Speech Therapist (ST/SLP)
fira-health
Missouri City
Posted Sep 7, 2026
- Full-time
- District - Texas
Job description
- **Schedule:** Full-time Monday–Friday - **Location:** Field-based- (Missouri City Pod) - **Comp:** ***$75.00 / point*** ### Who We Are - **Role:** Speech-Language Pathologist (SLP) — Home Health **Who we are** Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. Our ultimate mission is to **dramatically improve patient access to home health care.** The SLP role supports that mission by delivering safe, reliable skilled care in the home within SLP scope — with excellent communication and escalation to the clinical team so patients stay safe and on track. We **build technology designed around the way clinicians actually work**, so you can spend less time on documentation and coordination, and more time with patients. - **Smarter charting:** Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place. - **Scheduling that protects your time:** Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule. ### 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 ### 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. ### Requirements **Must-haves** - 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 - High-signal neuro experience (stroke, aphasia, cognitive impairment) - Dysphagia-related experience appropriate for home health