James River Home Health and Hospice
  • Richmond, VA, USA
  • Full Time

Looking for an exciting career helping others?

Looking for an exciting career helping others? Look no further than James River Home Health and Hospice. Join our agency and experience a rewarding career by helping patients recover from illness or injury. The COTA position is an important position for ensuring patients get the care they need in the patients home.  Our corporate office is located in the Arboretum at Midlothian Turnpike and Powhite Parkway. We offer a friendly office environment with competitive salary and benefits.


  • Health, Dental, and Vision JRHHC pays 75% of employee only cost.
  • Life, AD&D, STD, LTD up to $50,000 of salary paid 100% by employer.
  • 401k plan
  • PTO , Holidays, Bereavement leave.
  • User friendly Home Health software.
  • Company cell phone.
  • Social events/picnics.



Provides skilled occupational therapy service on an intermittent basis to clients in their homes under the supervision of the Occupational Therapist.


Under the direction of the Occupational Therapist (OT) provides client care services which have been delegated by the Occupational Therapist.

Under the direction of the OT assists in evaluation and development of the rehabilitative plan of care and in periodic re-evaluation as required.

Participates in the preparation of clinical and daily progress notes. All notes are reviewed by the OT and submitted within 72 hours. Also prepares periodic summary reports.

Together with the OT, instructs the client and family, assists in teaching them exercise programs.

Guides and instructs the client in prescribed therapeutic self-care and creative activities that are directed toward improving independence and physical and mental functioning and assists the client in the use of self-help devices.

Observes, and records activities and findings in the clinical record and reports to the OT and the physician the client's reaction to treatment and any changes in the client's condition.

Consults with OT regarding the outcome of home visits and reports physical findings in written form.

Under the supervision of the OT, assists in evaluation and development of the rehabilitative plan of care and in periodic re-evaluation as indicated.

Instructs other health team personnel including, as appropriate, Home Attendants, as well as family members with respect to certain phases of occupational therapy, so that they may work with the client.

Writes daily progress notes on clients, and submits same within 72 hours, and prepares periodic summary reports as indicated.

Attends rehabilitation department staff meetings and case conferences.

Instructs client in care and use of wheelchairs, braces, splints, and prosthetic and orthotic devices.

Participates with staff, clients, and physicians in discharge activities and assists the Occupational Therapist in completing the Occupational Therapy Discharge Summary.

Confirms, on a weekly basis, the scheduling of visits with the Supervisor/Director of Therapy in order to coordinate agency visits.

Assumes responsibility for self-development by continually striving to improve his/her health care knowledge through educational programs, attendance at workshops and conferences, active participation in professional and related organizations and individual research and reading.

Assumes other duties deemed appropriate and necessary by the OT.


The ability to drive and the ability to access clients' homes which may not be routinely wheelchair accessible are required.

Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the client's condition and to perform client care.

On occasion, may be required to bend, stoop, reach and move client weight up to 250 pounds; lift and/or carry up to 30 pounds.

Must be able to effectively communicate in English.


Occupational therapy equipment and other medical equipment will be utilized. Hand washing materials.


Has access to all client medical records which may be discussed with Director of Nursing, the Administrator, the Executive Director, and the Quality Assurance department staff and government agencies.


1.       Must be a graduate of an approved school giving a course of not less than two years for Occupational Therapy Assistants and be certified.

2.       Must be licensed/registered in Virginia

3.       Must have a minimum of one year experience in a health related agency

4.       Must have a criminal background check.

5.       Must have current CPR certification.


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James River Home Health and Hospice
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