentation standard, and the referral-source trust that our market will be built on.

Objectives
  1. Carry a full, high-quality caseload: ramp to ~28 productivity points/week at target visit quality.
  2. Own your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality.
  3. Be a referral-source ambassador: every discharge planner, ALF, and physician you touch should want to send the next patient to us because you were responsive and excellent.
  4. Set the standard others copy: your charting, cadence, and judgment become the template we onboard the next cohort against as the pod grows.


What you'll own
  • 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.
Who you are / how you operate
  • Dedicated clinician: home health experience strongly preferred
  • High ownership: you treat your caseload like your own panel and your pod like your own business.
  • Open mindset: Energized by the opportunity to shape the playbook and refine SOPs
  • Tech-forward: You want to leverage software to accelerate the charting process, and you'll give us blunt feedback to make it better
  • Trust-builder: Patients, families, and referral partners believe you because you do what you say.


Must-haves
  • Active Michigan 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
  • Valid driver's license, auto insurance, and reliable transportation 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)
  • Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
  • Strong organization and time management


Our guarantee
  • Full-time target: ~28 productivity points/week; clinicians earn more for exceeding it.
  • Guaranteed floor: ~24 points/week for the first 90 days - if your caseload hasn't filled, you're still paid the floor.


The rest of the package
  • Mileage reimbursement at the IRS rate (~$0.67/mi)
  • $1k sign-on bonus paid after first 90 days
  • $1k bonus for referrals (we're growing)!
  • Benefits for full-time (medical/dental/vision, PTO)

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