Speech Therapist (ST/SLP)

Alt; Georgetown (TX); Hybrid; USD 100,000 - 130,000; Full time

Job summary

Adaptive Home Health, LLC seeks a Speech-Language Pathologist (SLP) for full-time, field-based work in Georgetown/Hutto, TX. You’ll perform in-home evaluations, deliver skilled visits, and drive outcomes with a clear care plan while coordinating with the care team and caregivers.

You will be supported by a clinical/operational team and work with productivity-based compensation. Homecare Homebase is used for documentation and scheduling tools are being rolled out to streamline routing and visits.

Qualifications

• Active Texas SLP license in good standing.
• Strong clinical reasoning and field independence.
• Comfort escalating changes to RN/MD.
• Excellent caregiver education and teach-back skills.
• Reliable execution of orders and patient goals.
• Valid driver's license and daily travel ability.

Responsibilities

• Own outcomes: SLP plan, progression, and functional results.
• Perform in-home comprehensive SLP evaluations and visits.
• Assess and treat aphasia, cognitive-communication issues, and dysphagia screening.
• Develop and implement a measurable plan of care.
• Coordinate with multidisciplinary team and orders.
• Coach patients/caregivers with practical routines.
• Document promptly in Homecare Homebase (HCHB).

Skills

Clinical reasoning

Independent field work

Communication

Documentation

Travel readiness

Tools

Homecare Homebase (HCHB)

EMR experience

Job description

Speech-Language Pathologist (SLP) — Home Health

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

• Location: Field-based Georgetown/Hutto

• Comp: $75 per point $100,000-$130,000 annually

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 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 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 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.

Requirements

Must-haves

• Active Texas 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

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

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

• Dysphagia-related experience appropriate for home health