Adaptive Home Health
Occupational Therapist Assistant (COTA)
- Location
- Humble, TX, US
- Employment type
- Full-time
- Posted
- 28 September 2026 (2 days ago)
Checked 2 days agoApplications go to the employer, never to RoleSprint
About this role
Certified Occupational Therapy Assistant (COTA) - Home Health
- Schedule: Full-time Monday–Friday
- Location: Field-based- Katy, TX and surrounding areas/Pod
- Comp: $58 Per Point
WHO WE ARE
Who we are:
Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. Our ultimate mission is to dramatically improve patient access to home health care.
The COTA role is the front line of that mission: you deliver high-quality functional visits in the home under the OT plan of care, helping patients stay safe and independent.
We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.
- 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.
The result: less administrative burden, fewer coordination headaches, and more time for patient care.
WHAT YOU WILL DO:
- 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.
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 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
Work location
- Humble, TX, US
Related jobs
Ready to make a decision?
This role is either worth your time or it isn’t.
Analyze the posting against your experience, see the gaps clearly, and build the right materials only if the opportunity makes sense.
Nothing is submitted automatically. You choose what happens next.
About this listing
Advertised by Fira Health and published on Ashby, the applicant tracking system they use.
RoleSprint is not the employer and not a recruiter. Applications are made on the employer’s own site and never reach us; what RoleSprint does is help you decide whether a role is worth your time and prepare for it if it is.
Published 28 September 2026, last checked 2 days ago. A posting stops being advertised here 90 days after the employer published it, and one the employer takes down is marked closed rather than quietly removed.