Physical Therapist (PT)

Alt; Hutto (TX); On-site; USD 110,000 - 130,000; Full time

Job summary

Alt is seeking a Physical Therapist (PT) for field-based home health across Texas. You will manage caseloads, perform in-home assessments, and deliver skilled PT visits with a focus on gait/balance, transfers, strengthening, and safe home mobility.

You will coordinate with the care team and document thoroughly using HCHB. The role offers a full-time schedule, Monday–Friday with occasional weekends, and compensation on a per-productivity-point basis, with a strong focus on achieving 30 points per

Qualifications

• Active Texas PT license (in good standing).
• Strong clinical judgment and independence in the field.
• Clear communication and documentation.
• Valid driver’s license and willingness to travel daily.
• Ability to carry/transport basic therapy equipment.
• Competency in core home health PT scope.

Responsibilities

• Own the caseload as case manager for therapy plan and outcomes.
• Deliver in-home PT visits and assessments.
• Develop and execute a plan of care: gait, transfers, strengthening, mobility.
• Set goals, track progress, adjust treatment.
• Coordinate with care team and RN/MD; supervise PTAs when appropriate.
• Coach patients/caregivers with home programs.
• Document promptly in HCHB.

Skills

Clinical judgment

Communication

Documentation

Travel readiness

Equipment handling

Home health knowledge

PTA supervision

Tools

Homecare Homebase (HCHB)

Job description

Physical Therapist (PT) - Home Health

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

• Location: Field Based

• Compensation: $75.00 per 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 PT role is a core part of that mission: you restore function, keep patients safe at home, and drive real outcomes.

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:

• Own the caseload as a case manager: you’re accountable for the patient’s therapy plan, progression, and outcomes — not just individual visits.

• Complete comprehensive in-home assessments and deliver skilled PT visits.

• Build and execute a clear plan of care: gait/balance, transfers, strengthening, functional mobility, home safety, fall prevention.

• Set measurable goals, track objective progress, and adjust treatment quickly when patients stall.

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

• Manage treatment and outcomes directly, including PTA supervision where appropriate.

• 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 with an expectation of 30 points/week

• 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 therapists who take pride in raising the standard.

Requirements

Must-haves

• Active Texas PT license (in good standing)

• Strong clinical judgment and comfort working independently in the field

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

• 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

• Able to carry/transport basic therapy equipment as needed

• Competency in core home health PT scope

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

  • 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 PT populations

• Experience supervising/mentoring PTAs and collaborating on care plans

• Strong organization and time management