Physical Therapist (PT)

Adaptive Home Health•Rio Medina, TX
•Onsite

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas to improve access to home health care. The Physical Therapist is a core part of this mission, helping patients restore function, remain safe at home, and achieve meaningful outcomes. The PT owns a caseload as a case manager and is accountable for patients’ therapy plans, progression, and outcomes. The role includes comprehensive in-home assessments, skilled PT visits, and development and delivery of plans of care covering gait and balance, transfers, strengthening, functional mobility, home safety, and fall prevention. The therapist sets measurable goals, tracks objective progress, and adjusts treatment when patients are not progressing. The PT coordinates with the multidisciplinary care team, communicates changes in patient condition, aligns on orders, and manages treatment and outcomes, including PTA supervision where appropriate. The therapist coaches patients and caregivers on practical home programs and documents promptly and thoroughly in Homecare Homebase (HCHB). This is a full-time, field-based role with a Monday–Friday schedule and occasional weekends as needed. Compensation is per productivity point, with an expectation of 30 points per week. The position requires daily travel across an assigned territory and carrying or transporting basic therapy equipment as needed. Adaptive describes providing clinical and operational support, flexible scheduling and routing coordination, and clinician-focused charting and scheduling technology.

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, 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 PT scope.
  • Competency in safety-first mobility work, including transfers, gait training, balance and fall prevention, and assistive device recommendations.
  • Competency in strengthening, functional mobility, and 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

  • Own a caseload as case manager and be accountable for patients’ therapy plans, progression, and outcomes.
  • Complete comprehensive in-home assessments and deliver skilled physical therapy visits.
  • Build and execute plans of care addressing gait and balance, transfers, strengthening, functional mobility, home safety, and fall prevention.
  • Set measurable goals, track objective progress, and adjust treatment when patients stall.
  • Coordinate with the multidisciplinary care team, communicate changes in condition, align on orders, and support care-team coordination.
  • Manage treatment and outcomes directly, including PTA supervision where appropriate.
  • Coach patients and caregivers on practical home programs.
  • Document promptly and thoroughly in Homecare Homebase (HCHB).
  • Travel daily across the assigned territory and carry or transport basic therapy equipment as needed.
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