Physical Therapist (PT) Sign on Bonuses

Adaptive Home Health; San Antonio (TX); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Sign-on bonus

Schedule flexibility

Supportive operational team

Job summary

Adaptive Home Health is hiring a Physical Therapist (PT) for a full-time role based in the field in San Antonio, Texas. You will play an essential role in enhancing patient access to high-quality home health care through effective therapy and care coordination.

Responsibilities include managing therapy plans, in-home assessments, and documentation. Ideal candidates will have a Texas PT license and strong clinical judgment. A competitive compensation model based on productivity points is offered, along with a supportive team.

Qualifications

• Must possess an active Texas PT license in good standing.
• Strong clinical judgment required for independent work.
• Comfortable escalating changes in patient conditions.

Responsibilities

• Manage and execute comprehensive in-home assessments.
• Set measurable goals and track patient progress.
• Document promptly in Homecare Homebase.

Skills

Strong clinical judgment

Effective communication

Independent work in the field

Patient/caregiver coaching

Education

Active Texas PT license

Tools

Homecare Homebase (HCHB)

Job description

Physical Therapist (PT) - Home Health

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

• Location: Field Based

• Compensation (Productivity Points): $70/ppp, sign on bonus available

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

• 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