Occupational Therapy Assistant

Chosen Village Home Healthcare · Houston, TX Full Time
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Job Description

Job description: Occupational Therapist (OT) Responsibilities and Duties · the ability to build in-person trusted therapist-patient relationships · The Occupational Therapist in Home Health is responsible for the assessment and evaluation of client care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions · Based on this assessment and evaluation, the Occupational Therapist helps to determine a treatment plan, performs interventions aimed at improving and enhancing the client's well-being, and evaluates the client's progress · Provides service within the scope of practice as defined by the state laws governing the practice of Occupational Therapy, in accordance with the plan of care, using evidence-based techniques, and in coordination with other members of the health care team · Evaluates the client s functional status, status of all body systems as required for CMS documentation, and occupational therapy needs · Consults with the physician in the development of the therapy plan of care · Observes, records, and reports to the nurse supervisor and the physician the client's response to treatment and changes to the client's condition · Conducts client assessments evaluating the level of function by applying diagnostic and prognostic functional ability tests Physical Therapist (OT) Responsibilities and Duties Continued · Report client's progress to the client's physician, Clinical Manager, staff, client and family · Submit evaluation, treatment plans, progress reports and discharge summary to the supervisor and care management staff Occupational Therapist (OT) Requirements: Current and unrestricted Occupational Therapy license Occupational Therapy licensure in state of practice Strong organizational and communication skills Current CPR certification Reliable transportation. Must be at least 18 years old. Must be able to pass a criminal background check. Must be able to provide references. Ability to work with limited supervision. Ability to follow written and verbal instructions. Have good personal hygiene. Able to do light housekeeping. Job Types: Part-time, PRN Schedule: Choose your own hours Day shift Evening shift Monday to Friday Night shift On call Weekends as needed Work Location: Patient Home

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What Most Job Listings Don’t Tell You

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.

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