Occupational Therapist Assistant (COTA)

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model with a mission to dramatically improve patient access to home health care.

About the role

The Certified Occupational Therapy Assistant (COTA) delivers high-quality functional visits in the home under the OT plan of care, helping patients stay safe and independent. Our technology is designed around the way clinicians work, reducing documentation and coordination time so you can focus more on patient care.

• 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.

Responsibilities

• Deliver skilled COTA visits in the home under the supervising OT’s plan of care.
• Execute functional treatment plans: ADLs/IADLs, safety/fall prevention, energy conservation, UE function, adaptive equipment training.
• Track objective functional progress and communicate updates/concerns to the supervising OT.
• Coordinate with nursing and the broader care team: escalate changes in condition and safety concerns.
• Document promptly and thoroughly.

Requirements

Must-haves

• Active Texas COTA license (in good standing).
• Strong clinical judgment and comfort working independently in the field (within COTA scope and under OT supervision).
• Strong communication and documentation.
• Current driver’s license and comfort with daily travel across assigned territory.

Nice-to-haves

• Prior home health experience.
• EMR Experience.

Benefits

• Operations that back you up: Supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
• Clear productivity model with upside: Paid per productivity point with clear expectations (market-specific).
• Schedule flexibility: Schedules built to make field work sustainable, with smart routing and coordination for predictable days.
• Cutting-edge tech built for clinicians: Charting tools designed to reduce documentation burden and scheduling products to streamline visit coordination.
• Mission-driven work: Expand access to high-quality home health care and raise the standard of care.

Pay

$58 per productivity point.

Schedule

Full-time, Monday–Friday. Field-based in Missouri City.