Speech Therapist (ST/SLP)

About the Role

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. As a Speech-Language Pathologist (SLP), you will restore communication, cognition, and swallow safety so patients can function safely at home — and build caregiver carryover so progress sticks between visits. Our technology reduces documentation burden and will soon streamline scheduling and visit coordination to protect your time.

Responsibilities

• Own outcomes, not just visits: be 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

Nice-to-Haves

• Prior home health experience
• Homecare Homebase (HCHB) experience (or similar home health EMR)
• High-signal neuro experience (stroke, aphasia, cognitive impairment)
• Dysphagia-related experience appropriate for home health

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: schedules built to make field work sustainable, with smart routing and coordination for predictable days.
• Cutting-edge tech built for clinicians: charting tools reduce documentation burden, and upcoming scheduling tools will streamline routing/coordination.
• Mission-driven work: expanding access to high-quality home health care and raising the standard.

Schedule

Full-time Monday–Friday with occasional weekends as needed. Field-based role.