Speech Therapist (ST/SLP)

Alt; Missouri City (TX); Hybrid; USD 75,000 - 95,000; Full time

Job summary

Adaptive Home Health is seeking a Speech-Language Pathologist (SLP) for home health field work in Missouri City, TX. You will conduct in-home evaluations, provide skilled SLP visits, and coordinate with the clinical team to ensure safe, effective care.

The role emphasizes patient-centered outcomes, clear plans of care, caregiver coaching, and thorough timely documentation, with a productivity-based pay model and field-based scheduling.

Qualifications

• 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 clinical team.
• Strong caregiver education skills (teach-back, carryover planning).
• Strong communication and thorough documentation.

Responsibilities

• Own outcomes, not just visits: manage the patient’s SLP plan and functional outcomes.
• Complete comprehensive in-home SLP evaluations and deliver skilled visits.
• Assess and treat: aphasia, cognitive-communication issues, dysphagia screening/education.
• Build and execute a clear plan of care with measurable, functional goals.
• Drive multidisciplinary coordination and keep the care team aligned on orders.
• Coach patients/caregivers with practical strategies and routines that work.
• Document promptly and thoroughly.

Skills

Texas SLP license

Clinical reasoning

Independent field work

Red-flag escalation

Caregiver education

Communication & documentation

Daily travel

Job description

• Schedule: Full-time Monday–Friday

• Location: Field-based- (Missouri City Pod)

• Comp: $75.00 / point

Who We Are

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

Who we are

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

The SLP role supports that mission by delivering safe, reliable skilled care in the home within SLP scope — with excellent communication and escalation to the clinical team so patients stay safe and on track.

We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.

• Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.

• Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

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

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

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

• Dysphagia-related experience appropriate for home health