Speech Therapist (ST)

About the role

The SLP role is a core part of Adaptive Home Health's mission: restoring communication, cognition, and swallow safety so patients can function safely at home, and building caregiver carryover so progress sticks between visits.

Responsibilities

• Own outcomes, not just visits: accountable for the patient’s SLP plan, progression, and functional outcomes.
• Complete comprehensive in-home SLP evaluations and deliver skilled SLP visits.
• Assess and treat (as ordered/clinically indicated): Aphasia and other communication disorders, cognitive-communication impairment (attention, memory, executive function) impacting safety and independence, dysphagia screening/assessment and swallow safety education (within home health scope and orders).
• Build and execute a clear plan of care with measurable, functional goals.
• Drive multidisciplinary coordination: communicate changes in condition, align on orders, and keep the care team moving.
• Coach patients/caregivers with practical strategies and routines that actually get done.
• Document promptly and thoroughly in Homecare Homebase (HCHB) — defensible, efficient, and consistent.

Requirements

• Active Texas SLP license (in good standing)
• Strong clinical reasoning and ability to operate independently in the field
• Comfort identifying red flags and escalating changes in condition to RN/MD
• Strong caregiver education skills (teach-back, carryover planning)
• Strong communication and documentation
• Reliable follow-through on orders, frequencies, and patient goals
• Current driver’s license and comfort with daily travel across assigned territory

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.
• Clear productivity model with upside: paid per productivity point with clear expectations (market-specific).
• Schedule flexibility: built schedules to make field work sustainable, supports smart routing and coordination so your day is predictable whenever possible.
• Cutting-edge tech built for clinicians: charting tools reduce documentation burden, and scheduling (launching soon) will streamline routing/coordination and reduce last-minute changes.
• Mission-driven work: expanding access to high-quality home health care, want clinicians who take pride in raising the standard.

Compensation

$100K - $130K