OPT Clinical Pathologist Jobs
Clinical Pathologist jobs on OPT require an M.D. or D.O. and typically fall under STEM-adjacent classifications, but your OPT authorization must align with your degree field. Most positions are hospital-based or laboratory-affiliated, and employers will need to initiate H-1B visa sponsorship well before your OPT period ends.
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Get Access To All JobsSpeech-Language Pathologist (SLP) – Clinical Fellow
Mobile W-2 Position | Flexible Schedule | Philadelphia
Please note: To apply, complete our short application here: https://forms.gle/dUCZsXWo4WAoSJ6N7
Applications are reviewed only through the external application form.
We're looking for a CF-SLP who shares our values of open-mindedness, kindness, and accessibility to join our Early Intervention team in Philadelphia, working mainly with children ages 3–5 through Elwyn Early Learning Services. This is a salaried W-2 position that follows the Elwyn service calendar, with a minimum of 7 sessions per service day. You'll have flexibility in how you schedule your day, and most of our therapists meet their minimum between 8:30 and 4:30.
Our Culture
Small Talk Therapeutic Services was started by three speech therapists (and parents) who wanted to build the kind of practice we’d want to work for ourselves. We’re working towards a few big things, which include: making sure every learner has access to communication and accommodations, advocating for disability rights, removing the financial barrier of services for families, and mentoring the next generation of therapists to be neurodiversity-affirming.
Community in a traveling, community-based position can feel hard, so we try our best to bridge this gap. Our team meetings, group chats, and get-togethers at our East Falls space are there when they're helpful and easy to skip when life is busy.
Many of the families we serve live in parts of Philadelphia where quality therapy has been hard to find, and they deserve providers who show up with an open mind. No family should get less care because of their zip code. We meet families where they are, respect how they live and parent, and treat them as the experts on their own kids.
What We Offer
- Base salary of $75,000, plus $10/session bonus once 80% of your CF is complete (typically an additional $3,500)
- $500 sign-on bonus in your first paycheck
- Raise upon completion of your CF
- Voluntary benefits: dental, vision, and short-term disability (including maternity leave)
- Note: This is a salaried position; health insurance is not included
What Makes Us Different
- CF supervision and mentorship from experienced, ND-affirming SLPs highly skilled in strength-based therapy, play-based approaches, AAC/total communication approaches, and more
- Continuing education available for ASHA-approved CEUs
- Access to shared clinic space in East Falls
- Access to lending library with therapy materials, AAC resources, articulation cards/handouts, printer, and laminator
- Access to free mentorship with our lead speech language pathologist, occupational therapist, feeding specialist, and neuro-affirming BCBA (in addition to your CF supervisor)
- Values-based agency that prioritizes social justice, family partnership, and neurodiversity-affirming care
- Provide Early Intervention services for children ages 3–5
- Use play-based, family-centered strategies to support communication development
- Collaborate with caregivers, educators, and multidisciplinary teams
- Create and update strengths-based, individualized goals
- Document progress, session notes, and reports per city, county, and state guidelines
- Attend IEP meetings and team consultations as required
- Engage in ongoing learning around language, AAC, sensory regulation, and disability justice
Who We're Looking For
- Master's degree in Speech-Language Pathology
- Pennsylvania provisional license (or eligible)
- Alignment with diversity, equity, and inclusion
- Strong communications skills, organized, timely, and respectful about deadlines
This is a great role for a Clinical Fellow who wants to make a real difference in a way that feels impactful to the community we live in. If you're passionate about supporting kids and families of diverse backgrounds and communication profiles, Small Talk might be the place for you!
Apply today and be part of a team that's changing what pediatric therapy can look like.
Small Talk Therapeutic Services is an equal opportunity employer committed to building an inclusive, supportive team.
Pay: $75,000.00 - $80,000.00 per hour
Benefits:
- Continuing education credits
- Dental insurance
- Disability insurance
- Flexible schedule
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: On the road
Speech-Language Pathologist (SLP) – Clinical Fellow
Mobile W-2 Position | Flexible Schedule | Philadelphia
Please note: To apply, complete our short application here: https://forms.gle/dUCZsXWo4WAoSJ6N7
Applications are reviewed only through the external application form.
We're looking for a CF-SLP who shares our values of open-mindedness, kindness, and accessibility to join our Early Intervention team in Philadelphia, working mainly with children ages 3–5 through Elwyn Early Learning Services. This is a salaried W-2 position that follows the Elwyn service calendar, with a minimum of 7 sessions per service day. You'll have flexibility in how you schedule your day, and most of our therapists meet their minimum between 8:30 and 4:30.
Our Culture
Small Talk Therapeutic Services was started by three speech therapists (and parents) who wanted to build the kind of practice we’d want to work for ourselves. We’re working towards a few big things, which include: making sure every learner has access to communication and accommodations, advocating for disability rights, removing the financial barrier of services for families, and mentoring the next generation of therapists to be neurodiversity-affirming.
Community in a traveling, community-based position can feel hard, so we try our best to bridge this gap. Our team meetings, group chats, and get-togethers at our East Falls space are there when they're helpful and easy to skip when life is busy.
Many of the families we serve live in parts of Philadelphia where quality therapy has been hard to find, and they deserve providers who show up with an open mind. No family should get less care because of their zip code. We meet families where they are, respect how they live and parent, and treat them as the experts on their own kids.
