Speech Therapist (ST/SLP)

Adaptive Home Health, LLC; Somerset (TX); On-site; USD 90,000 - 110,000; Full time

Job summary

Adaptive Home Health, LLC is seeking a Speech-Language Pathologist (SLP) to join our field-based home health team in Texas. You will conduct in-home evaluations, deliver skilled visits, and manage SLP plans to drive functional communication and swallowing safety, with caregiver coaching to ensure progress between visits.

The role emphasizes independent practice, strong documentation, and coordination with a multidisciplinary team in a productive, patient-centered environment.

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 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.

Responsibilities

• Own outcomes for the patient’s SLP plan, progression and functional outcomes.
• Conduct comprehensive in-home SLP evaluations and deliver skilled visits.
• Assess and treat aphasia, cognitive-communication issues, and dysphagia (as ordered).
• Build and execute a clear plan of care with measurable goals.
• Drive multidisciplinary coordination and keep the care team aligned.
• Coach patients and caregivers with practical strategies and routines.
• Document promptly and thoroughly in Homecare Homebase (HCHB).

Skills

Clinical reasoning

Independent fieldwork

Communication

Documentation

Travel readiness

Education

Texas SLP license

Tools

Homecare Homebase (HCHB)

Job description

Speech-Language Pathologist (SLP) — Home Health

• Schedule: Full-time Monday–Friday + occasional weekends (as needed)
• Location: Field-based
• Comp: $65.00/point $90,000-$110,000/annual

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