Occupational Therapist (DFW)

Excelin Health Services · Irving, TX Full Time
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Job Description

Job Title/Position: Occupational Therapist Reports to: Rehab Director Position Summary: The occupational therapist contracted through the Organization is responsible for the implementation of standards of care for occupational therapy services and for adherence to all conditions outlined in the Service Agreement. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care: Evaluates patient’s functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care. For patients who plan to return to work, the occupational therapist may perform work capacity evaluation and may refer to specialized vocational training in accordance with Organization policy. Develops treatment program and establishes goals for improved function. Communicates plan of care to referring physician and other Organization professionals. May teach new skills or retrain patient in once familiar daily activities that have been lost due to illness or injury, in accordance with Organization policy. May fabricate splints and instruct patient in the use of various types of adaptive equipment to improve function. May train patient in the use of prosthetic and/or orthotic devices. Instructs patient’s family/caregiver and other Organization health care personnel in patient’s treatment regime when indicated and appropriate. Supervises Certified Occupational Therapy Assistants according to organization policy and state regulations. When therapy is the only skilled service, instructs, supervises and evaluates home health aide care every two (2) weeks. Participates in discharge planning for patient. Communication: Maintains appropriate clinical records, clinical notes, and reports to the physician any changes in the patient’s condition. Submits these records in accordance with Organization policy. Maintains contact/communication with other personnel involved in the patient’s care to promote coordinated, efficient care. Attends and contributes to in-services, case conferences, and other meetings as required by Organization policy to ensure coordinated and comprehensive plans of care for the patients of the Organization. Identifies patient and family/caregiver needs for other home health services and refers as appropriate. POSITION QUALIFICATIONS 1. Graduate of an occupational therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association. 2. Registered with the National Registration Examination of the American Occupational Therapy Association. 3. Two years of clinical experience as an occupational therapist. 4. Possesses and maintains current CPR Certification. 5. Must be a licensed driver with an automobile that is insured and in accordance with state/or organization requirements and is in good working order. SKILLS REQUIRED 1. Demonstrates good verbal and written communication, and organization skills. Compliance: Acknowledge my obligation and agreement to fulfill those duties and responsibilities as set forth in the Code of Conduct and Compliance Policies and to be bound by these standards. Certify that throughout my association with EH I will comply with the terms of the Code of Conduct and Compliance Policies. Understand that violations of the Code of Conduct and Compliance Policies may lead to disciplinary action, including termination of employment.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the DFW metroplex area earn a median wage of $12.93/hr ($26,894/yr). The typical range is $11.12 – $14.51/hr (25th–75th percentile).

Entry Level (10th) $22,381/yr
DFW Median $26,894/yr
Experienced (90th) $36,005/yr
vs. National Median -24.9%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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