Speech Therapist (ST/SLP)

Adaptive Home Health•Somerset, 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 company’s mission to expand access to patient-centered, higher-acuity home health care. The SLP is accountable for patients’ speech-language plans, progression, and functional outcomes, helping restore communication, cognition, and swallow safety so patients can function safely at home. The clinician also supports caregiver carryover so progress continues between visits. The position includes comprehensive in-home evaluations and skilled visits; assessment and treatment of communication and cognitive-communication impairments; and dysphagia screening, assessment, and swallow-safety education within the scope of home health orders. The SLP develops measurable, functional plans of care, coordinates with the multidisciplinary team, educates patients and caregivers, and completes timely, thorough documentation in Homecare Homebase. The schedule is full-time, Monday through Friday, with occasional weekends as needed. Compensation is $65 per productivity point or $90,000–$110,000 annually.

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 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 involving 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 provide 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.
Develop and execute plans of care with clear, measurable, functional goals.
Coordinate with the multidisciplinary team, communicate changes in condition, align on orders, and support care-team coordination.
Coach patients and caregivers on practical strategies and routines, including carryover planning.
Document promptly and thoroughly in Homecare Homebase (HCHB).
Follow through reliably on orders, visit frequencies, and patient goals.