Smart Rehab Certified Occupational Therapy Assistant (COTA) - Home Health (Medicare Part A) | Greater St. Louis Remote · Contractor Company website

Apply for Certified Occupational Therapy Assistant (COTA) - Home Health (Medicare Part A) | Greater St. Louis

Smart Rehab provides in-home therapy for older adults through two care models: Medicare Part B outpatient therapy and Medicare Part A home health therapy through partner agencies. Our Part B program is built around a simple idea, outpatient-quality care delivered in the patient’s home with one-on-one visits and a strong focus on mobility, balance, fall prevention, and home safety. Across both service lines, we’re known for therapist autonomy, clear communication, and a supportive, clinician-led culture, so clinicians can do great work and patients can stay safe and independent at home.

Smart Rehab partners with home health agencies to provide Medicare Part A therapy visits in patients’ homes. This COTA role focuses on skilled treatment visits under a supervising Occupational Therapist’s plan of care, helping patients improve safety, independence, and function in their home environment.

Who This Role Is Ideal For

This role is a great fit for a COTA who:

• Enjoys functional, real-world therapy focused on safety and independence
• Is comfortable working independently in the field with a home health-style pace
• Communicates well with supervising OTs and an agency care team
• Wants PRN, part-time, full-time, or flexible visit volume (with the option to grow)

Key Responsibilities

• Complete skilled COTA follow-up visits in patients’ homes under a supervising OT’s plan of care
• Provide ADL interventions as appropriate (e.g., dressing, bathing, toileting, grooming, meal prep)
• Address functional mobility related to ADLs and safety within the home
• Provide patient/caregiver education, compensatory strategies, and home program updates
• Reinforce adaptive equipment use and basic home safety recommendations (per plan of care)
• Communicate clinical changes, concerns, and progress to the supervising OT and agency team
• Complete documentation accurately and on time using the required EMR/platform
• Follow Medicare and agency compliance expectations

Schedule & Coverage Area

• Flexible scheduling with visit volume based on referrals and your availability
• Coverage includes the Greater St. Louis area (St. Louis, St. Charles, West County, and South County)
• Ability to accept additional visits as desired

Required Qualifications

• Licensed/Certified Occupational Therapy Assistant in the state of practice
• Home health experience preferred (not required if comfortable working independently)
• Valid driver’s license and reliable transportation
• Comfortable with electronic documentation and basic technology

Desired Skills & Traits

• Strong communication and patient education skills
• Efficient, organized, and dependable
• Comfortable treating older adults in the home environment
• Strong time management and safety awareness

Compensation & Pay

• Paid per visit as a 1099 independent contractor
• Competitive per-visit rates based on visit type and territory
• Flexible volume depending on therapist availability
• Paid promptly on a regular schedule