Tri-County Therapy logo
Tri-County Therapy
Charleston, South Carolina

Lead Speech Language Pathologist

Speech-Language PathologistFull-Time

Listed compensation

$68K - $98K

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 5mo ago

Job Description

Join Tri-County Therapy (TCT) a leading pediatric therapy company serving children from birth to 18 years old across South Carolina. Our mission is to provide high-quality therapy services while building a diverse, empowered, and innovative team.

We use a multi-disciplinary approach (OT, SLP, PT) with an incredibly collaborative team to provide services in clinics, homes, schools, and community settings.

With clinics in Charleston, Ladson, Mount Pleasant, Greenville, and Anderson, TCT has built a reputation for excellence in pediatric therapy. Our team delivers compassionate, evidence-based care in a supportive, growth-focused environment. We believe in empowering our therapists with training, resources, and a collaborative culture to achieve the best outcomes for the children and families we serve.

We are currently hiring for a full-time Pediatric Speech Language Pathologist interested in a leadership role. Our Lead SLP will be actively treating patients while also providing clinical support to our team of Speech Therapists.

Lead Job Responsibilities

Provide clinical support to assigned team members, including direct on-site support and consultation via phone, email, or video conferencing regarding treatment planning, goal implementation, and therapy modifications.

Review and co-sign documentation for clinicians requiring supervision (e. g., newly credentialed providers within their first 90 days), including treatment notes and evaluation reports to ensure accuracy of clinical findings, treatment plans, coding, and recommended frequency of services.

Provide supervision of paraprofessionals and assistants (SLP-CFs, SLP-As) in accordance with ASHA standards and SC LLR regulations.

Conduct initial evaluations and reevaluations for personal caseload and for assigned team members (e. g., paraprofessionals), including all required documentation and billing.

Support team development through new hire onboarding and training

Speech-Language Pathologist Job Responsibilities

Identify patients who could benefit from AAC and trial various devices and support family to obtain medically necessary equipment. Successfully complete AAC evaluation reports, with clinical support.

  • Accept, evaluate, and treat feeding patients
  • Record therapy notes (SOAP), patient observations, evaluation reports, care plans (POCs), and discharge of clients
  • Design, develop, and employ alternative diagnostic or communication devices and strategies.
  • Instruct clients in techniques for more effective carryover of strategies and techniques.

Develop individualized speech therapy exercise programs and home programs for families to implement, to facilitate generalization across settings.

Ensure regular communication with parents or caregivers and educate/instruct patients and family members in strategies to facilitate progress.

Lead Speech-Language Pathologist Requirements

Graduate from an accredited university with a master's degree or higher in Speech Language Pathology (SLP), Communication Sciences and Disorders (CSD), Communication Disorders (MCD) or equivalent program OR a current State of South Carolina Speech-Language Pathologist Assistant license (SC LLR).

Must be licensed (or pursuing CF licensure) in the state of South Carolina with the SCLLR as an SLP and maintain the Certificate of Clinical Competence (CCC) from the American Speech, Language and Hearing Association

  • Minimum 2 years of clinical experience in outpatient pediatric therapy or relevant experience
  • Minimum 2 years of experience in a leadership role is preferred
  • AAC & Feeding experience are a plus!
  • Knowledge and understanding of children’s developmental stages from ages 0-18 to properly analyze the growth, movement (motor), cognitive, and maturation process/transition between skill levels.
  • Previous pediatric experience is required through employment or clinical rotation.

Speech-Language Pathologist Compensation & Pay Structure

Base Salary includes therapy sessions and administrative time (documentation, caregiver communication, etc.) for full-time W2 positions.

Bonus Commission for increased productivity

Speech-Language Pathologist Benefits

  • Health & Dental Insurance
  • 401(k) Retirement Plan
  • Paid Time Off (PTO) and Paid Holidays
  • Continuing Education Programs
  • Professional CEU Scholarship Opportunities
  • Short Term-Disability Insurance Options
  • Life & Vision Insurance Options
  • Covered Professional Liability Insurance iPad and Therapy Equipment

Key Responsibilities

The Lead SLP will provide clinical support, supervision, and mentorship to team members while maintaining an active caseload of pediatric patients. Responsibilities include conducting evaluations, co-signing documentation, and facilitating team development through training and onboarding.

Requirements

Candidates must hold a master's degree or higher in Speech-Language Pathology and maintain current South Carolina licensure and ASHA certification. A minimum of 2 years of clinical experience in outpatient pediatric therapy is required, with leadership experience preferred.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Clinical SupervisionFeeding TherapyStaff TrainingPatient Evaluation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Lead Speech Language Pathologist at Tri-County Therapy a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Speech Language Pathology — ranked against 6,922 active Speech Language Pathology listings on WeekdayDoc.

Speech-Language Pathologist Career Context

Of the 40 active Speech-Language Pathology listings this role was benchmarked against, 10% are remote, 45% have no call, 68% 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 South Carolina is 93.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$83k midpoint carries the purchasing power of roughly $89k in an average-cost state. 60.6% of South Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Speech Language Pathologist Jobs

25 matches · ranked by pay

Salary Distribution25 jobs · 15 employers

11
<$100k
2
$100k-120k
1
$138k
10
$140k-160k
1
$166k

Annual compensation range

Benefits & Perks23 jobs · 15 employers

401k / retirement match
91% this job
CME allowance
43% this job
Relocation assistance
22%
Loan repayment
17%
PSLF eligible
17%

Share of similar jobs offering each benefit

#1

Speech Language PathologistContract

Thera Peds · Conifer, Colorado

$65-$80/hr
#2

Speech Language PathologistContract

Thera Peds · Pawtucket, Rhode Island

$61.5-$75.75/hr
#3

Speech Language Pathologist, SLP

$65-$75/hr
#4

Speech Language Pathologist (SLP) or Clinical Fellow (SLP-CF) - School Based Setting!

$65-$75/hr
+ 23 more · ranked by pay

Work-life snapshot

median 2.8this job 6.6
Better work-life than 80% of Speech Language Pathology listings

Listing-based score, 0–10, across 6,922 comparable listings. Shaded area = the share scoring below this one.

Living in Charleston

Typical 3-bedroom home value
$534k≈ 7.8× annual pay
Typical market rent
$2,312/mo≈ 41% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
101.0
State income tax
Up to 6.5%
Sources & methodology

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

BEA 2024 · Charleston-North Charleston, SC metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Tri-County Therapy logo

About Tri-County Therapy

Benefits & Perks

Health & Dental Insurance
401(k) Retirement Plan
Paid Time Off (PTO) and Paid Holidays
Continuing Education Programs
Professional CEU Scholarship Opportunities
Short Term-Disability Insurance Options
Life & Vision Insurance Options
Covered Professional Liability Insurance