21st Century Home Health Services logo
21st Century Home Health Services
San Francisco, California

Speech Therapist Clinical Fellowship (CF) Year

Speech-Language PathologistIncludes callFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 4mo ago · Verified live

Job Description

At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area.

Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties.

Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.

We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.

Key Achievements Include

San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.

National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.

Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.

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 CFY provides assessment, diagnosis, and treatment for communication and swallowing disorders in a home health setting. They develop individualized treatment plans and collaborate with a multidisciplinary healthcare team to improve patient outcomes.

Requirements

Candidates must hold a Master's degree in Speech-Language Pathology and a temporary CA state license or certification for CFY practice. A valid CA driver's license and strong interpersonal skills are also required.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Swallowing Disorder TreatmentPatient AssessmentClinical ObservationInterpersonal CommunicationMultidisciplinary CollaborationPatient EducationMedical DocumentationRegulatory Compliance

Speech-Language Pathologist Career Context

Of the 50 active Speech-Language Pathology listings this role was benchmarked against, 10% are remote, 44% have no call, 52% require no weekends.

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

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)). 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Speech Language Pathologist Jobs

48 matches · ranked by pay

Salary Distribution40 jobs · 34 employers

13
<$105k
9
$105k-125k
5
$125k-145k
11
$145k-165k
2
$165k+

Annual compensation range

Benefits & Perks41 jobs · 34 employers

401k / retirement match
83%
CME allowance
54%
Sign-on bonus
12%
Loan repayment
12%
Relocation assistance
7%

Share of similar jobs offering each benefit

#1

Speech Language Pathologist

Providence · Santa Rosa, California

$55.68-$83.79/hr
#2

Speech Language PathologistContract

Thera Peds · Conifer, Colorado

$65-$80/hr
#3

Speech Language Pathologist

$61.5-$75.75/hr
#4

Speech Therapist, SLP, Fl

$65-$75/hr
+ 46 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 6,763 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in San Francisco

Typical 3-bedroom home value
$1.74M
Typical market rent
$4,682/mo
Residents’ average commute
30 min
State income tax
Up to 13.3%
Sources & methodology

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

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

21st Century Home Health Services logo

About 21st Century Home Health Services

Hospitals and Health Care
Burlingame, California
201-500 employees

Benefits & Perks

Mentorship and supervision provided
Top Workplace recognition
Supportive team environment