Provides home care services, skilled nursing care, physical therapy, occupational therapy, speech therapy

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Speech Therapist

Speech Therapist

Per Diem

Speech Therapist


The Speech Therapist (ST) is a qualified professional who provides Speech Therapy services in compliance with the state Practice Act, any applicable licensure requirement, applicable healthcare standards, state and federal laws and regulations, The Roads Home Health Care’s policies and standards, and philosophy of care. The Speech Therapist is responsible to proactively apply professional knowledge and skills to meet the needs of the patient and facilitate the achievement of individualized, defined, and measurable outcomes. OSHA defines this position as Class 1 exposure to blood.


This position reports and is supported by the Director of Nursing, or a Registered Nurse designee. Reporting to this position may be a Speech Therapy Assistant. During a facility assignment, the Speech Therapist has an additional responsibility to both the facility-designated supervisor and all facility practices, which exceed those of the company.

Responsibilities and Duties

The Speech Therapist provides skilled therapy interventions in the treatment of the patient illness, rehabilitative needs and preventative care. He/she utilizes a holistic approach in the provision of ongoing assessments, problem identification and specific therapeutic interventions, teaching and training activities. The Speech Therapist is responsible to provide service in accordance with accepted standards of clinical practice, to facilitate problem solution, and thereby, the achievement of individualized patient goals and outcomes.

Plan of Care

1. Complies with accepted ethical and professional standards of Speech Therapy practice as set forth by the American Speech Therapy Association.

2. Confers with the patient’s physician in developing, implementing and revising the therapy Plan of Care, based on initial and ongoing assessments, and as required by policy/regulations.

3. Adheres to the Plan of Care in the provision of care.

4. Initiate contacts with the physician and the Director of Nursing (DON), in a timely manner, utilizing an appropriate professional judgment.

5. Ensures interim/renewal physician orders are obtained as necessary and communicated effectively.

6. Utilizes a systematic, individualized, goal/outcome driven approach in developing the therapy plan of care and in the delivery of therapy services. Ensures proactive revision or addition to the plan of care to meet patient needs as assessed or diagnosed and as required by policy/regulation.

7. Assesses the appropriateness/effectiveness of paraprofessional care related to therapy, and appropriately incorporates problem specific interventions in the paraprofessional plan of care, as it relates to Speech Therapy.

Care Coordination

8. Initiates and responds appropriately to contact with/from the patient, physician, DON, other members of the healthcare team, in a timely manner as regards to patient needs and status changes as per policy/standards.

9. Acts as a liaison between the patient, physician, DON, other members of the healthcare team and the community in assuring effective care coordination, appropriate resource referrals and supervision of paraprofessional staff.

10. Participates in care coordination activities and acts as a resource for other healthcare team members in the identification, management, and/or resolution of the patient’s needs/problems.

11. Maintains the highest standards of professional conduct in relation to information that is confidential in nature. Shares information only when the recipient’s right to access is clearly established and the sharing of such information is clearly in the best interest of the patient.

12. Appropriately communicates to ensure adherence to professional standards in the provision of and availability of supplies, materials, and equipment needed to safely and effectively implement the plan of care.

13. Provides paraprofessional staff with a personal care plan that reflects the current plan of care, as it relates to therapy. Supervises and evaluates the performance of paraprofessional staff, related to Speech Therapy directives.

Teaching and Training

14. Ensures that the plan of care incorporates and guides appropriate teaching related to health maintenance and prevention, safely and interventions to achieve individualized patient-driven goals/outcomes. Uses appropriate methods and tools in all teaching and training activities, including those associated with discharge.

15. Participates, as assigned, in teaching and training of other healthcare staff members including, but not limited to:

a. Orientation of staff members to an individualized plan of care, inclusive of expected goals and outcomes.

b. Providing leadership and direction, especially as related to paraprofessional personnel, in the ongoing implementation of the plan of care.

c. Timely assessment and provision of the policy or procedure-specific training whenever a need is defined.


16. The Speech Therapist will prepare, submit and maintain documentation as required by the Agency.

The Speech Therapist

17. Accurately and thoroughly documents the patient’s care observations, interpenetrations, and evaluation on a day services are rendered.

18. Assures that verbal orders obtained from the Physicians are accurately transcribed for implementations.

19. Documents supervisory visits for inclusion in the patient’s records on the prescribed form in a timely manner.

20. Monitors the appropriate completion of documentation by home health aides/nursing assistant as part of the supervisory /leadership responsibility.

21. Contacts the office / DON immediately with any itinerary changes.

22. Can be contacted at all times by cellular while in the field.

23. Complies with Human Resources standards.

Professional Conduct and Development

24. Participates in the Quality Assessment and Improvement Activities as assigned. Communicates information that enables collection and root analysis of data to identify opportunities for improvement.

25. Attends, participate in, and/or conducts internal staff development programs obtains continuing education as required by Agency policy and regulations.

26. Maintains a professional appearance as per dress code guidelines are reliable and punctual, cooperative, and conducts self according to accepted standards of professional practice in the course of assigned duties.

27. Performs other duties as assigned in response to the patient, office, and/or facility needs.

Regulatory Requirements:

· Master’s/Bachelor’s Level Graduate in the area of Speech Therapy or Speech Pathology from an accredited university or college.

· Certificate of Clinical Competence in Speech-Language Pathology awarded by the American Speech-Language and Hearing Association.

· For Medicare Certified Agencies:

· Meets the education and experience requirements for a Certificate of Clinical Competence in speech pathology or audiology granted by the American Speech-Language-Hearing Association; or

· Meets the education requirements for certification and is in the process of accumulating the supervised experience required for certification

· Current valid state Speech Therapy license.

· One (1) year of work experience.

· Prior home health experience preferred. Valid state driver’s license and reliable automobile.

· Proof of current automobile insurance.

· Current health certificate/physical examination and TB testing.

· Current BCLS certification.

· Criminal background check.

· Current liability insurance.

Job Types: Part-time, Full-time, Contract

Salary: $60.00 – $70.00 per hour


  • Flexible schedule

Medical specialties:

  • Home Health
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