Role: Occupational Therapist (OT)
Schedule: Full-time Monday–Friday + occasional weekends (as needed)
Location: Field Based
Compensation (Productivity Points): $75.00 / point | $100,000-$130,000/year

We're fixing home healthcare, and we're building our presence in Detroit

Adaptive is building an AI-native home healthcare platform that enables clinicians to focus on delivering best-in-class care for their patients by leveraging software and innovative support solutions. We’re building our team in Detroit with plans to quickly develop an exceptional reputation of delivering excellent patient care.

The mission of this role

Deliver excellent home health care to our patients in Detroit, and set the clinical bar, the documentation standard, and the referral-source trust that our market will be built on.

Objectives

Carry a full, high-quality caseload: ramp to ~28 productivity points/week at target visit quality.
Own your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality.
Be a referral-source ambassador: every discharge planner, ALF, and physician you touch should want to send the next patient to us because you were responsive and excellent.
Set the standard others copy: your charting, cadence, and judgment become the template we onboard the next cohort against as the pod grows.

What you'll own

Complete in-home OT evaluations and deliver skilled OT visits.
Build and execute a clear plan of care focused on ADLs/IADLs, safety/fall prevention, and functional independence.
Recommend and train on adaptive equipment and home modifications as needed.
Coordinate with nursing and the broader care team when condition or needs change.
Document promptly and thoroughly in Homecare Homebase (HCHB) — defensible, efficient, and consistent.

Who you are / how you operate

Dedicated clinician: home health experience strongly preferred
High ownership: you treat your caseload like your own panel and your pod like your own business.
Open mindset: Energized by the opportunity to shape the playbook and refine SOPs
Tech-forward: You want to leverage software to accelerate the charting process, and you'll give us blunt feedback to make it better
Trust-builder: Patients, families, and referral partners believe you because you do what you say.

Must-haves

Active Michigan OT license (in good standing)
Strong clinical judgment and comfort working independently in the field
Comfort escalating changes in condition to RN/MD and documenting rationale clearly
Strong communication and documentation
Reliable follow-through on orders, frequencies, and patient goals
Valid driver’s license, auto insurance, and reliable transportation and comfort with daily travel across assigned territory.
Able to carry/transport basic therapy equipment as needed
Competency in core home health OT scope (ADL/IADL training, home safety, adaptive equipment, caregiver education)

Nice-to-haves

Prior home health experience
Homecare Homebase (HCHB) experience (or similar home health EMR)
Deeper experience in high-signal OT populations (neuro, CVA, fall risk, dementia/caregiver training)
Strong organization and time management

Our guarantee

Full-time target: ~28 productivity points/week; clinicians earn more for exceeding it.
Guaranteed floor: ~24 points/week for the first 90 days - if your caseload hasn't filled, you're still paid the floor.

The rest of the package

Mileage reimbursement at the IRS rate (~$0.

Occupational Therapist (OT)