Speech Therapist (ST)

Fira Health

$100K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Current Texas Speech-Language Pathology License
  • 1 year of SLP experience required
  • CPR certification required
  • Valid Texas driver's license
  • Experience with Homecare Homebase is helpful

Responsibilities

  • Evaluate patients and provide therapy interventions
  • Develop comprehensive plans of care
  • Perform clinical documentation and visit notes
  • Communicate continually with physicians and care team members
  • Handle all aspects of home health settings
  • Implement and maintain SLP protocols
  • Directly manage patient treatment and outcomes

Benefits

  • 401(k) with matching
  • Comprehensive health, dental, and vision insurance
  • Flexible schedule options
  • Paid time off
  • Travel reimbursement
  • Referral program
Full Job Description
  • Schedule: Full-time Monday-Friday + occasional weekends (as needed)
  • Location: Field-based
  • Comp: $75.00 / point | $100,000 - $130,000 /year
  • Role: Speech-Language Pathologist (SLP) - Home Health

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 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.
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

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