HiredNow AI
Fira Health

Speech Therapist (ST)

$100,000 to $130,000 a year

  • Lampasas, Texas
  • On site
  • Full time
  • District - Texas

Found by HiredNow AI on Aug 12, 2026. Subscribers saw it first.

About the role

  • Schedule: Full-time Monday–Friday + occasional weekends (as needed)
  • Location: Field-based
  • Comp: $75.00 / point | $100,000 - $130,000 /year

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 LVN role supports that mission by delivering safe, reliable skilled care in the home within LVN scope — with excellent communication and escalation to the RN/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.

The result: less administrative burden, fewer coordination headaches, and more time for patient care.

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 in Homecare Homebase (HCHB) — 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.

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
  • Homecare Homebase (HCHB) experience (or similar home health EMR)
  • High-signal neuro experience (stroke, aphasia, cognitive impairment)
  • Dysphagia-related experience appropriate for home health
Apply at Fira Health