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Occupational Therapist Assistant (COTA)

Job in Woodlands, San Luis Obispo County, California, USA
Listing for: Adaptive Home Health
Full Time position
Listed on 2026-08-17
Job specializations:
  • Healthcare
    Home Care
Salary/Wage Range or Industry Benchmark: 70000 - 90000 USD Yearly USD 70000.00 90000.00 YEAR
Job Description & How to Apply Below
Location: Woodlands

Certified Occupational Therapy Assistant (COTA) - Home Health

  • Schedule: Full-time Monday-Friday

  • Location: Field-based
    - Woodlands 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: escalates 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

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