21st Century Home Health Services logo
21st Century Home Health Services
Orangevale, California

Speech Language Pathologist (SLP)

Speech-Language PathologistIncludes callFull-Time

Listed compensation

$110K - $125K

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 2mo ago

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.

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.

Why you Should Come Work for us as a Speech Therapist/Language Pathologist (ST):

  • Flexible work schedules: Create your own schedule and hours
  • Small coverage areas
  • Autonomy: No clocking in/out
  • Low turnover/High morale
  • Helpful software and communication tools
  • Company issued iPad or Chromebook
  • Mileage/Vehicle Reimbursement
  • Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, Flexible Spending Accounts, Pet Insurance and More!
  • Competitive compensation with achievable incentive bonus program

To be a success as Speech Therapist/Language Pathologist (ST):

  • Current unrestricted CA Speech Therapist License
  • Current BLS/CPR Certification
  • Valid CA Driver's License
  • Knowledge and understanding of individual development and human behavior as it relates to the effects of illness/injury; and of the influence of culture on health care.
  • Knowledge of state and federal homecare regulatory guidelines preferred.
  • Experience home health care is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Case Management fundamentals is highly desired
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Leadership skills
  • Organized
  • Prior to scheduling an in-person interview, all Candidates are required to complete a computer literacy and competency assessment. This is to ensure you are set up for success and can navigate in our environment including electronic charting, shared understanding of company values and use of our web based communication application. The results of the assessment are confidential and will be used as one of multiple data points included in the hiring decision process.
  • #21HHSHP

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

Provide speech therapy services to patients in their homes as part of a home health agency. Collaborate with an interdisciplinary team to deliver high-quality care and maintain accurate electronic charting.

Requirements

Candidates must hold a current unrestricted California Speech Therapist license and a valid driver's license. Previous experience in home health care and high acuity patient management is highly preferred.

Qualifications

Experience
2+ years of experience

Key Skills

Interdisciplinary team collaborationCritical thinkingOrganizationPatient careClinical assessment

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Speech Language Pathologist (SLP) at 21st Century Home Health Services a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Speech Language Pathology — ranked against 6,763 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, 15% are remote, 48% have no call, 55% 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)), so the posted ~$118k midpoint carries the purchasing power of roughly $106k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Speech Language Pathologist Jobs

26 matches · ranked by pay

Salary Distribution26 jobs · 15 employers

13
<$95k
3
$95k-110k
3
$110k-125k
1
$130k
6
$140k

Annual compensation range

Benefits & Perks23 jobs · 15 employers

401k / retirement match
96% this job
CME allowance
35%
Loan repayment
30%
Sign-on bonus
17% this job
Relocation assistance
17%

Share of similar jobs offering each benefit

#1

Home Health Speech Language Pathologist, SLP - Contra CostaPer Diem

CVHCare · Contra Costa County, California

Up to $140,000
#2

Home Health Speech Language Pathologist, SLP - Oakland/Hayward

CVHCare · Oakland, California

Up to $140,000
#3

Home Health Speech Language Pathologist, SLP - Santa Clara

Up to $140,000
#4

Home Health Speech Language Pathologist, SLP - San Francisco/San Mateo

Up to $140,000
+ 24 more · ranked by pay

Work-life snapshot

median 2.8this job 6.4
Better work-life than 70% 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 Orangevale

Typical 3-bedroom home value
$522k≈ 4.7× annual pay
Typical market rent
$2,207/mo≈ 24% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
106.7
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.

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

Ratios use this listing’s gross annual pay. 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

Flexible work schedules
Small coverage areas
Autonomy
Company issued iPad or Chromebook
Mileage/Vehicle Reimbursement
401k with matching
Generous PTO
Medical