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21st Century Home Health Services
Sacramento, California

Speech Therapist Clinical Fellowship (CF) Year

Speech-Language PathologistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 40m ago · Verified live

Job Description

21st Century Home Health Services (21HHS) is the fastest-growing home health agency in Northern California. We care for patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, Sacramento, Marin, and Sonoma counties.

There's a reason for that growth. Words like collaboration, teamwork, and productivity stay buzzwords unless the structure, model, and tools make them real. At 21HHS, we've built a model that combines the best of home health with the structure, resources, and support clinicians need to thrive. Our clinical guiding principles are simple: empower, enhance, educate.

When clinicians get real support and structure, the results show up in two places at once: patient outcomes and employee satisfaction. We know our clinicians and therapists provide outstanding care because our patients, their families, and their caregivers tell us so. Check out our Yelp and Google reviews. We're proud of this work.

We've also set a new benchmark for employee satisfaction in home health. As a Top Workplace, 21HHS supports growth and recognition through open communication and professional development. Feedback from our team on Glassdoor and Indeed backs this up. Our outcomes, low turnover, rapid growth, and high morale speak for themselves.

The 21HHS Standard

We give you great tools and resources, and a lot of them, plus the support you need to succeed and enjoy your work. In return, we ask that you use those tools to do your job well. When the right mindset meets the right resources, the payoff is real: high job satisfaction, excellent patient outcomes, and earning potential that's hard to match. That's the 21HHS Standard.

Please note: All opportunities at 21HHS require being in the field, visiting patients in their homes.

The Speech Therapist CFY will provide speech and language therapy services to patients in a home health setting. This role is designed for a recent graduate completing their Clinical Fellowship Year (CFY). The therapist will assess, diagnose, and treat communication and swallowing disorders, developing individualized treatment plans to improve patient outcomes. Supervision and mentorship will be provided by a licensed and certified Speech-Language Pathologist (SLP).

In this Role, you will:

  • Conduct comprehensive assessments of speech, language, voice, and swallowing functions in patients.
  • Utilize standardized tests and clinical observations to diagnose disorders.
  • Collaborate with patients, families, and other healthcare professionals to gather relevant information.
  • Develop and implement individualized treatment plans based on assessment results.
  • Provide therapy for speech, language, and voice disorders, as well as swallowing difficulties.
  • Use various therapeutic techniques and technologies to meet patient needs.
  • Monitor patient progress and adjust treatment plans as needed.
  • Educate patients and their families about communication and swallowing disorders.
  • Provide training on strategies to enhance speech and language skills at home.
  • Offer guidance on dietary modifications and safe swallowing techniques.
  • Work closely with a multidisciplinary team, including physicians, nurses, and occupational therapists.
  • Participate in patient care conferences and contribute to treatment planning.
  • Maintain effective communication with patients, families, and team members.
  • Maintain accurate and detailed records of patient assessments, treatment plans, and progress.
  • Prepare reports for healthcare providers and insurance companies as needed.
  • Ensure compliance with all relevant laws, regulations, and professional standards.
  • Participate in regular supervision and mentorship sessions with a licensed SLP.
  • Stay current with advancements in speech therapy practices and technique

To Be A Success

  • Master’s degree in Speech-Language Pathology from an accredited program.
  • Temporary CA state license or certification to practice as a Speech Therapist CFY.

Strong communication, interpersonal, and organizational skills. Ability to work independently and as part of a team.

Valid CA License

By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: 21hhs.com

21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.

By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: 21hhs.com

Key Responsibilities

The Speech Therapist will conduct comprehensive assessments and provide speech, language, and swallowing therapy to patients in a home health setting. They will collaborate with a multidisciplinary team to develop individualized treatment plans and maintain accurate clinical records.

Requirements

Candidates must hold a Master’s degree in Speech-Language Pathology from an accredited program. A temporary California state license or certification to practice as a Speech Therapist CFY is required.

Qualifications

Education
Professional certificate or licensure

Key Skills

Swallowing disorder treatmentPatient assessmentClinical documentationMultidisciplinary collaborationPatient educationCommunication disordersVoice therapyHome health careStandardized testingClinical observationRegulatory compliance

Speech-Language Pathologist Career Context

Of the 50 active Speech-Language Pathology listings this role was benchmarked against, 8% are remote, 56% have no call, 46% require no weekends.

Speech-Language Pathology pay on WeekdayDoc is up 4.2% vs. the prior quarter (through Sep 2026).

Speech-Language Pathology by the numbers
MeasureThis jobMarket
Work-life score3.0 / 10 · above average in speech language pathologyranked against 6,778 Speech Language Pathology listingslisting-based score, 0–10
Listed paynot listedSpeech-Language Pathology median $98k (middle half $95k–$107k)10 comparable listings, Oct 2026
Cost of livingCalifornia index 110.7US average = 100BEA Regional Price Parities (2024)
Speech-Language Pathology listings in California583 active6,843 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 8% remote · 56% no call · 46% no weekends50 benchmarked listings
Speech-Language Pathology pay trend+4.2% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (6,778 Speech Language Pathology listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Speech Language Pathologist Jobs

43 matches · ranked by pay

Salary Distribution

31 jobs
8
<$110k
7
$110k-130k
4
$130k-150k
11
$150k-170k
1
$187k

Annual compensation range

Benefits & Perks

32 jobs
401k / retirement match
75%
CME allowance
47%
Sign-on bonus
19%
Relocation assistance
13%
Loan repayment
9%

Share of similar jobs offering each benefit

#1

Speech Language Pathologist ContractorContract

Cole Health · Schertz, Texas

$80-$90/hr
#2

Speech Language PathologistContract

Thera Peds · Conifer, Colorado

$65-$80/hr
#3

Speech and Language Pathologist

$70-$80/hr
#4

Speech Language Pathologist

$61.5-$75.75/hr
+ 41 more · ranked by pay

Work-life snapshot

median 2.8this job 3.0
Better work-life than 50% of Speech Language Pathology listings

Listing-based score, 0–10, across 6,778 comparable listings. Shaded area = the share scoring below this one.

21st Century Home Health Services logo

About 21st Century Home Health Services

Hospitals and Health Care
Burlingame, California
201-500 employees

Benefits & Perks

Supervision and mentorship provided

Living in Sacramento

Typical 3-bedroom home value
$452k
Typical market rent
$2,045/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.