Home Health Speech Therapist PRN
Compensation
Pay not listed
The week · per this posting
Schedule not stated in this posting — no days, weekends, call or nights given.
Ask the employer about the pay range, the work setting, call expectations and time off.
Job Description
Job Description Summary The Home Health Speech Therapist is responsible for evaluating, diagnosing, and treating patients with speech, language, cognitive-communication, voice, and swallowing disorders in the home setting.
The Speech Therapist develops individualized treatment plans that maximize functional communication, improve swallowing safety, enhance quality of life, and promote patient independence while collaborating with physicians, nurses, therapists, caregivers, and the interdisciplinary team.
Care is provided in accordance with physician orders, agency policies, state and federal regulations, and professional standards. Essential Job Functions & Responsibilities Patient Assessment Perform comprehensive speech-language pathology evaluations in the patient’s home.
Assess: Speech disorders Language deficits Cognitive-communication impairments Voice disorders Swallowing (dysphagia) Oral motor function Functional communication abilities Review medical history, medications, physician orders, and previous therapy records.
Determine rehabilitation potential and establish measurable treatment goals. Treatment Planning Develop individualized, evidence-based plans of care. Establish short- and long-term goals. Modify treatment plans based on patient progress or decline. Recommend appropriate frequency and duration of services.
Therapeutic Interventions Provide skilled speech-language therapy to improve: Expressive language Receptive language Speech intelligibility Cognitive functioning Memory Attention Problem-solving Voice quality Swallowing safety Implement compensatory communication strategies.
Perform dysphagia management, including therapeutic swallowing exercises when appropriate. Recommend diet texture modifications in collaboration with the physician and interdisciplinary team. Monitor patient response to interventions and adjust treatment as needed.
Patient & Caregiver Education Educate patients and caregivers regarding: Communication strategies Swallowing precautions Aspiration prevention Home exercise programs Adaptive equipment Safe feeding techniques Reinforce therapy goals during each visit. Evaluate caregiver understanding and competency.
Care Coordination Collaborate with: Physicians Registered nurses Physical therapists Occupational therapists Social workers Home health aides Dietitians Participate in interdisciplinary care conferences. Communicate significant changes in patient condition promptly.
Recommend additional services or referrals when indicated.
Documentation Complete timely and accurate documentation including: Initial evaluations Visit notes Progress reports Recertifications Reassessments Discharge summaries Document skilled interventions, patient response, progress toward goals, and caregiver education.
Ensure documentation meets Medicare, payer, agency, and regulatory requirements. Quality & Compliance Adhere to all applicable federal, state, Medicare, HIPAA, and agency regulations. Maintain patient confidentiality. Follow infection prevention and safety standards during home visits. Maintain required professional licensure and continuing education. Safety
Responsibilities
Assess the home environment for safety concerns affecting communication or swallowing. Identify aspiration risks and implement appropriate precautions. Report unsafe living conditions or abuse/neglect according to agency policy. Utilize universal precautions and appropriate personal protective equipment (PPE).
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at pennantgroup.com.
We are a dedicated team of local professionals focused on delivering personalized hospice care with an emphasis on quality and excellence.
Our staff of caring professional have roots in this area, and we work with each patient and family to ensure that our care is personalized to respect the unique needs of each person we serve.
We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.
Key Responsibilities
The Speech Therapist evaluates and treats patients with speech, language, cognitive, and swallowing disorders within a home health setting. They develop individualized treatment plans and collaborate with an interdisciplinary team to improve patient independence and quality of life.
Requirements
Candidates must possess professional licensure in speech-language pathology and adhere to state, federal, and Medicare regulations. The role requires the ability to perform comprehensive home assessments and maintain accurate clinical documentation.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Home Health Speech Therapist PRN at Nurses on Wheels 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 6,763 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, 6% are remote, 40% have no call, 60% require no weekends.
Speech-Language Pathology pay on WeekdayDoc is up 4.1% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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