Home Health Occupational Therapist (OT) – PRN | Houston, TX

PIVOT Rehabilitation is hiring a Licensed Home Health Occupational Therapist (OT) for a PRN home health occupational therapist job providing in-home occupational therapy services to adult and senior patients in Houston, TX. Baytown, Pasadena, Seabrook (North East Houston area)

This home health OT job is ideal for clinicians seeking flexible occupational therapist jobs in Houston, autonomy, and one-on-one patient care in the home setting.

Job Responsibilities

• Perform home health occupational therapy evaluations


• Develop and update individualized Plans of Care (POC)


• Provide skilled home health occupational therapy for orthopedic, neurological, cognitive, and post-surgical conditions


• Address ADLs, IADLs, upper extremity function, coordination, strength, balance, and functional mobility


• Implement interventions for fall prevention, home safety, and environmental modifications


• Train patients and caregivers in adaptive equipment and durable medical equipment (DME)


• Fabricate splints and recommend assistive devices as appropriate


• Complete accurate and timely documentation in the EMR


• Communicate with physicians and interdisciplinary care teams


• Supervise COTAs and home health aides, as applicable


• Follow all home health regulations, infection control, and safety standards

This PRN Home Health Occupational Therapist job in Houston, TX offers flexibility and strong clinical autonomy.

What We Offer You

• Competitive pay


• Comprehensive health, dental, and vision plans (for eligible employees)


• Supplemental benefits (life insurance, disability, accident coverage)


• 401(k) with company match


• Generous paid time off (Vacation/Sick/Holiday) for full-time positions


• CEU reimbursement


• Career growth and advancement opportunities


• Supportive leadership and collaborative interdisciplinary team


• Patient-centered home health model


• Company-provided uniforms and additional perks

Patient Population

• Adults and seniors


• Post-surgical recovery patients


• Stroke and neurological conditions


• Cognitive impairments


• Upper extremity injuries


• Patients requiring ADL retraining


• Fall-risk patients in the home setting

Job Details

Employment Type: PRN

Schedule: Flexible daytime schedule

Work Setting: Home Health / In-Home Occupational Therapy

Travel: Local North East Houston and the local Baytown, Pasadena, and Seabrook community travel required.