Home Health Occupational Therapist; OT – In-Home Services

Home Health Occupational Therapist (OT) – In-Home Services Job Title: Home Health Occupational Therapist (OT) – In-Home Services

Location: McKinney, TX (Dallas-Fort Worth Metroplex)
Employer: Foundations Home Health
Job Type: Full-Time / Part-Time | W-2 or 1099 Contract
Pay: Competitive – Based on Experience

Foundations Home Health delivers compassionate, patient-centered care to clients in the comfort of their homes. We support individuals of all ages with skilled services that promote independence and improve daily function. Join a team that values professionalism, flexibility, and community impact.

We are seeking a motivated Occupational Therapist (OT) to join our home health team. In this role, you will assess functional needs and deliver in-home occupational therapy services to adults and older adults with a variety of physical, cognitive, and environmental challenges. Your interventions will help patients achieve greater independence in their daily lives.

Conduct initial assessments and create customized plans of care for each patient

Deliver evidence-based occupational therapy interventions for ADL/IADL limitations, home safety, fall risk, and cognitive function

Collaborate with physicians, nurses, physical therapists, speech therapists, and care coordinators

Provide family and caregiver training on therapy goals and safety strategies

Document evaluations, progress notes, and reassessments in the EMR system (Your Tailor Made Senior Services)

Update care plans regularly based on patient progress and changing needs

Comply with agency policies, Medicare regulations, and professional standards of care

Supervise Occupational Therapy Assistants (COTAs) as needed

Participate in interdisciplinary meetings and case conferences

Promote occupational therapy education in the community, if applicable

Current Occupational Therapy license in the State of Texas (Required)

Graduate of an ACOTE-accredited Occupational Therapy program

At least 1 year of OT experience (Home health or geriatrics preferred)

Strong clinical judgment and independent decision-making skills

Reliable transportation, valid driver’s license, and proof of insurance

Comfortable using EMR and mobile documentation tools

Flexible scheduling (Full-Time, Part-Time, or PRN)

W-2 or 1099 options available

Competitive pay and mileage reimbursement

Supportive interdisciplinary team environment

Clinical autonomy with access to leadership support

Continuing education and professional development opportunities

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