Home Health Occupational Therapist

About the Role

Help people rediscover their ability to do the things that matter most. As a Home Health Occupational Therapist, you'll work one-on-one with patients in their homes - teaching new skills, retraining lost abilities, and creating innovative solutions that enable them to regain independence in their daily activities.  This role is perfect for a licensed OT who loves the creativity and problem-solving inherent in occupational therapy and wants the time to truly make a difference. You'll assess each patient's unique home environment, adapt treatments to their specific needs, and watch as they regain the ability to dress themselves, cook meals, and participate in the activities that give their lives meaning.

What You'll Do

Restore Meaningful Function

• Teach new skills or retrain patients in once-familiar daily activities lost due to illness or injury
• Provide therapeutic activities designed to restore function and self-care abilities
• Demonstrate and teach alternate techniques for completing activities of daily living
• Focus on improving fine motor skills, coordination, and cognitive abilities for functional tasks
• Work toward patient and caregiver independence as the ultimate goal

Assess and Create Individualized Plans

• Conduct comprehensive initial and ongoing assessments of functional level using appropriate tests
• Develop and revise treatment plans in consultation with physicians and care team members
• Set realistic, measurable goals that address what matters most to each patient
• Evaluate home environments and identify modifications to support independence
• Assess ongoing care and equipment needs throughout the episode

Provide Adaptive Solutions

• Order and/or fabricate orthotic, adaptive, and assistive devices tailored to patient needs
• Train patients and families in the use of adaptive equipment and assistive technology
• Recommend home modifications and safety equipment to support independence
• Teach proper transfer techniques and positioning strategies
• Design creative solutions to overcome environmental barriers in the home

Educate and Empower

• Instruct patients, families, and caregivers in exercise programs to increase strength and control
• Teach energy conservation and work simplification techniques
• Provide education on disease prevention and injury management
• Counsel families on home rehabilitation procedures and ongoing care needs
• Supervise and instruct occupational therapy assistants in patient-specific care plans

Collaborate with the Care Team

• Coordinate with physicians, nurses, PTs, MSWs, and other healthcare professionals
• Attend and initiate patient care conferences for complex cases
• Make referrals to other disciplines when indicated by patient needs
• Communicate patient progress, reactions to treatment, and condition changes
• Participate in quality improvement initiatives and QAPI activities

Maintain Clinical Excellence

• Complete accurate, timely documentation according to agency policies
• Monitor and report changes in patient condition to physicians and care managers
• Stay current with occupational therapy trends and evidence-based practices
• Participate in discharge planning to ensure smooth transitions
• Evaluate outcomes of care and adjust treatment approaches accordingly

What We're Looking For

Required Qualifications

• Graduate of an accredited occupational therapy program (ACOTE accredited)
• Current state license as an Occupational Therapist
• Minimum 1 year of experience as a licensed Occupational Therapist
• Reliable transportation with valid automobile insurance
• Willingness to travel daily for home visits within service area

Preferred Qualifications

• Home health experience
• Experience with adaptive equipment and home modifications
• Knowledge of Medicare home health documentation

Essential Skills

• Strong clinical assessment and treatment planning abilities
• Knowledge of medical terminology and home health regulations
• Excellent problem-solving and creative thinking skills
• Strong verbal and written communication abilities
• Ability to work independently with minimal supervision
• Organizational skills and attention to detail
• Comfort working in varied home environments
• Interpersonal skills for professional interaction with patients, families, and teams

What Makes You Successful

You're a creative problem-solver who sees possibilities where others see limitations. When a patient can't grip a fork, you don't just prescribe an adaptive utensil - you assess their hand function, consider their specific needs and preferences, and develop a comprehensive approach that might include strengthening exercises, modified techniques, and the right assistive device.

You're passionate about meaningful occupation - understanding that being able to button a shirt or cook a simple meal isn't just about physical function, it's about dignity, independence, and quality of life. You find deep satisfaction in the small victories that mean everything to your patients.

You excel at teaching and can break down complex tasks into manageable steps. You're patient and encouraging, celebrating progress while continuing to challenge patients toward greater independence. You understand that your success is measured not by how many visits you make, but by how well patients can function after you're gone.

You're comfortable with the autonomy of home health practice - managing your schedule, making clinical decisions independently, and adapting your approach to each unique home environment. You're resourceful, able to create effective treatments with whatever is available in the patient's home.

Why Join Us?

Home health occupational therapy offers unparalleled opportunities for meaningful, creative practice. You'll have the time to truly understand each patient's goals, the freedom to design innovative treatment approaches, and the privilege of seeing remarkable functional gains that transform lives.

We provide comprehensive orientation, ongoing clinical support from experienced managers, and opportunities for professional development. You'll work with a collaborative team that values your expertise in helping patients regain independence in the activities that matter most to them.

Professional Growth:

• Continuing education opportunities
• Clinical mentorship and consultation
• Exposure to diverse patient populations and conditions
• Training on adaptive equipment and home modifications
• Participation in quality improvement initiatives

Work Environment and Schedule

This position requires daily travel to patient homes and residential facilities within your service area, with occasional office meetings. You'll work independently during home visits while staying connected to your care team through regular communication and care conferences.

Schedule flexibility is important as you'll adapt to patient needs, new admissions, and changing conditions. Most visits occur during standard business hours, though some flexibility for patient availability may be needed. Physical demands include standing, bending, demonstrating activities, and occasionally assisting with patient mobility.

Ready to Restore Independence?

If you're a licensed occupational therapist who wants the creativity and autonomy of home health practice and the satisfaction of helping patients reclaim their ability to perform meaningful daily activities, we'd love to hear from you.

Location 

• Office Location:  24255 W 13 Mile Rd STE 210, Bingham Farms, MI 48025 
• Main Service Area:  Macomb and surrounding area 

Hours 

• 8:00 an - 5:00 pm, Monday through Friday

Background Screening

Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

Reasonable Accommodations

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Equal Opportunity Employer

Optimal Care is an equal-opportunity employer.