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Home Health Occupational Therapy Assistant Jobs (NOW HIRING)

Suru In-Home Physical Therapy

$60 - $75/hr

... occupational therapy in patients' homes. This is different from traditional home health: clinicians ... Current California Occupational Therapy Assistant license. * Business license appropriate for ...

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Home Health Occupational Therapy Assistant information

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$32

$46

How much do home health occupational therapy assistant jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for home health occupational therapy assistant in the United States is $32.47, according to ZipRecruiter salary data. Most workers in this role earn between $27.40 and $36.54 per hour, depending on experience, location, and employer.

What is a home health occupational therapy assistant?

Home Health Occupational Therapy Assistants (COTAs) are healthcare professionals who work under the supervision of licensed occupational therapists to help patients regain or improve skills needed for daily living, all within the comfort of the patient's home. They assist with implementing treatment plans, teaching adaptive techniques, and monitoring patient progress. Their work focuses on enabling patients to safely perform tasks such as dressing, bathing, cooking, and moving around the house, especially after illness or injury. COTAs play a vital role in helping patients maintain independence and improve their quality of life in a home setting.

What are some unique challenges home health occupational therapy assistants face compared to those working in clinical settings?

Home Health Occupational Therapy Assistants often work independently in clients' homes, which means they must quickly adapt to various environments and limited resources. Unlike clinical settings, they may encounter unpredictable situations, such as homes not being fully accessible or lacking equipment. Effective communication and strong organizational skills are essential, as they coordinate care with therapists, families, and other healthcare professionals remotely. This autonomy can be rewarding, but it also requires strong time management and problem-solving abilities to ensure clients receive high-quality care.

What is the difference between Home Health Occupational Therapy Assistant vs Home Health Physical Therapy Assistant?

AspectHome Health Occupational Therapy AssistantHome Health Physical Therapy Assistant
CredentialsCertified Occupational Therapy Assistant (COTA)Licensed Physical Therapist Assistant (PTA)
Work EnvironmentHome health settings, assisting patients with daily activities and adaptive equipmentHome health settings, focusing on mobility, strength, and physical function
Employer & Industry UsageHospitals, home health agencies, outpatient clinicsHospitals, home health agencies, outpatient clinics

Both roles work in home health settings, assisting patients to improve their daily functioning. The main difference lies in their focus: occupational therapy assistants help patients regain independence in daily activities, while physical therapy assistants focus on mobility and physical strength. Credentials and work environments are similar, but their specific training and treatment goals differ.

What are the key skills and qualifications needed to thrive as a home health occupational therapy assistant?

To thrive as a Home Health Occupational Therapy Assistant, you need an associate degree from an accredited occupational therapy assistant program and state licensure or certification. Familiarity with electronic health record (EHR) systems, home safety assessment tools, and adaptive equipment is important. Strong interpersonal skills, empathy, and the ability to work independently stand out in this role. These competencies are vital for delivering effective, patient-centered care in diverse home environments and ensuring progress toward therapy goals.
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Home Health Occupational Therapy Assistant jobs near you
Infographic showing various Home Health Occupational Therapy Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Occupational Therapy Assistant COTA - Home Health

Interim HealthCare of Lexington, MA

Lexington, MA • Remote

$60K - $70K/yr

Full-time, Part-time

Medical, Dental, Vision, PTO

Re-posted 29 days ago

Job description

Occupational Therapy Assistant COTA 

Home Health

 Lexington, MA

Please apply if you are within 25miles

Experience a therapy career that comes with work-life balance! As a Home Health OT for Interim HealthCare®, you can set your own schedule and enjoy the freedom that comes with it.

For more than 55 years, Interim HealthCare has been an employer of choice to Occupational Therapists seeking a more flexible career. As a Home Health COTA, you’ll have the ability to customize therapy to each patient’s needs and implement strategies that make their home an easier place to navigate. If you’re ready to experience the rewards that home health therapy brings, you are made for this!

Our Home Health Occupational Therapy Assistant enjoy some excellent benefits:

  • $60,000- $70,000 Salary/ Year 
  • 1:1 therapist-to-patient ratios where you impact outcomes
  • Flexible assignments, autonomy and work-life balance
  • Online training, growth and ability to earn CEUs
  • Tuition discounts through Rasmussen University
  • PTO, Holiday Pay, Medical/ Dental/ Vision

As a Home Health Occupational Therapist, here’s a big-picture view of what you’ll do:

  • Provide occupational therapy Treatments to patients unable to perform daily tasks due to an illness or injury under OT supervision
  • Work as part of a home health team which may include an RN, LPN, CNA, HHA, PT and SLP, focused on the patient’s plan of care and personal goals 
  • Assess patient, observe deficits, establish therapy goals and document progress
  • Assist patient with exercises to improve fine motor skills and coordination
  • Suggest adaptive equipment such as grab bars and shower chairs to offer added support
  • Assess fall risks and introduce strategies to improve home safety
  • Educate patient and family on plan of care, exercises, goals and self-care

A few must-haves for Home Health Occupational Therapists:

  • Graduate of an accredited Occupational Therapy Assistant Program and active COTA license in Massachusetts 
  • Minimum of 1 years of occupational therapy experience, ideally in home healthcare
  • CPR certification 
  • Knowledge of state and federal home health regulations
  • Good clinical Judgement, strong interpersonal skills, resourceful and compassionate

Why Work for Interim HealthCare?

Founded in 1966, Interim HealthCare is the nation’s first home care company and a leading employer of Home Health Occupational Therapists (OTs). Operating through 300+ offices, our commitment to you is expressed through a family-oriented culture that values and appreciates therapists, and a passion to put patients first. Join a nationwide network of OTs who are making a significant impact in the lives of others through the personalized, home-based therapy they provide.

Interim HealthCare is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

 

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