Occupational Therapist Assistant (COTA)
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
Company at a glance
Adaptive Home Health's is a Medicare-certified home health agency with a proven track record of delivering compassionate, high-acuity care — and we're expanding our team across the United States. Founded and led by veterans, nurses, and operators who are deeply committed to the patient above all else, Adaptive has built a 300+ person clinical team trusted by major hospitals, orthopedic practices, wound centers, and cancer centers to deliver specialized skilled nursing, physical therapy, occupational therapy, wound and infusion care, and orthopedic rehab directly in the home.
Backed by a robust tech stack — built by top AI engineers and operators from Palantir, Character AI, and Citadel — we are pairing Adaptive's world-class clinical infrastructure with an AI operating system that automates administrative workflows, eliminates waste, and empowers clinicians to focus on what they do best: caring for patients.
The problem we're solving is urgent: 38% of referred home health patients never receive care, and 30% of all healthcare spend is lost to administrative burden — but every $1 invested in home health saves $2 from the broader system. We are fixing that, and we're hiring mission-driven clinicians, technologists, and operators all across the country to help us do it. If you want to work at the intersection of compassionate care and cutting-edge AI, and you want your work to genuinely matter, come build with us.
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