OPT Speech Therapist Jobs
Speech Therapist jobs on OPT are available across hospitals, school districts, outpatient clinics, and rehabilitation centers. Most roles require or are actively pursuing a Certificate of Clinical Competence (CCC-SLP). STEM OPT extension does not apply to this field, so your 12-month window is what you're working with.
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SLP Clinical Fellowship Opportunity | 30 Hours/Week, 5 Days | Onsite CF Supervisor & Diverse Clinical Experience Across SNF, Assisted & Independent Living!
At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive.
With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most.
Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you.
Why Powerback?
- Benefits: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members.
- Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
- Support for New Grads: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field.
- Continuing Education: Keep growing with free CEUs through Medbridge.
- H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role.
- Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program.
Responsibilities:
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SLP-CF must complete a minimum of 36 weeks (for full time employment) Clinical Fellowship while being supervised and mentored by a licensed, ASHA certified SLP.
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SLP-CF must complete all requirements for provisional licensure, if applicable to the state, and practice in accordance to state licensure requirements and professional standards for the duration of the provisional license and Clinical Fellowship. If no provisional licensure in the state, must meet the supervision requirements set forth by CMS for patients with Medicare for the duration of the Clinical Fellowship.
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Communicates status of Clinical Fellowship and licensure to direct supervisor and Director of Rehab in a timely manner. This includes status of necessary requirements, completion of required documentation for Clinical Fellowship, and completion of licensure documentation and application as well as receipt of CCC and permanent license.
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SLP-CF will not be eligible to provide supervision to students during the Clinical Fellowship.
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Meets productivity standards for the rehab gym, or as directed by the Director of Rehab/Clinical Operations Area Director.
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Attends and contributes to patient care, staffing conferences and other related meetings.
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Makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient.
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Consults with other members of the rehabilitation team to select the most appropriate therapeutic regimen consistent with the needs and capabilities of each patient.
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Adapts program and/or plan of care according to the needs of the individual patient.
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Promotes a safe environment and enforces the elimination of fire and safety hazards.
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Orders supplies and equipment as necessary.
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Cleans, maintains, identifies, and reports the need for repair of equipment, as necessary.
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Puts Patient Service first, ensuring that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individual's needs and rights.
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Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the speech language pathology treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as:
- cognitive-communication
- speech intelligibility
- oral motor skills
- swallowing disorders/dysphagia
- perceptual abilities
- orientation
- memory
- pragmatics
- psychosocial expression
- functional communication
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Coordinates the acquisition of adaptive communication devices and instructs patients in their use.
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Facilitates identification of hearing deficits and appropriately refers for assessment, diagnosis rehabilitation and/or personal amplification.
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Selects appropriate activities suited to the individual's physical and mental capacity, intelligence level and interest.
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Instructs patient in the skills and techniques required for participation in therapeutic activities, and evaluates patient progress, attitudes and behavior as related to rehabilitative potential.
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Performs routine reexamination as needed/required to modify/progress plan of treatment.
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Performs other related duties as required.
Qualifications
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They must possess a master's degree in Speech-Language Pathology, Communication Disorders, Communicative Disorders or similarly titled area that is consistent and acceptable to the American Speech-Language-Hearing Association.
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The Speech Language Pathologist must be licensed, certified or credentialed, as required in the state of practice.
Posted Salary Range: USD $38.00 - USD $40.00 /Hr.
See all 104+ OPT Speech Therapist Jobs
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Get Access To All JobsTips for Finding OPT Sponsorship in Speech Therapist
Target employers who already hold H-1B sponsorship history
Hospitals, health systems, and large rehabilitation networks like Kindred or Encompass have sponsored SLPs before. Check OFLC disclosure data to confirm which employers have filed Labor Condition Applications for speech-language pathology roles.
Get your CCC-SLP application in motion before OPT starts
ASHA's Certificate of Clinical Competence is the credentialing standard most employers require. Starting the application process early means you can demonstrate progress to employers even before the certificate is officially issued.
Use your bilingual skills as a differentiator
Bilingual SLPs, particularly Spanish-English, are in high demand and short supply. Employers serving large non-English-speaking populations will prioritize candidates with those skills, making sponsorship conversations easier to initiate and more likely to succeed.
Start sponsorship conversations at the offer stage, not after
Raise your OPT status and future visa needs during the final interview or offer negotiation. Waiting until after you start creates unnecessary urgency and limits the employer's preparation time for H-1B filing deadlines.
Browse Migrate Mate to identify employers actively open to OPT
Migrate Mate filters Speech Therapist roles by sponsorship willingness, so you're not guessing which employers are open to OPT workers. This saves time and targets your applications where they are most likely to convert.
Speech Therapist OPT: Frequently Asked Questions
Can I work as a Speech Therapist on OPT without a state license?
In most states, you cannot independently practice as an SLP without a state license, but many employers will hire you under a clinical fellowship or supervised provisional license while you complete licensure requirements. OPT work authorization is separate from state licensure. You need both to practice legally. Check your state's specific licensing board requirements before accepting an offer.
Does Speech Therapy qualify for the STEM OPT extension?
No. Speech-language pathology is classified under CIP code 51.0203, which is not on the STEM Designated Degree Program list. Your OPT work authorization is limited to 12 months. This makes finding an employer willing to sponsor an H-1B, O-1, or another long-term visa before your OPT expires a time-sensitive priority.
What types of employers are most likely to sponsor Speech Therapists for H-1B visas?
Large hospital systems, national rehabilitation networks, and public school districts with documented SLP shortages are the most common sponsors. Smaller private clinics rarely have the resources or familiarity to navigate sponsorship. Browsing Migrate Mate is the most efficient way to find Speech Therapist roles at employers who are already open to sponsoring OPT workers.
Does my OPT job as a Speech Therapist need to be directly related to my degree?
Yes. OPT employment must be directly related to your field of study. For an SLP degree, roles in speech-language pathology, communication disorders, or clinical fellowship positions qualify. A customer service or unrelated healthcare administrative role would not. If USCIS audits your OPT employment, you need to document the connection between your job duties and your degree program.
Can I work in a school district as a Speech Therapist on OPT?
Yes. Public and private school districts are valid OPT employers, and many actively hire SLPs on OPT due to persistent staffing shortages. School-based SLP roles count as qualifying OPT employment as long as the position requires your degree. Some districts also have experience navigating H-1B cap-exempt sponsorship through government entity status, which can benefit your long-term visa planning.