Speech Therapist (ST/SLP)

Adaptive Home Health • Castle Hills, TX

1d • $90,000 - $110,000 • Onsite

About The Position

Adaptive Home Health is hiring a field-based Speech-Language Pathologist to provide skilled home health care across Texas. The role supports the organization’s mission to improve access to patient-centered, higher-acuity home health care by restoring patients’ communication, cognition, and swallow safety and helping caregivers carry over strategies between visits.

The SLP is accountable for patients’ speech-language pathology plans, progression, and functional outcomes. The position includes completing comprehensive in-home evaluations, delivering skilled visits, assessing and treating communication and cognitive-communication disorders, and addressing dysphagia screening, assessment, and swallow safety education within the scope of home health orders. The clinician develops measurable, functional plans of care, coordinates with the multidisciplinary team, educates patients and caregivers, and documents care promptly and thoroughly in Homecare Homebase. The schedule is full-time, Monday through Friday, with occasional weekends as needed. Compensation is $65 per productivity point, with a stated annual range of $90,000–$110,000.

Requirements

• Active Texas SLP license in good standing.
• Strong clinical reasoning and ability to work independently in the field.
• Ability to identify red flags and escalate changes in condition to an RN or physician.
• Strong caregiver education skills, including teach-back and carryover planning.
• 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.

Nice To Haves

• Prior home health experience.
• Homecare Homebase (HCHB) experience or experience with a similar home health EMR.
• Neuro experience involving stroke, aphasia, or cognitive impairment.
• Dysphagia-related experience appropriate for home health.

Responsibilities

• Own patient outcomes by managing the SLP plan, progression, and functional outcomes.
• Complete comprehensive in-home SLP evaluations and deliver skilled SLP visits.
• Assess and treat aphasia and other communication disorders.
• Assess and treat cognitive-communication impairments, including attention, memory, and executive-function difficulties that affect safety and independence.
• Perform dysphagia screening and assessment and provide swallow safety education within home health scope and orders.
• Build and execute plans of care with measurable, functional goals.
• Coordinate with the multidisciplinary care team, communicate changes in condition, align on orders, and support care-team follow-through.
• Coach patients and caregivers on practical strategies and routines, including carryover planning.
• Document promptly and thoroughly in Homecare Homebase (HCHB).
• Travel daily across the assigned territory.

Benefits

• Experienced clinical and operational team support.
• Clear productivity model with potential upside.
• Schedule flexibility and support for smart routing and coordination.
• Clinician-focused charting technology intended to reduce documentation burden.
• Scheduling technology planned to streamline routing and coordination and reduce last-minute changes.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed