Speech Therapist (ST/SLP)

Adaptive Home Health • Universal City, TX

3d • 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 Speech-Language Pathologist is a core part of that mission, helping patients restore communication, cognition, and swallow safety so they can function safely at home, while building caregiver carryover so progress continues between visits.

This field-based role is responsible for the patient’s SLP plan, progression, and functional outcomes. The clinician completes in-home evaluations, delivers skilled visits, assesses and treats communication and cognitive-communication disorders, and addresses dysphagia and swallow safety within home health scope and orders. The SLP develops measurable, functional plans of care, coordinates with the multidisciplinary team, coaches patients and caregivers, and documents promptly and thoroughly in Homecare Homebase (HCHB).

The role is full-time, Monday through Friday, with occasional weekends as needed. Compensation is $75 per productivity point. Adaptive describes support from experienced clinical and operational teams, schedule flexibility and smart routing, and clinician-focused charting and scheduling technology.

Requirements

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

Nice To Haves

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

Responsibilities

• Own the patient’s 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 affecting safety and independence, including attention, memory, and executive function.
• Perform dysphagia screening and assessment and provide swallow safety education within home health scope and orders.
• Build and execute a clear plan of care with measurable, functional goals.
• Coordinate with the multidisciplinary team by communicating changes in condition, aligning on orders, and keeping the care team moving.
• Coach patients and caregivers in practical strategies and routines, including carryover planning.
• Document promptly and thoroughly in Homecare Homebase (HCHB).
• Follow through reliably on orders, frequencies, and patient goals.
• Identify red flags and escalate changes in condition to the RN or MD.

Benefits

• Support from an experienced clinical and operational team.
• Schedule flexibility and support for smart routing and coordination.
• Clinician-focused charting tools intended to reduce documentation burden.
• Scheduling product planned to streamline routing and coordination and reduce last-minute changes.
• Compensation of $75 per productivity point with a clear productivity model and potential upside.

What This Job Offers

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