Description 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. League City, Alvin, Texas City, and Seabrook (Southeast 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 Southwest Houston and the local League City, Alvin, Texas City, and Seabrook community travel required . Qualifications Qualifications Bachelor’s or Master’s Degree in Occupational Therapy from an accredited program Active Texas Occupational Therapist (OT) license Home health occupational therapy experience preferred (1 year required) Current CPR certification Strong communication, clinical judgment, and time-management skills Knowledge of home health regulations and Medicare guidelines preferred Valid driver’s license, reliable transportation, and current auto insurance Why Work at PIVOT Rehabilitation Patient-focused home health model Flexible scheduling and clinical autonomy PIVOT Rehabilitation Benefits Supportive leadership and interdisciplinary team Ongoing professional development opportunities Competitive compensation and comprehensive benefits We are an Equal Opportunity Employer. We offer an excellent benefit plan, including 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package Please visit pivot-rehab.com/careers/ for more information. INDOT
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General overview for this role type — specific duties and requirements vary by employer.
Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.
Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.
Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of
$10.97/hr ($22,818/yr).
The typical range is $10.60 – $13.28/hr
(25th–75th percentile).
Entry Level (10th)$20,613/yr
Houston Median$22,818/yr
Experienced (90th)$30,597/yr
vs. National Median-34.6%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.