Fira Health
Occupational Therapist Assistant (COTA)
Fair Oaks Ranch (San Antonio). Posted 2 months ago
The role
The Occupational Therapist Assistant will complete in-home OT evaluations and deliver skilled OT visits. You will build and execute plans of care focused on ADLs/IADLs, safety, and functional independence.
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).
Required qualifications
- 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 have
- 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
About the company
Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Their mission is to dramatically improve patient access to home health care.