Speech Therapist (ST/SLP)

Adaptive Home Health / Fira Health • San Antonio, TX

18h • Onsite

About The Position

Adaptive Home Health is dedicated to building a higher-acuity, patient-centered, skilled home health model across Texas, with a mission to dramatically improve patient access to home health care. The Speech-Language Pathologist (SLP) role is central to this mission, focusing on restoring communication, cognition, and swallow safety to enable patients to function safely at home. The role also involves building caregiver carryover to ensure sustained progress between visits. Adaptive Home Health supports its field clinicians with technology, including a charting product designed to reduce documentation burden and an upcoming scheduling product to simplify routing and visit coordination, thereby protecting clinician time.

Requirements

• 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

Responsibilities

• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees