Physical Therapist Assistant (PTA)

Alt; San Antonio, Fair Oaks Ranch (TX, TX); On-site; USD 54,000 - 70,000; Full time

Job summary

Adaptive Home Health is seeking a Physical Therapist Assistant (PTA) to perform home-based visits across Texas under the supervising PT. You will implement plans of care, emphasize gait, balance, transfers, and fall prevention, and track progress with clear communication to the supervising PT.

You will mentor patients and caregivers with practical home programs, document thoroughly in the HCHB system, and participate in a field-based team that supports scheduling and routing improvements.

Qualifications

• Active Texas PTA license in good standing.
• Strong clinical judgment and comfort working independently in the field (within PTA scope and under PT supervision).
• Comfortable escalating changes in condition to PT/RN/MD and documenting rationale clearly.
• Strong communication and documentation.
• Reliable follow-through on treatment plans and patient goals.
• Current driver’s license and comfort with daily travel across assigned territory.

Responsibilities

• Deliver skilled PTA visits in the home under the supervising PT's plan of care.
• Execute treatment plans with a focus on functional mobility and measurable progress: gait/balance, transfers, strengthening, functional mobility, home safety, fall prevention.
• Set/track objective progress within PTA scope and communicate updates/concerns to the supervising PT.
• Drive multidisciplinary coordination: escalating changes in condition, align on orders, and keep the care team moving.
• Coach patients and caregivers with practical home programs that actually get done.
• Document promptly and thoroughly in Homecare Homebase (HCHB) - defensible, efficient, and consistent.

Skills

Independent field work

Strong communication

Documentation

Travel readiness

Education

Texas PTA license

Tools

HCHB (Homecare Homebase)

Job description

Physical Therapist Assistant (PTA) - Home Health

• Schedule: Full-time Monday-Friday + occasional weekends (as needed)




• Location: Field Based




• Compensation (Productivity Points): $58/point

Who We Are:

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

The PTA role is a core part of that mission: you help restore function, keep patients safe at home, and drive real outcomes - in partnership with a supervising PT.

We also build technology to support field clinicians. Our charting product reduces documentation burden, and our scheduling product (launching soon) will make routing and visit coordination easier - protecting your time.

What you will do:

• Deliver skilled PTA visits in the home under the supervising PT's plan of care.




• Execute treatment plans with a focus on functional mobility and measurable progress: gait/balance, transfers, strengthening, functional mobility, home safety, fall prevention.




• Set/track objective progress within PTA scope and communicate updates/concerns to the supervising PT.




• Drive multidisciplinary coordination: escalating changes in condition, align on orders, and keep the care team moving.




• Coach patients and caregivers with practical home programs that actually get done.




• Document promptly and thoroughly in Homecare Homebase (HCHB) - defensible, efficient, and consistent.

Why Adaptive

• Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.




• Clear productivity model with upside: You are paid per productivity point/visit (see PTA comp model) with clear expectations.




• Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.




• Cutting-edge tech built for clinicians: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.




• Mission-driven work: We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard.

Requirements

Must-haves

• Active Texas PTA license (in good standing)




• Strong clinical judgment and comfort working independently in the field (within PTA scope and under PT supervision)




• Comfortable escalating changes in condition to PT/RN/MD and documenting rationale clearly




• Strong communication and documentation




• Reliable follow-through on treatment plans, visit cadence, and patient goals




• Current driver's license and comfort with daily travel across assigned territory




• Able to carry/transport basic therapy equipment as needed




• Competency in core home health PTA scope

  
  
  
  

  • Safety-first mobility work: transfers, gait training, balance/fall prevention, assistive device education

  
  

  • Strengthening, functional mobility, and home safety assessment/modification education

  
  

  • Patient/caregiver coaching with practical home programs

  
  
  
  

Nice-to-haves

• Prior home health experience




• Homecare Homebase (HCHB) experience (or similar home health EMR)




• Deeper clinical experience in high-signal ortho/neuro populations




• Strong organization and time management