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

As of Sep 2, 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 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.

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.

More about Home Health Occupational Therapy Assistant jobs

What cities are hiring for Home Health Occupational Therapy Assistant jobs?

Cities with the most Home Health Occupational Therapy Assistant job openings:

What states have the most Home Health Occupational Therapy Assistant jobs?

States with the most job openings for Home Health Occupational Therapy Assistant jobs include:

What job categories do people searching Home Health Occupational Therapy Assistant jobs look for?

The top searched job categories for Home Health Occupational Therapy Assistant jobs are:

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 6% As Needed, 28% Full Time, 55% Part Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $67,531 per year, or $32.5 per hour.

Home Health Occupational Therapy Assistant

Suru In-Home Physical Therapy

Anaheim, CA • On-site

$60 - $75/hr

Contractor

Re-posted 8 days ago

Job description

About the Role

Suru provides outpatient occupational therapy in patients' homes. This is different from traditional home health: clinicians typically have more visits with each patient, more flexibility in visit frequency, and longer, more consistent treatment relationships. We can also help clinicians build caseloads up to 10 larger by transitioning qualified patients who have completed home-health therapy into outpatient therapy at home.

You can accept or decline individual patients based on your location and availability. You decide how long a case fits your schedule, and you maintain flexibility in scheduling and delivering care.

Suru handles patient intake and billing. Documentation can be submitted through a short voice recording and usually takes about one minute per visit. Eligible submitted visits can be reviewed and payout requested through the Suru app.

Responsibilities
  • Provide treatment under the patient's plan of care and supervising occupational therapist.
  • Communicate meaningful changes in the patient's condition.
  • Complete timely visit documentation.
  • Coordinate professionally with patients, families, and the care team.
Requirements
  • Current California Occupational Therapy Assistant license.
  • Business license appropriate for independent clinical practice.
  • Reliable transportation and the ability to travel to patients.
  • Smartphone access for scheduling, documentation, and case management.

This is a 1099 independent-contractor opportunity.

Employment Type: CONTRACTOR

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