Occupational Therapist; OT or Certified Occupational Therapy Assistant; COTA

Job Title

Occupational Therapist (OT) or Certified Occupational Therapy Assistant (COTA) – Home Health

Per Diem / PRN (Flexible Schedule)

Care Warden Home Health Care

Care Warden Home Health Care is a leading provider of home-based clinical services dedicated to helping individuals live as safely and independently as possible in their own homes. We know why you chose occupational therapy — to restore function, foster independence, and help people thrive in the activities that matter most.

At Care Warden, you’ll have the autonomy to provide meaningful one-on-one care while building your own flexible schedule and preferred coverage area. OTs and OTAs from all regions of Massachusetts are encouraged to apply — we prioritize local assignments, professional respect, and a supportive interdisciplinary culture.

We are seeking dedicated and compassionate Occupational Therapists (OTs) and Certified Occupational Therapy Assistants (OTAs) to join our expanding home health team.

In this role, you will help patients maximize independence in daily living through individualized, functional, and evidence-based interventions delivered in their homes. OTs will complete evaluations and develop plans of care; OTAs will implement therapy programs under OT supervision.

We offer flexible scheduling, assignments close to home, and opportunities to define your own coverage areas based on your availability.

This position serves patients across many communities throughout Massachusetts. OTs and OTAs from any region of the state are encouraged to apply.

• Perform initial and ongoing assessments of functional status, ADLs, IADLs, cognition, safety, and home environment (including OASIS, where applicable).
• Develop, implement, and revise occupational therapy plans of care that address patient goals, safety needs, and physician orders.
• Identify deficits in functional mobility, strength, coordination, cognition, and sensory processing that impact daily living.
• Educate patients and caregivers on therapeutic techniques, compensatory strategies, safety training, fall prevention, and home modifications.
• Recommend, train, and assist in acquiring adaptive equipment and durable medical equipment (DME).
• Provide supervision and clinical guidance to OTAs in accordance with state and agency requirements.
• Communicate updates to the physician at least every 30 days or when changes occur, obtaining new or revised orders as needed.
• Complete documentation, including evaluations, progress notes, and discharge summaries within agency timelines.

• Implement the OT-established plan of care through purposeful and functional interventions.
• Provide ADL/IADL training, therapeutic exercises, cognitive strategies, energy conservation techniques, and safety education.
• Observe and report patient progress, concerns, or changes in condition to the supervising OT.
• Document treatment notes per visit in accordance with agency and regulatory requirements.
• Follow supervision schedules as required by state regulation and agency policy.

• Partner with the interdisciplinary team (Nursing, PT, Speech, HHAs) to support coordinated, patient-centered care.
• Participate in case conferences and in-service training for ongoing professional development.
• Assist with discharge planning when therapy goals are met or services are discontinued.

• Participate in the admission process when OT services are ordered, including assessment of home safety, functional level, caregiver support, and equipment needs.
• Review and clarify physician orders to ensure accuracy and appropriateness for therapy services.

• Graduation from an ACOTE-accredited Occupational Therapy program.
• Active Massachusetts OT license (required)
• Successful completion of the NBCOT exam.
• Minimum of one year of clinical experience (home health preferred).

• Graduation from an ACOTE-accredited OTA program.
• Active Massachusetts OTA license…