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Conduct comprehensive in-home speech-language pathology evaluations and deliver skilled treatment for communication, cognition, and swallow safety. Develop functional plans of care and coordinate with multidisciplinary teams to improve patient outcomes at home.
Must possess an active Texas SLP license and a valid driver's license for daily travel. Requires strong clinical reasoning, documentation skills, and the ability to operate independently in a field setting.
Schedule: Full-time Monday–Friday + occasional weekends (as needed)
Location: Field-based
Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our mission is to dramatically improve patient access to home health care.
The SLP role is a core part of that mission: you restore communication, cognition, and swallow safety so patients can function safely at home — and you build caregiver carryover so progress sticks between visits.
We also build technology to support field clinicians. Our charting product reduces documentation burden, and our scheduling product (launching soon) will make routing and visit coordination easier — protecting your time.
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.
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.
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
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
Building the Future of Home Healthcare
Adaptive Home Health's is a Medicare-certified home health agency with a proven track record of delivering compassionate, high-acuity care — and we're expanding our team across the United States. Founded and led by veterans, nurses, and operators who are deeply committed to the patient above all else, Adaptive has built a 300+ person clinical team trusted by major hospitals, orthopedic practices, wound centers, and cancer centers to deliver specialized skilled nursing, physical therapy, occupational therapy, wound and infusion care, and orthopedic rehab directly in the home. Backed by a robust tech stack — built by top AI engineers and operators from Palantir, Character AI, and Citadel — we are pairing Adaptive's world-class clinical infrastructure with an AI operating system that automates administrative workflows, eliminates waste, and empowers clinicians to focus on what they do best: caring for patients. The problem we're solving is urgent: 38% of referred home health patients never receive care, and 30% of all healthcare spend is lost to administrative burden — but every $1 invested in home health saves $2 from the broader system. We are fixing that, and we're hiring mission-driven clinicians, technologists, and operators all across the country to help us do it. If you want to work at the intersection of compassionate care and cutting-edge AI, and you want your work to genuinely matter, come build with us.
Offices: 1410 E Renner Rd, Richardson, Texas 75082, US · 4201 W Parmer Ln, Austin, Texas 78727, US · 600 Rockmead Dr, Houston, Texas 77339, US · 2027 S 61st St, Temple, Texas 76504, US · 115 N Central Ave, Cameron, Texas 76520, US
