Physical Therapist (PT)

Adaptive Home Health•Missouri City, TX
•Onsite

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas to improve patient access to home health care. The Physical Therapist is a core part of this mission, restoring function, helping patients remain safe at home, and improving outcomes. The role is full-time, Monday through Friday, and field based. Compensation is $75 per productivity point, with an expectation of 28 points per week. The Physical Therapist owns a caseload as a case manager and is accountable for each patient’s therapy plan, progression, and outcomes. The role includes comprehensive in-home assessments, skilled PT visits, care planning and delivery, measurable goal setting, tracking and adjusting treatment, multidisciplinary coordination, and patient and caregiver coaching. The clinician documents promptly and thoroughly in Homecare Homebase (HCHB). Adaptive provides clinical and operational support, schedule coordination, and clinician-oriented technology intended to reduce documentation burden and streamline visit coordination. The organization emphasizes sustainable field scheduling, predictable routing where possible, and expanding access to high-quality home health care.

Requirements

  • Active Texas PT license in good standing.
  • Strong clinical judgment and ability to work independently in the field.
  • Ability to escalate changes in condition to an RN or MD and clearly document the rationale.
  • Strong communication and documentation skills.
  • Reliable follow-through on orders, visit frequencies, and patient goals.
  • Current driver’s license and comfort with daily travel across the assigned territory.
  • Ability to carry or transport basic therapy equipment as needed.
  • Competency in core home health physical therapy scope.
  • Ability to safely perform mobility work, including transfers, gait training, balance and fall prevention, and assistive device recommendations.
  • Knowledge of strengthening, functional mobility, home safety assessment, and modification education.
  • Ability to coach patients and caregivers on practical home programs.

Nice To Haves

  • Prior home health experience.
  • Homecare Homebase (HCHB) experience or experience with a similar home health EMR.
  • Deeper clinical experience in high-signal PT populations.
  • Experience supervising or mentoring PTAs and collaborating on care plans.
  • Strong organization and time management.

Responsibilities

  • Manage a caseload as case manager and take accountability for patients’ therapy plans, progression, and outcomes.
  • Complete comprehensive in-home assessments and deliver skilled physical therapy visits.
  • Develop and carry out plans of care addressing gait, balance, transfers, strengthening, functional mobility, home safety, and fall prevention.
  • Set measurable goals, track objective progress, and adjust treatment when patients are not progressing.
  • Coordinate with the multidisciplinary care team, communicate changes in condition, align on orders, and support care coordination.
  • Manage treatment and outcomes directly, including supervising PTAs where appropriate.
  • Coach patients and caregivers on practical home programs.
  • Document promptly and thoroughly in Homecare Homebase (HCHB).

Benefits

  • Clinical and operational team support.
  • Productivity-point compensation with upside.
  • Schedule flexibility and support for routing and visit coordination.
  • Clinician-oriented charting tools designed to reduce documentation burden.
  • Scheduling product intended to streamline visit coordination and reduce last-minute changes.
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