About the Speech Therapist Role at Adaptive Home Health

Adaptive Home Health is building an AI-native home healthcare platform in Detroit. This is a part-time, field-based position paid per productivity point (the posting lists $82.50 per point with a minimum of 10 points per week), where you complete comprehensive in-home SLP evaluations and deliver skilled visits for aphasia and other communication disorders, cognitive-communication impairment (attention, memory, executive function), and dysphagia screening and swallow safety education within home health scope. The company's pitch is that ambient AI scribing and after-visit voice documentation let you spend more time caring for patients and less time charting.

Because this is an early-market build, the role is about more than carrying visits. The posting frames the mission as setting the clinical bar, the documentation standard, and the referral-source trust the Detroit market will be built on. Adaptive wants a clinician who owns patient outcomes (low avoidable hospitalizations, strong patient-experience scores), acts as a referral-source ambassador with discharge planners, ALFs, and physicians, and produces charting and judgment that become the template for onboarding the next cohort of clinicians.

Quick Stats

* Typical process: 2 to 3 rounds (recruiter screen, clinical hiring manager interview, possible reference/credential check), roughly 1 to 3 weeks

* Format: Phone and video, field-based role with a licensed clinical hiring team

* Core focus: In-home SLP evaluation, dysphagia and swallow safety, cognitive-communication and aphasia treatment, home health documentation, referral-source relationships, productivity model fit

* Difficulty: Moderate. The clinical bar is high because you are expected to set the market standard, and you must be comfortable with a per-point productivity model and independent field work

What Adaptive Home Health Looks For

* Active ST license in good standing, reliable transportation, valid driver's license, and auto insurance

* Home health experience (strongly preferred) and comfort with independent, field-based visits

* Clinical strength across aphasia, cognitive-communication impairment, and dysphagia screening and swallow safety education within home health scope and orders

* A clinician who owns functional outcomes, coordinates with the care team, coaches caregivers, and documents promptly and defensibly

Round 1: Recruiter Screen (~20 to 30 min)

What to Expect

A recruiter or clinical talent partner opens with a phone or video call to confirm the essentials and gauge fit for a part-time, field-based role. Expect verification of your active ST license, transportation and auto insurance, availability against the minimum of 10 points per week, and your comfort with a per-point productivity model at $82.50 per point. They will also test your interest in an early-stage, AI-native home health build in the Detroit and Wayne market, and your familiarity with home health versus clinic or facility settings.

Example Questions

* "Walk me through your SLP background and any home health experience you have."

* "Our model pays $82.50 per productivity point with a minimum of 10 points per week. How does a per-point, part-time schedule fit your availability?"

* "Do you have an active ST license, reliable transportation, and current auto insurance for field-based visits?"

* "Why are you interested in an early-stage, AI-native home health company building in Detroit?"

Tips

* Have your license status, coverage area around Wayne, and weekday and weekend availability ready so you can answer logistics crisply.

* Show you understand the productivity-point model and can commit to at least 10 points per week without treating it as a downside.

* Rehearse a tight, confident version of this call with Nora's Standard Mode, which mirrors the classic phone-screen mix of qualifications, availability, and motivation.

Round 2: Clinical Hiring Manager Interview (~45 to 60 min)

What to Expect

This is the core round, typically with a clinical lead or the MIDET Clinical hiring manager. It blends clinical reasoning with situational judgment tied directly to the posting: comprehensive in-home evaluations, building a plan of care with measurable functional goals, treating aphasia and cognitive-communication impairment, and dysphagia screening and swallow safety education within home health scope and orders. Expect scenarios about driving low avoidable-hospitalization rates, coordinating with the multidisciplinary team, and coaching patients and caregivers on strategies that actually get done in the home.

Example Questions

* "Walk me through a comprehensive in-home SLP evaluation for a patient with suspected aphasia and cognitive-communication deficits. How do you set measurable functional goals?"

* "How do you approach dysphagia screening and swallow safety education in the home, and when do you escalate for a modified diet or physician order?"

* "A patient shows a change in condition that could lead to a hospitalization. What do you do, and how do you coordinate with the care team?"

* "Tell me about a time you coached a caregiver into a home program that genuinely stuck. What made it work?"

Example Questions

* "How do you keep documentation prompt, defensible, and consistent when you are carrying a full field caseload?"

Tips

* Use structured STAR answers and lead with functional, measurable outcomes, since the posting stresses owning outcomes, not just visits.

* Be ready to talk about safety-first judgment (swallow safety, fall and mobility risk, change-in-condition escalation) and multidisciplinary coordination.

* Practice clinical scenarios and behavioral stories with Nora's Behavioral Mode for the culture-fit and coaching questions and Technical Mode for the evaluation, dysphagia, and plan-of-care reasoning.

Round 3: Credentialing, References, and Offer (~15 to 30 min plus paperwork)

What to Expect

For a licensed field clinician, expect a wrap-up stage covering license verification, references, transportation and insurance documentation, and any market-specific onboarding details. This is also where compensation is confirmed: the per-point rate, minimum points per week, mileage reimbursement, and referral bonuses. Because pay is structured per productivity point rather than a flat salary, understanding how points map to real weekly earnings is the key negotiation lever.

Example Questions

* "Can you confirm your references and provide documentation for your license, driver's license, and auto insurance?"

* "How many points per week are you realistically targeting once you are ramped, and what schedule supports that?"

* "Do you have questions about mileage reimbursement, the referral bonus program, or how points are counted?"

* "What geographic radius around Wayne can you reliably cover?"

Tips

* Model your expected weekly earnings from the per-point rate before this call so you can discuss caseload volume with confidence.

* Clarify how points are assigned per visit type, and ask about mileage and referral bonuses so the full package is clear.

* Run the money conversation through Nora's Salary Negotiation Mode to practice discussing per-point pay, minimums, and reimbursements without underselling yourself.

Frequently Asked Questions (FAQ)

1) How many rounds are there?

Expect roughly 2 to 3 rounds: a recruiter screen, a clinical hiring manager interview, and a credentialing, references, and offer stage. Exact structure is not published for this role, so treat this as the typical shape for a licensed, field-based home health clinician at an early-stage company like Adaptive.

2) What topics are most common?

* In-home SLP evaluation, plan-of-care with measurable functional goals, aphasia and cognitive-communication treatment, and dysphagia screening and swallow safety education within home health scope

* Outcome ownership (avoidable hospitalizations, patient experience), multidisciplinary coordination, caregiver coaching, defensible documentation, and comfort with the per-point productivity model

3) How long does the process take?

For a part-time field role, the process is usually quick, often 1 to 3 weeks from first contact to offer, depending on scheduling and how fast license and reference verification clears.

4) How should I prepare?

* Confirm your Michigan ST license status, transportation, and auto insurance, and map the availability that gets you to at least 10 points per week.

* Prepare STAR stories on outcome ownership, caregiver coaching, and change-in-condition escalation, plus crisp clinical reasoning on evaluation, aphasia, cognitive-communication, and dysphagia.

* Calculate your expected weekly earnings from the $82.50 per point rate and prepare questions on mileage, referral bonuses, and how points are counted.

* Use Nora AI to rehearse: Standard Mode for the recruiter screen, Behavioral and Technical Modes for the clinical hiring manager round, and Salary Negotiation Mode for the per-point offer conversation.