Home Health Aide (HHA/CNA)

Field-based role with Adaptive Home Health, building a higher-acuity, patient-centered, skilled home health model across Texas. Our mission is to dramatically improve patient access to home health care.

About the role

As a Home Health Aide (HHA), you provide compassionate personal care in the home, support patients in their daily activities, and help raise the standard for what home health can be. You'll work with a technology-enabled team designed to reduce administrative friction and allow you to focus on meaningful patient impact.

We build technology to better support our field clinicians and caregivers. Our charting product reduces documentation burden and keeps visits moving, while our upcoming scheduling product will streamline visit coordination, reduce last-minute changes, and protect your time.

• Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.
• Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

Responsibilities

• Provide personal care assistance including bathing, dressing, grooming, and toileting.
• Assist patients with safe transfers, ambulation, and mobility using proper body mechanics.
• Support patients with medication reminders as directed by the care plan.
• Monitor and report changes in patient condition, vital signs (when ordered), and daily living activities to the supervising nurse.
• Perform light housekeeping tasks related to patient safety and care (laundry, meal preparation, maintaining clean environment).
• Document all care provided accurately and timely in Homecare Homebase (HCHB).
• Communicate clearly with patients, families, and the care team to ensure continuity of care.
• Follow infection control practices and maintain patient dignity and privacy.
• Assist with range of motion exercises and other restorative care activities as ordered.
• Coordinate with supervising RN/LVN for care plan updates and patient needs.

Requirements

Must-haves

• Current Texas HHA certification
• 1+ years of experience providing personal care (home health, assisted living, nursing home, or hospital setting)
• CPR/BLS certification
• Current Texas driver's license and reliable transportation
• Ability to lift, transfer, and provide hands-on care safely
• Strong communication skills and professional demeanor
• Comfortable working independently in patients' homes
• High school diploma or GED

Nice-to-haves

• Previous home health experience
• Familiarity with Homecare Homebase (HCHB) or similar EMR
• CNA or other clinical training/certification
• Experience with medically complex or high-acuity patients
• Bilingual (English/Spanish)

Care focus areas

• Personal care and activities of daily living (ADLs)
• Mobility assistance and fall prevention
• Vital signs monitoring and reporting
• Companionship and emotional support

Why Adaptive

• Operations that back you up: Supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
• Competitive hourly pay: $17–$18/hour based on experience, plus mileage reimbursement.
• Schedule flexibility: We build schedules to make field work sustainable, with smart routing and coordination for predictable days.
• Cutting-edge tech built for caregivers: Charting tools reduce documentation burden, and our upcoming scheduling product will streamline visit coordination.
• Mission-driven work: Expand access to high-quality home health care and raise the standard of care.

Pay

$17.00 - $18.00 per hour + mileage reimbursement

Schedule

Full-time, Monday–Friday + some weekends (as needed)

Benefits

• 401(k) + 401(k) matching
• Health, dental, vision, and life insurance
• Paid time off
• Flexible scheduling
• Mileage reimbursement
• Referral program