Occupational Therapist Assistant (COTA)
- Pay
- $80,000 – $100,000 per year
- Location
- San Antonio, TX · On-site
- Job type
- Full-time
- Level
- Mid-level
- Listed
- 23 days ago
Skills & highlights for this role
- Certified Occupational Therapy Assistant (COTA)
- Texas OT license
- driver's license
- ADL/IADL training
- home safety assessment
- adaptive equipment
- caregiver education
Also useful
- Homecare Homebase (HCHB)
Stated benefits & perks
- Health
- Dental
- Vision
- 401k match
Certified Occupational Therapy Assistant (COTA) - Home Health
- Schedule: Full-time Monday-Friday + occasional weekends (as needed)
- Location: Field-based
- Comp: $58 per Point, $80,000-$100,000/yr
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.
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
Benefits
- 401(k) + 401(k) matching
- Health, dental, and vision insurance
- Paid time off
- Continuing education credits + annual education fund
- Mileage and travel reimbursement
- Participation in fleet program (company car)
- Adaptive branded scrubs, jackets, and vests
- Referral program
Who We Are
Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access to home health care.
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.
From Adaptive Home Health's careers page, first listed on Rolev.ai on October 17, 2026. Rolev.ai is not the employer.
How Rolev.ai helps with this application
Rolev.ai is a job search and application tool for US job seekers. For this Occupational Therapist Assistant (COTA) role at Adaptive Home Health, it shows how your resume fits, tailors your resume to the posting, and prepares the application for you to review.
See how you fit
Openings from employer career sites are ranked against your whole resume—and searchable inside Claude, ChatGPT, and Cursor via Rolev.ai MCP.
Tailor without inventing
Every change to your resume is checked against your original. New experience goes in only with your yes—zero fabricated claims.
Draft the full kit
Tailored and Full Match resumes, role-specific cover letters, and answers to employer screening questions are prepared in seconds.
1-Click Extension Autofill
The Chrome extension fills the employer's Greenhouse, Workday, Lever, or Ashby form in 1 click. You review it and press Submit.
Common questions
What is the salary for the Occupational Therapist Assistant (COTA) role at Adaptive Home Health?
The Occupational Therapist Assistant (COTA) posting at Adaptive Home Health states compensation of $80,000 – $100,000 per year. It is listed as a full-time position. Final pay may depend on location, experience, and interview evaluation on Adaptive Home Health's official career site.
Where is the Occupational Therapist Assistant (COTA) job at Adaptive Home Health located?
This Occupational Therapist Assistant (COTA) position at Adaptive Home Health is located in San Antonio, TX (On-site). Always check Adaptive Home Health's application page for specific state eligibility or relocation policies.
What qualifications are required for Occupational Therapist Assistant (COTA) at Adaptive Home Health?
For the Occupational Therapist Assistant (COTA) role, Adaptive Home Health highlights experience with ADL/IADL training, home safety assessment, adaptive equipment, caregiver education. Rolev.ai can score your existing resume against these requirements and show any skill gaps before you apply.
How do I apply for the Occupational Therapist Assistant (COTA) position at Adaptive Home Health?
This listing links directly to Adaptive Home Health's Ashby application page. You can apply directly on Adaptive Home Health's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Ashby application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.