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Sanford Health
Wagner, South Dakota

Speech Language Pathologist - Skilled Nursing - Full Time

Speech-Language PathologistNo nightsFull-Time

Listed compensation

$34.5-$52/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift

Day (United States of America)

Scheduled Weekly Hours

35

Compensation

Salary Range: $34.50 - $52 Additional Pay Information $10,000 sign-on bonus (eligibility requirements apply)!

Union Position

No

Department Details

Come join one of the nation's largest nonprofit providers of senior care and services since 1922.

Our therapy team is dedicated to helping individuals achieve their highest level of independence through collaborative, patient-centered care. We work closely with nursing, providers, social services, and families to support exceptional outcomes.

What You'll Treat

  • Orthopedic conditions
  • Post-surgical rehabilitation
  • Neurological diagnoses
  • Balance and fall prevention
  • General deconditioning and weakness
  • Chronic disease management
  • Long-term care and skilled nursing residents
  • Home health patients (if applicable)

What Makes This Team Special

  • Collaborative interdisciplinary care team
  • Supportive leadership and clinical resources
  • Opportunities for mentorship and growth
  • Flexible scheduling options (position permitting)
  • Focus on quality outcomes and patient satisfaction
  • Meaningful relationships with patients and families

What's In It For You

  • Competitive compensation
  • Advancement opportunities
  • Continuing education support
  • Clinical mentorship and development
  • Various education assistance programs
  • Direct access to your earnings daily
  • Robust benefits package (benefits vary based on full-time or part-time status)
  • Opportunity to make a lasting impact in the lives of older adults

Summary

Administers speech and language evaluations, tests or examinations to diagnose and plan treatments for clients/patients/residents with various speech problems and swallowing disorders. Assesses clients/patients/residents with various speech, language, cognitive or swallowing problems and develops individualized treatment plans based on clinical diagnoses.

Job Description

Provides speech and language services to clients/patients/residents; monitors disease progression and adjusts treatments accordingly.

Instructs clients/patients/residents in practicing speech and language therapeutic exercises; provides consultation for clients/patients/residents working through speech and language treatment processes. Ensures all speech and language related standards, policies, protocols and quality requirements are met.

May treat individuals of all ages with varying diagnosis and disorders. Will demonstrate documentation in accordance with departmental guidelines and meet all regulatory requirements. Demonstrates level of treatment associated with their specialty provided to their clients/patients/residents.

Follows and adheres to accepted clinical practice guidelines of professional organization. Exhibits flexibility with acceptance of variable work schedules/assignments. Participates in activities to promote the department, Good Samaritan Society and Sanford Health.

Will be interacting with individuals outside of the department including but not limited to: providers, case managers, third party payers, public organizations, etc. May be asked to supervise assistants, aides, and students as they provide client/patient/resident care, treatment, or other services.

Will be expected to provide ongoing education and training to peers in the area(s) of expertise as determined by the department leadership. Performs other related duties as requested by manager.

Based on assigned area, work may focus on those receiving intervention in the post-acute, long term care and home health care environments when applicable.

Qualifications

Appropriate education level required in accordance with state licensure.

Must be licensed in the state(s) of practice as Speech-Language Pathologist.

When working at a Sanford Health Facility (not required but preferred by GSS Facilities): Holds a Certificate of Clinical Competence issued by the American Speech-Language Hearing Association (ASHA) or currently working on Clinical Fellowship Year (CFY). When applicable, may require valid driver's license.

Obtains and subsequently maintains required department specific competencies and certifications. Basic Life Support (BLS) for health care providers required or within the first 60 days of employment.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Key Responsibilities

The Speech Language Pathologist will conduct evaluations and develop individualized treatment plans for patients with speech, language, cognitive, and swallowing disorders. They will also collaborate with an interdisciplinary team to monitor patient progress and ensure all clinical documentation meets regulatory standards.

Qualifications

Education
Professional certificate or licensure

Key Skills

Speech-language pathologyPatient evaluationTreatment planningSwallowing disorder managementCognitive therapyOrthopedic rehabilitationNeurological rehabilitationBalance trainingInterdisciplinary collaborationPatient educationRegulatory compliance

Speech-Language Pathologist Career Context

Of the 40 active Speech-Language Pathology listings this role was benchmarked against, 13% are remote, 40% have no call, 60% 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 South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$90k midpoint carries the purchasing power of roughly $102k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$90k midpoint, that is roughly $4k–$6k a year versus a typical 4–7% state rate.

Top Speech Language Pathologist Jobs

25 matches · ranked by pay

Salary Distribution25 jobs · 14 employers

13
<$100k
1
$103k
0
$120k-140k
10
$140k-160k
1
$166k

Annual compensation range

Benefits & Perks24 jobs · 14 employers

401k / retirement match
92%
CME allowance
42% this job
Loan repayment
25%
Sign-on bonus
21% this job
Relocation assistance
21%

Share of similar jobs offering each benefit

#1

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$65-$80/hr
#2

Speech Language PathologistContract

Thera Peds · Pawtucket, Rhode Island

$61.5-$75.75/hr
#3

Speech Language Pathologist, SLP

$65-$75/hr
#4

Speech Language Pathologist (SLP) or Clinical Fellow (SLP-CF) - School Based Setting!

$65-$75/hr
+ 23 more · ranked by pay

Work-life snapshot

median 2.8this job 5.1
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.

  • No nights

Living in Wagner

Median resident rent
$684/mo
Residents’ average commute
12 min
State income tax
None
Sources & methodology

Sources: U.S. Census ACS 2024 five-year.

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

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About Sanford Health

Hospitals and Health Care
Sioux Falls, SD
10,000+ employees

Benefits & Perks

Competitive compensation
Advancement opportunities
Continuing education support
Clinical mentorship and development
Education assistance programs
Direct access to earnings daily
Robust benefits package
$10,000 sign-on bonus