ST

Alt; Waco (TX); On-site; USD 100,000 - 130,000; Full time

Job summary

Adaptive Home Health in Texas seeks a Speech-Language Pathologist to provide in-home, high-acuity SLP care. You will restore communication, cognition, and swallow safety, and coach caregivers to sustain progress between visits.

You will document in Homecare Homebase, own patient outcomes, conduct in-home evaluations and skilled visits, and collaborate with a multidisciplinary team on orders and care plans. Field-based, full-time with occasional weekends.

Qualifications

• Active Texas SLP license in good standing and ability to practice in home health.
• Strong clinical reasoning and independent field work capability.
• Comfort identifying red flags and escalating changes to RN/MD.
• Excellent caregiver education, communication, and documentation skills.

Responsibilities

• Own outcomes for the patient’s SLP plan, progression, and functional goals.
• Complete comprehensive in-home SLP evaluations and deliver skilled visits.
• Assess and treat aphasia, cognitive-communication impairment, and dysphagia as ordered.
• Develop and execute a clear plan of care with measurable goals.
• Coordinate with the care team and communicate condition changes.
• Coach patients and caregivers with practical strategies to drive adherence.
• Document promptly in Homecare Homebase (HCHB).

Skills

Clinical reasoning

Independent field work

Communication

Documentation

Travel readiness

Caregiver education

Education

Texas SLP license

Tools

Homecare Homebase (HCHB)

Job description

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

• Location: Field-based

• Comp: $75.00 / point | $100,000 - $130,000 /year

Who We Are

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

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