Smart Rehab Occupational Therapist (OT) - In-Home Outpatient (Medicare Part B) | Greater St. Louis Remote · Contractor Company website

Apply for Occupational Therapist (OT) - In-Home Outpatient (Medicare Part B) | 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.

This position provides outpatient occupational therapy services in the home for older adults under Medicare Part B. Occupational Therapists deliver one-on-one care during 60-minute visits, focusing on functional independence, safety, activities of daily living, and quality of life. Therapists manage a local caseload, work independently, and maintain flexibility in scheduling. This is not a home health role, patients are not required to be homebound, and care is not productivity driven.

Who This Role Is Ideal For

This role is intentionally designed for Occupational Therapists who value quality, autonomy, and one-on-one care.

It is a great fit for a therapist who:

• Enjoys working with older adults in their home environment
• Prefers one-on-one, relationship-based care over high-volume clinic schedules
• Values autonomy and clinical decision-making
• Enjoys functional, real-world problem solving
• Wants flexibility and control over their weekly schedule
• Has experience in outpatient, home-based, or home health settings and wants a more patient-centered pace

This role may not be the best fit for therapists seeking high daily visit volume or productivity-based environments.

Key Responsibilities

• Perform occupational therapy evaluations, follow-up visits, progress notes, and discharges in patients’ homes
• Address ADLs including dressing, bathing, toileting, grooming, and meal preparation
• Assess and address home safety, fall risk, and environmental barriers
• Provide training in functional mobility, transfers, and compensatory strategies
• Recommend and educate patients on adaptive equipment and home modifications
• Develop and update plans of care in compliance with Medicare Part B requirements
• Educate patients and caregivers to promote safety and independence
• Complete documentation accurately and on time using the company EMR
• Communicate with physicians and the Smart Rehab team as needed

Schedule & Caseload

• Flexible schedule, therapists control when visits are completed
• Local, geographic caseload to minimize drive time
• Typical visits are 60 minutes, one-on-one
• No productivity quotas, double booking, or clinic-style scheduling

Required Qualifications

• Licensed Occupational Therapist in the state of practice
• Eligible for Medicare Part B enrollment or reassignment
• Experience working with older adults preferred
• Valid driver’s license and reliable transportation
• Comfortable working independently in the home setting

Desired Skills & Traits

• Strong functional and clinical reasoning skills
• Excellent communication and patient education abilities
• Organized, dependable, and self-directed
• Comfortable with documentation and basic technology
• Enjoys problem-solving in real-life environments
• Values quality of care over volume

Compensation & Pay

• Paid per visit as a 1099 independent contractor
• Competitive per-visit rates based on visit type
• Initial evaluations paid at a higher rate
• Consistent referral flow available
• Flexible caseload based on therapist availability
• Paid promptly on a weekly schedule