In-Home Speech Therapist — Field-Based, Patient-Centered

Adaptive Home Health; Temple (TX); On-site; USD 100,000 - 130,000; Full time

Job summary

Adaptive Home Health is seeking a Speech-Language Pathologist to join our field-based team across Texas. You will restore communication, cognition, and swallow safety for homebound patients while building caregiver carryover.

You will drive multidisciplinary coordination, document thoroughly in Homecare Homebase, and help shape scheduling and tech tools that support clinicians. This full-time role offers a competitive compensation model and schedule flexibility.

Qualifications

• Active Texas SLP license in good standing.
• Strong clinical reasoning; operate independently in the field.
• Comfort identifying red flags and escalating changes 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.

Responsibilities

• Own outcomes, not just visits: manage the patient’s SLP plan, progression, and functional outcomes.
• Complete comprehensive in‑home SLP evaluations and deliver skilled SLP visits.
• Assess and treat aphasia and other communication disorders; cognitive-communication impairment.
• Dysphagia screening/assessment and swallow safety education (within home health scope).
• Build and execute a clear plan of care with measurable, functional goals.
• Drive multidisciplinary coordination: communicate changes, 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).

Skills

Texas SLP license

Clinical reasoning

Caregiver education

Communication and documentation

Follow-through

Travel across territory

Tools

Homecare Homebase (HCHB)

Home health EMR

Job description

Adaptive Home Health is seeking a Speech-Language Pathologist to join our field-based team across Texas. You will restore communication, cognition, and swallow safety for homebound patients while building caregiver carryover.

You will drive multidisciplinary coordination, document thoroughly in Homecare Homebase, and help shape scheduling and tech tools that support clinicians. This full-time role offers a competitive compensation model and schedule flexibility.