Speech Therapist (Per Diem)
Listed compensation
$39.22-$52.94/hr
The week · per this posting
Schedule not stated in this posting — no days, weekends, call or nights given.
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
About North Country Healthcare (NCH)
North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire.
NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services.
NCH remains committed to the health and well-being of the communities we serve. As a leader in a management position this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance.
The anticipated hourly range for this position is $39.22/hr - $49.02/hr - $52.94/hr. Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job-related factors.
Position Summary
The Speech Therapist provides evaluation and treatment for expressive, comprehension, cognitive, and feeding or swallowing disorders for inpatient, outpatient, and home health patients.
Essential Qualifications
Education
- Master’s Degree in Speech/Language Pathology from an American Speech-Language-Hearing Association (ASHA) accredited program.
Certification
- Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA, or eligibility with certification pending.
Licensure
- Current and valid New Hampshire Speech/Language Pathology license issued by the New Hampshire Office of Allied Health Professions.
- Valid Driver’s License.
- Association* accredited course in Basic Life Support (BLS) (for clinical staff), or Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis, with up to a three-month grace period after the expiration date.
Skills
- Strong clinical assessment and treatment skills across speech, language, cognitive, and swallowing disorders
- Ability to develop, implement, and modify individualized treatment plans
- Effective written and verbal communication skills
- Ability to work independently and as part of an interdisciplinary team
- Strong organizational and time management skills
- Proficiency with electronic medical records and clinical documentation systems
Work Experience
- Clinical experience in inpatient, outpatient, and/or home health settings preferred.
- Experience treating adult and/or pediatric populations with speech, language, cognitive, and swallowing disorders preferred.
Essential Functions
1. Required skills and competencies satisfactorily completed on hire and annually.
2. Responsible for an initial evaluation, including objective goals, of each patient referred to for speech therapy.
3. Treatment will occur with a written referral from a health care provider with approved privileges to prescribe speech therapy as set from in the New Hampshire Speech Therapy Practice Act.
4. Responsible for developing a written treatment plan in consultation with and approval from the referring provider.
1. Responsible for maintaining current progress notes in the patient’s record.
2. Ensures that equipment used by the patient is in safe working condition prior to patient use and that any unsafe equipment will be reported to the Rehabilitation Services Manager and/or Maintenance.
1. Will maintain supplies relative to speech therapy at reasonable par levels.
2. Will develop and update policies and procedures related to Speech Therapy practice.
3. Attend meetings as designated by the Rehabilitation Services Manager.
4. Demonstrates knowledge and skills necessary to provide appropriate care across the NCH continuum of care: Inpatient, Outpatient and Home Health.
1. Works with the Rehabilitation Services Manager to develop new programs and collaborate on specific projects based on patient needs.
1. Manages time effectively consistent with department and organizational need.
2. Performs all other duties as assigned by Rehab Services Manager and other members of the Rehab Department.
NON-Essential Functions
1. Performs additional duties as assigned.
2. Adheres to facility Values, Service Excellence and Standards of Excellence.
Key Responsibilities
The Speech Therapist is responsible for evaluating and treating patients with expressive, comprehension, cognitive, and swallowing disorders. They must develop individualized treatment plans and maintain accurate clinical documentation across inpatient, outpatient, and home health settings.
Requirements
Candidates must hold a Master's degree in Speech/Language Pathology from an ASHA-accredited program and possess a current New Hampshire state license. A Certificate of Clinical Competence (CCC-SLP) and a valid driver's license are also required.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
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, 53% require no weekends.
Speech-Language Pathology pay on WeekdayDoc is up 4.2% vs. the prior quarter (through Sep 2026).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 3.0 / 10 · above average in speech language pathology | ranked against 6,836 Speech Language Pathology listingslisting-based score, 0–10 |
| Listed pay | $82k–$110k | Speech-Language Pathology median $146k (middle half $133k–$156k)215 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$92k in purchasing power | New Hampshire index 104.2 (US = 100)BEA Regional Price Parities (2024) |
| Speech-Language Pathology listings in New Hampshire | 52 active | 6,837 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 10% remote · 45% no call · 53% no weekends40 benchmarked listings |
| Speech-Language Pathology pay trend | +4.2% vs prior quarter | —through Sep 2026 |
Location & Logistics
New Hampshire has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$96k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.
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