Speech Therapist (ST/SLP)

Adaptive Home Health; Georgetown (TX); On-site; USD 100,000 - 130,000; Full time

Job summary

Adaptive Home Health is seeking a Speech-Language Pathologist (SLP) to provide field-based, in-home SLP services in Georgetown/Hutto, TX. You will conduct comprehensive evaluations, deliver skilled visits, and drive measurable communication, cognition, and swallow-safety outcomes for patients in their homes.

You will collaborate with a multidisciplinary team, utilize Homecare Homebase for documentation, and benefit from a schedule that supports field-based care with occasional weekend needs.

Qualifications

• Active Texas SLP license in good standing.
• Strong clinical reasoning with ability to operate independently in the field.
• Comfort identifying red flags and escalating changes to RN/MD.
• Strong caregiver education skills (teach-back, carryover planning).
• Strong communication and documentation abilities.
• Reliable follow-through on orders, frequencies, and patient goals.
• Current driver’s license and willingness to daily travel across assigned territory.

Responsibilities

• Own patient SLP plan, progression, and functional outcomes.
• Perform comprehensive in-home SLP evaluations and deliver skilled visits.
• Assess and treat aphasia, cognitive-communication impairment, and dysphagia within home health scope.
• Build and execute a plan of care with measurable goals.
• Coordinate with multidisciplinary team; communicate condition changes and orders.
• Coach patients and caregivers with practical strategies and routines.
• Document promptly and thoroughly in Homecare Homebase (HCHB).

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