ASC of Fincastle logo
ASC of Fincastle
Fincastle, Virginia

Speech Therapist

Speech-Language Pathologist Top 25% in Speech Language PathologyFull-Time

Compensation

Pay not disclosed

Listing transparency1 of 6 stated

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

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 3mo ago

Job Description

Description

Are you a Speech-Language Pathologist who values connection, collaboration, and truly patient-centered care? Our skilled nursing facility is seeking a compassionate, motivated SLP to join our interdisciplinary team and make a meaningful impact in the lives of adults and older adults.

We believe clinicians do their best work when they feel supported, respected, and empowered — and that’s exactly the environment we’ve built.

Why You’ll Love Working Here

Supportive, Collaborative Culture

  • You’ll work alongside a warm, experienced therapy team that values open communication, shared problem-solving, and celebrating wins together. We believe in mentorship, teamwork, and creating a workplace where clinicians feel seen and appreciated.

Manageable Caseload & Realistic Expectations

  • We prioritize quality over quantity. You’ll have the time you need for thoughtful evaluations, individualized treatment planning, and documentation — without overwhelming productivity pressure.

Flexible Scheduling

  • We understand that life happens. Enjoy a schedule that supports work–life balance while still providing consistency for your patients.
  • Competitive Pay & Strong Benefits
  • Negotiable pay, based on experience
  • Full benefits package, 401k with match
  • PTO and paid holidays
  • CEU support
  • Opportunities for leadership and specialty development

Room to Grow

Whether you’re building expertise in dysphagia, cognitive-communication disorders, dementia care, trach/vent/PMV training or student mentoring, we want to help you become that expert clinician.

A Values-Driven Environment

Our facility is grounded in empathy, dignity, and patient-centered care. We’re looking for clinicians who share these values and want to make a real difference in the lives of older adults.

Requirements

What You’ll Do

  • Provide evaluation and treatment for adult/geriatric residents with communication, cognitive, and swallowing disorders
  • Collaborate with PT, OT, nursing, dietary and medical staff to deliver coordinated, holistic care
  • Develop individualized treatment plans that honor each resident’s goals and abilities
  • Maintain accurate documentation with adequate time built into your schedule
  • Participate in care planning meetings and family education as needed
  • What We’re Looking For
  • Master’s degree in Speech-Language Pathology
  • Current VA SLP license, CCC
  • Passion for working with older adults
  • Experience with IDDSI diets and dysphagia is preferred, though we can train
  • Strong communication skills and a team-oriented mindset
  • Commitment to compassionate, evidence-based care
  • Ready to Join a Team That Truly Supports You?

We’d love to meet you. Apply today and discover a workplace where your expertise is valued, your voice matters, and your work changes lives.

Key Responsibilities

Provide evaluation and treatment for adult and geriatric residents with communication, cognitive, and swallowing disorders. Collaborate with an interdisciplinary team of medical and therapy staff to deliver holistic, patient-centered care.

Qualifications

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

Key Skills

Dysphagia ManagementPatient EvaluationInterdisciplinary Collaboration

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Speech Therapist at ASC OF FINCASTLE 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 6,328 active Speech Language Pathology listings on WeekdayDoc.

Speech-Language Pathologist Career Context

Of the 50 active Speech-Language Pathology listings this role was benchmarked against, 8% are remote, 60% have no call, 76% require no weekends.

Speech-Language Pathology pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Speech Language Pathologist Jobs

32 matches · ranked by pay

Salary Distribution26 jobs · 24 employers

7
<$110k
3
$110k-125k
5
$125k-140k
6
$140k-155k
5
$155k+

Annual compensation range

Benefits & Perks24 jobs

401k / retirement match
88% this job
CME allowance
54% this job
Loan repayment
13%
Sign-on bonus
8%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Speech Language PathologistContract

Thera Peds · Northglenn, Colorado

$65-$85/hr
#2

Speech Language Therapist / SLP (Home Health)

Mission Healthcare · Reno, Nevada

$70-$80/hr
#3

Speech Language Pathologist

$60-$75/hr
#4

Speech Therapist

$65-$75/hr
+ 30 more · ranked by pay

Work-life snapshot

median 3.0this job 6.6
Higher than about 8 in 10 of 6,328 Speech Language Pathology listings

Listing-based score, 0–10. Shaded area = share of comparable listings scoring below this one.

Living in Fincastle

Typical 3-bedroom home value
$374k
Median resident rent
$945/mo
Residents’ average commute
27 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

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

ASC of Fincastle logo

About ASC of Fincastle

Hospitals and Health Care
Roanoke, Virginia
201-500 employees

Benefits & Perks

Full benefits package
401k with match
PTO
Paid holidays
CEU support
Leadership development