Occupational Therapist Assistant (COTA)

fira-health· District - Texas
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📍 HoustonFullTime

About this role

Certified Occupational Therapy Assistant (COTA) - Home Health

  • Schedule: Full-time Monday–Friday

  • Location: Field-based (Houston pod)

  • Comp: $58.00 per point

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.

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

  • 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

Frequently Asked Questions

Is the salary disclosed for the Occupational Therapist Assistant (COTA) position at fira-health?
The salary for this Occupational Therapist Assistant (COTA) role at fira-health is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Occupational Therapist Assistant (COTA) position at fira-health located?
This Occupational Therapist Assistant (COTA) role at fira-health is based in Houston. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Occupational Therapist Assistant (COTA) role at fira-health full-time or part-time?
This is listed as a FullTime position. It is posted as a Occupational Therapist Assistant (COTA) role in the District - Texas department at fira-health.
Which team or department does the Occupational Therapist Assistant (COTA) at fira-health belong to?
This Occupational Therapist Assistant (COTA) position is part of the District - Texas department at fira-health. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Occupational Therapist Assistant (COTA) position at fira-health?
Click the "Apply Now" button on this page. You will be redirected to fira-health's official application portal hosted on ashby where you can submit your application directly.
When was the Occupational Therapist Assistant (COTA) job at fira-health posted?
This Occupational Therapist Assistant (COTA) position at fira-health was posted on Aug 14, 2026. Apply as soon as possible — early applications are often reviewed first.
Occupational Therapist Assistant (COTA)
fira-health
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