Home Health Aide (HHA/CNA) Houston

About the role

• Comp: $17.00 - $18.00 per hour + mileage reimbursement
• Schedule: Full-time Monday-Friday + some weekends (as needed)
• Location: Field-based

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access to home health care.

The HHA role is essential to that mission: you provide compassionate personal care in the home, support patients in their daily activities, and help us raise the standard for what home health can be.

What You Will Do

• Provide personal care assistance including bathing, dressing, grooming, and toileting.
• Assist patients with safe transfers, ambulation, and mobility using proper body mechanics.
• Support patients with medication reminders as directed by the care plan.
• Monitor and report changes in patient condition, vital signs (when ordered), and daily living activities to the supervising nurse.
• Perform light housekeeping tasks related to patient safety and care (laundry, meal preparation, maintaining clean environment).
• Document all care provided accurately and timely in Homecare Homebase (HCHB).
• Communicate clearly with patients, families, and the care team to ensure continuity of care.
• Follow infection control practices and maintain patient dignity and privacy.
• Assist with range of motion exercises and other restorative care activities as ordered.
• Coordinate with supervising RN/LVN for care plan updates and patient needs.

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.
• Competitive hourly pay: $17-$18/hour based on experience, plus mileage reimbursement.
• 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 caregivers: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.
• Mission-driven work: We are here to expand access to high-quality home health care, and we want caregivers who take pride in raising the standard.

Must-haves

• Current Texas HHA certification
• 1+ years of experience providing personal care (home health, assisted living, nursing home, or hospital setting)
• CPR/BLS certification
• Current Texas driver's license and reliable transportation
• Ability to lift, transfer, and provide hands-on care safely
• Strong communication skills and professional demeanor
• Comfortable working independently in patients' homes
• High school diploma or GED

Nice-to-haves

• Previous home health experience
• Familiarity with Homecare Homebase (HCHB) or similar EMR
• CNA or other clinical training/certification
• Experience with medically complex or high-acuity patients
• Bilingual (English/Spanish)

Care Focus Areas

• Personal care and activities of daily living (ADLs)
• Mobility assistance and fall prevention
• Vital signs monitoring and reporting
• Companionship and emotional support

Benefits

• 401(k) + 401(k) matching
• Health, dental, vision, and life insurance
• Paid time off
• Flexible scheduling
• Mileage reimbursement
• Referral program