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Therapy & rehab

OT & COTA Per Diem - Build Your Own Caseload, Oahu Home Health

Always Best Care Senior Services logoAlways Best Care Senior Services$100,000–$120,000/yrHonolulu, HIPer diemPosted todayStill open, checked every night
  • Driver's license

How this pay compares

This posting does not state an hourly rate. Open occupational therapy assistant jobs in Hawaii post a median of $34 an hour, the middle half $32.54–$34.04, across 5 jobs that state their pay. Occupational therapy assistants employed in Hawaii earn a median of $34.96 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Occupational therapy assistants in Hawaii: pay by town and employer

The Physical, Occupational, Speech & Respiratory Therapy job market: pay, applicant demand and hiring, researched nightly

Licensed in another state?

Hawaii is not issuing OT Compact privileges, so an occupational therapist or OT assistant licensed in another state needs a Hawaii license for this job. (Occupational Therapy Compact Commission, 9 Nov 2026.) Every state's OT Compact status.

Physical, occupational, speech and respiratory therapy jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 87.1%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
  • How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%

From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs

About the job

You get to decide how your week looks. As an OT or COTA with us, you work per diem on a flexible schedule, build your own caseload, and have a team behind you that supports your professional growth.

Here's what that looks like

You'll spend your days with patients in their own homes, helping them safely do the everyday things that matter to them. You get real one-on-one time and the chance to build meaningful relationships with patients and families.

What you'll earn

OTs earn $80 per visit, or can choose an annual salary option of $100,000–$120,000 based on caseload. COTAs earn $60 per visit.

What you'll do

  • Complete initial evaluations and follow-up visits
  • Perform fall risk assessments and home safety evaluations
  • Educate patients and caregivers on adaptive techniques and equipment
  • Keep accurate, timely documentation

What we're looking for

An active Hawaii OT or COTA license, one year of clinical experience (home health preferred but not required for OTs), a valid driver's license, and reliable transportation.

Who we are

A growing, locally operated Medicare-certified home health agency focused on quality care across O'ahu.

Let's talk

Call: 808-207-8558 (available 24/7)

From Always Best Care Senior Services's job posting, checked 12 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Always Best Care Senior Services

Always Best Care Senior Services is a Medicare-certified home health agency in Vacaville, CA providing nursing, therapy and home health aide care at home. Its job board posts jobs for caregivers, therapists and nursing assistants. Source: Medicare Care Compare: Always Best Care Senior Services

Based in Vacaville, CAHires in 31 statesPay on its listings: 66% of its open jobs state an hourly rate

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