Speech Therapist (ST)
fira-health
Oakland County
Posted Jul 8, 2026
- Full-time
- District - Great Lakes
Job description
- **Role:** Speech-Language Pathologist (SLP) — Home Health - **Schedule:** Full-time Monday–Friday + occasional weekends (as needed) - **Location:** Field-based - **Comp:** $75.00 / point | $110,000 /year **Who We Are** Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model. 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. ### What you will do - **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 — defensible, efficient, and consistent. ### Why Adaptive - **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. ### **Must-haves** - Active **Michigan 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 - High-signal neuro experience (stroke, aphasia, cognitive impairment) - Dysphagia-related experience appropriate for home health