Speech Therapist (ST) - $5,000 Sign On Bonus For August Starts

Adaptive Home Health; Town of Macomb (NY); On-site; USD 99,000 - 121,000; Full time

Job summary

Adaptive Home Health is seeking a Speech-Language Pathologist (SLP) — Home Health to deliver in-home evaluations and therapy, focusing on communication, cognition, and swallow safety. This field-based, full-time role offers Monday–Friday with occasional weekends and travel across the designated territory, supported by our charting and scheduling tools.

Must have a Michigan SLP license and strong clinical reasoning, caregiver education, and documentation skills.

Qualifications

• Active Michigan SLP license in good standing.
• Strong clinical reasoning and ability to operate independently in the field.
• Valid driver’s license and willingness to travel daily across territory.
• Strong caregiver education and documentation skills.
• Ability to identify red flags and escalate changes in condition to RN/MD.

Responsibilities

• Own SLP plan, progression, and functional outcomes.
• Perform in-home SLP evaluations and deliver skilled visits.
• Assess and treat aphasia, cognitive-communication, and dysphagia per orders.
• Build a clear plan of care with measurable goals.
• Coordinate with the care team and communicate changes.
• Educate patients/caregivers with practical strategies and routines.
• Document promptly and thoroughly.

Skills

Clinical reasoning

Independent field work

Caregiver education

Communication skills

Documentation

Education

Active Michigan SLP license

Job description

Role

Role: Speech-Language Pathologist (SLP) — Home Health

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

Location: Field-based

Comp: $75.00 / point | $110,000 /year

Who We Are

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

The SLP role is a core part of that mission: you restore communication, cognition, and swallow safety so patients can function safely at home — and you build caregiver carryover so progress sticks between visits.

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 outcomes, not just visits: you are 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 — 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 clear expectations (market-specific).

• 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: charting tools reduce documentation burden, and scheduling (launching soon) will streamline routing/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.

Must-haves

• Active Michigan 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

• High-signal neuro experience (stroke, aphasia, cognitive impairment)

• Dysphagia-related experience appropriate for home health