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North Country Healthcare
Lancaster, New Hampshire

Speech Therapist (Per Diem)

Speech-Language PathologistPer 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.

Posted 1h ago · Verified live

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

Treatment planningCognitive disordersFeeding disordersInterdisciplinary collaborationPatient evaluation

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).

Speech-Language Pathology by the numbers
MeasureThis jobMarket
Work-life score3.0 / 10 · above average in speech language pathologyranked against 6,836 Speech Language Pathology listingslisting-based score, 0–10
Listed pay$82k–$110kSpeech-Language Pathology median $146k (middle half $133k–$156k)215 comparable listings, Oct 2026
Cost-of-living adjusted pay~$92k in purchasing powerNew Hampshire index 104.2 (US = 100)BEA Regional Price Parities (2024)
Speech-Language Pathology listings in New Hampshire52 active6,837 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 10% remote · 45% no call · 53% no weekends40 benchmarked listings
Speech-Language Pathology pay trend+4.2% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (6,836 Speech Language Pathology listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

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.

Top contract/1099 Speech Language Pathologist Jobs

39 matches · ranked by pay

Salary Distribution

30 jobs · 29 employers
6
<$100k
9
$100k-115k
3
$115k-130k
9
$130k-145k
3
$146k

Annual compensation range

Benefits & Perks

34 jobs · 29 employers
401k / retirement match
82%
CME allowance
41%
Sign-on bonus
12%
Relocation assistance
9%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Speech-Language Pathologist Clinical Fellow

Dragonfly Cares · Dix Hills, New York

$65-$90/hr
#2

Speech Language Pathologist (SLP) On-CallPer Diem

Links Healthcare · Carmichael, California

$65-$70/hr
#3

Licensed Speech-Language Pathologist (SLP) PRN

$68.00 per hour
#4

Speech Language Pathologist (SLP) – Home Health

starting at $65/hr
+ 37 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 6,836 comparable listings. Shaded area = the share scoring below this one.

North Country Healthcare logo

About North Country Healthcare

Hospitals and Health Care
Whitefield , New Hampshire
51-200 employees

Benefits & Perks

Per diem position

Living in Lancaster

Typical 3-bedroom home value
$313k
Median resident rent
$1,036/mo
Residents’ average commute
20 min
State income tax
None
Sources & methodology

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

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