What We Offer
- Base salary of $75,000, plus $10/session bonus once 80% of your CF is complete (typically an additional $3,500)
- $500 sign-on bonus in your first paycheck
- Raise upon completion of your CF
- Voluntary benefits: dental, vision, and short-term disability (including maternity leave)
- Note: This is a salaried position; health insurance is not included
What Makes Us Different
- CF supervision and mentorship from experienced, ND-affirming SLPs highly skilled in strength-based therapy, play-based approaches, AAC/total communication approaches, and more
- Continuing education available for ASHA-approved CEUs
- Access to shared clinic space in East Falls
- Access to lending library with therapy materials, AAC resources, articulation cards/handouts, printer, and laminator
- Access to free mentorship with our lead speech language pathologist, occupational therapist, feeding specialist, and neuro-affirming BCBA (in addition to your CF supervisor)
- Values-based agency that prioritizes social justice, family partnership, and neurodiversity-affirming care
- Provide Early Intervention services for children ages 3–5
- Use play-based, family-centered strategies to support communication development
- Collaborate with caregivers, educators, and multidisciplinary teams
- Create and update strengths-based, individualized goals
- Document progress, session notes, and reports per city, county, and state guidelines
- Attend IEP meetings and team consultations as required
- Engage in ongoing learning around language, AAC, sensory regulation, and disability justice
Who We're Looking For
- Master's degree in Speech-Language Pathology
- Pennsylvania provisional license (or eligible)
- Alignment with diversity, equity, and inclusion
- Strong communications skills, organized, timely, and respectful about deadlines
This is a great role for a Clinical Fellow who wants to make a real difference in a way that feels impactful to the community we live in. If you're passionate about supporting kids and families of diverse backgrounds and communication profiles, Small Talk might be the place for you!
Apply today and be part of a team that's changing what pediatric therapy can look like.
Small Talk Therapeutic Services is an equal opportunity employer committed to building an inclusive, supportive team.
Pay: $75,000.00 - $80,000.00 per hour
Benefits:
- Continuing education credits
- Dental insurance
- Disability insurance
- Flexible schedule
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: On the road
See all OPT Clinical Pathologist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Clinical Pathologist Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship in Clinical Pathologist
Target academic medical centers and large hospital systems
Academic medical centers and large hospital networks like Mayo Clinic and Cleveland Clinic have established immigration infrastructure and routinely sponsor pathologists. Smaller independent labs rarely have the legal resources to navigate H-1B visa sponsorship for clinical staff.
Confirm your OPT category aligns with your degree
Clinical Pathology OPT authorization must match your ECFMG-certified medical degree field. If your DSO coded your OPT under a different classification, correct it before applying. Misalignment creates work authorization issues that employers will flag during onboarding paperwork.
Ask about sponsorship intent before residency or fellowship ends
Most pathology positions are filled through residency pipelines. Have the sponsorship conversation with program directors or hiring managers during fellowship, not after. Employers who plan to sponsor will say so early. Ambiguity at this stage usually signals no sponsorship intent.
Prioritize employers with existing H-1B filing history
Request information about the employer's prior H-1B filings for physicians. Hospitals that have sponsored pathologists before understand cap-subject timelines and cap-exempt options. First-time sponsors often underestimate the process, which creates risk for your status continuity.
Understand cap-exempt H-1B opportunities in pathology
University-affiliated hospitals and nonprofit research institutions may qualify as cap-exempt H-1B employers. For pathologists, this means bypassing the lottery entirely. Confirm whether a prospective employer holds cap-exempt status before factoring the April lottery deadline into your job search timeline.
Document your board certification and clinical training clearly
Sponsoring employers need complete documentation for the H-1B petition, including board certification status, residency completion letters, and ECFMG certification. Organize these records early. Missing or delayed documentation is one of the most common reasons physician sponsorship petitions face delays.
Clinical Pathologist OPT: Frequently Asked Questions
Can I work as a Clinical Pathologist on OPT without a residency license?
OPT authorization allows you to work in your field of study, but practicing as a Clinical Pathologist also requires a valid state medical license regardless of visa status. Most states require USMLE completion and an accredited residency. Without licensure, you can work in a research or laboratory scientist capacity, but not in a clinical attending role.
Does Clinical Pathology qualify for STEM OPT extension?
It depends on your degree's CIP code. Pathology falls under medical and clinical sciences, which SEVP does not classify as STEM. If your degree is coded under a STEM-eligible biomedical or laboratory science CIP code, you may qualify for the 24-month STEM extension. Confirm your CIP code with your DSO before assuming eligibility, as misclassification is common in medical programs.
How do I find Clinical Pathologist jobs that offer H-1B sponsorship?
Migrate Mate is the most direct way to find Clinical Pathologist positions where employers are open to sponsorship. Filtering by sponsorship willingness saves significant time compared to applying broadly and discovering late in the process that an employer won't file. Many pathology positions are filled through internal pipelines, so acting early in your fellowship or residency is critical.
What happens to my OPT if my Clinical Pathologist position ends unexpectedly?
You have a 60-day grace period after your employment ends to find a new qualifying position, transfer to a new visa status, or depart the United States. During this period you cannot work. For pathologists, finding a new position quickly is realistic given physician demand, but the H-1B timeline still applies if your new employer needs to file a cap-subject petition.
Can a hospital sponsor me for H-1B as a Clinical Pathologist if I'm still on OPT?
Yes. Employers can file an H-1B petition while you're actively working on OPT. For cap-subject employers, the petition must be filed in April for an October 1 start date. If your OPT expires before October 1, cap-gap protections may bridge the gap, but only if your petition is selected in the lottery and properly filed before your OPT end date.