Speech Language Pathologist Jobs in North Carolina
Speech Language Pathologist jobs in North Carolina are in strong and consistent demand, with openings concentrated across hospital systems, public school districts, and outpatient rehabilitation clinics at every level from new graduate to senior clinician. The highest volume of hiring is in Charlotte, Raleigh, and Greensboro, where employers such as Atrium Health, UNC Health, and Novant Health maintain large speech pathology departments. Pediatric language disorders, dysphagia management, and school-based services are the specialties drawing the most consistent hiring activity across the state. Find a role that fits below and apply directly.
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Department:
38954 Wake Forest Baptist Medical Center - Speech Pathology: Acute Care/Inpatient
Status:
Benefits Eligible:
Hours Per Week:
Schedule Details/Additional Information:
Schedule is M-F 40 hours with 2 weekend days per month; coverage in acute care, IPR in Winston-Salem and Davie Medical Center as needed; CCC-SLP only
Pay Range:
$38.20 - $57.30What You'll Need:
- Current license in Speech-Language Pathology issued by the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists
- Certificate of Clinical Competence in Speech-Language Pathology issued by the American Speech, Language and Hearing Association
- Current Certification from American Heart Association BLS for Healthcare Providers, CPR and AED.
What You'll Do:
- Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships and team building.
- Follows hospital policies and procedures.
- Follows departmental policies and procedures.
- Contributes to the overall quality of services.
- Assumes responsibility for keeping informed about changes in policies and procedures.
- Performs comprehensive professional evaluations of patients of all assigned ages referred for differential diagnosis of communicative, cognitive-linguistic, feeding, and/or swallowing disorders.
- Satisfactorily completes and maintains all initial and ongoing clinical competency requirements for patient groups and areas served.
- Appropriately selects, administers, and interprets diagnostic tools, with consideration of patient developmental level, current status, premorbid function, and reason for referral, and in accordance to WFBH protocols and procedures.
- Including, but not limited to, Flexible Endoscopic Evaluation of Swallowing (FEES), Modified Barium Swallow Evaluations (MBS), Passy-Muir Valve (PMV) evaluations, and knowledge of multiple standardized and non-standardized assessments of communication and cognitive-linguistics.
- Pending primary work areas, includes alaryngeal speech evaluations
- Documents diagnostic findings, recommendations, and charging in the patient’s medical record on the same day as evaluation.
- Documents admission Inpatient Rehabilitation Facility- Patient Assessment Instrument (IRF-PAI) ratings and goals, as required (IP rehab staff).
- Notifies referral source promptly of results and consults with them, and other staff, as necessary to facilitate best care and outcomes.
- Follows institution guidelines for appropriate cleaning of tools utilized, as needed.
- Ensures patient and/or caregiver education regarding communicative, cognitive-linguistic, feeding, and/or swallowing disorders and relevant treatment options.
- Provides appropriate written and/or verbal counseling and education to patient and caregivers relative to recommendations, treatment options, and therapy carryover.
- Participates in patient and family conferences, as required.
- Documents education sessions in patient’s medical record on the same day as provision.
- Plans and conducts treatment programs for patients with communicative, cognitive-linguistic, feeding, and/or swallowing disorders
- Satisfactorily completes and maintains all initial and ongoing clinical competency requirements for patient groups and areas served.
- Develops and implements individualized, functional, and measurable treatment goals, appropriate to evaluation findings and set goals.
- As appropriate, includes, but is not limited to, therapy utilizing Neuromuscular Electrical Stimulation, NMES (IP rehab staff)
- Incorporates patient and caregivers in treatment goal planning.
- Modifies therapy strategies and provides periodic re-evaluation to determine and ensure effectiveness of treatment, and to update treatment goals.
- Coordinates management recommendations with outside resources that will be participating in continuing care upon patient discharge from inpatient.
- When appropriate, terminates formal treatment in an appropriate and timely manner.
- Documents therapeutic progress, and evolving plans and recommendations in the patient’s medical record, utilizing objective data and submitting documentation on the same day as therapy provision.
- Documents ongoing and discharge Inpatient Rehabilitation Facility- Patient Assessment Instrument (IRF-PAI) ratings and goals, as required (IP rehab staff).
- Consults with medical team, and other staff, as necessary to facilitate best care and outcomes.
- Serves as speech pathology consultant to educational, medical, and other professional services
- Attends regular patient care rounds within primary area of practice
- Participates regularly within multidisciplinary teams.
- Interacts with other outside agencies as appropriate (for example, Vocational Rehabilitation, Assistive Technology).
- Provides and participates in in-service education and training of speech pathology interns and fellows, medical students/residents, and allied medical personnel
- Prepares and presents formal lectures to hospital staff on communication, cognitive-linguistics, feeding, and/or swallowing.
- Provides unique training for speech-pathology graduate interns, clinical fellows, and/or new team members within the department.
- Continuously seeks to maintain or improve patient care services and evaluates opportunities to develop new services
- Efficiently coordinates and triages patient caseloads to ensure that all patient needs are met as quickly as possible, with minimized delays in diagnosis or therapeutic intervention.
- Demonstrates flexibility in meeting patient/family and department/facility needs.
- Achieves and maintains required inpatient rehabilitation facility education (IP rehab).
- Identifies problems, contributes viable solutions, and readily adapts to change.
- Independently pursues knowledge and research relevant to areas of practice, and participates in in-service education programs to ensure proficiency in current techniques for the evaluation and treatment of all potential patients.
- Recommends new services and/or techniques to the inpatient Speech Pathology manager.
- Participates in peer review process.
- Evaluates options for augmentative/alternative communication and recommends and/or fits appropriate devices or prostheses to meet patient needs, as applicable
- Consults with Assistive Technology as needed.
- Performs appropriate evaluation services to assess augmentative/alternative communication options or vocal prostheses.
- Instructs patient and family in the use of such devices; providing short-term therapy services with the device, if needed.
- Monitors performance with fitted device.
- Provides re-evaluation services, as necessary, to change or upgrade devices.
- Ensures age/development appropriate patient care is provided in accordance with Age-Specific Care Guidelines for the specific age groups served.
- Satisfactorily completes and maintains all initial and ongoing clinical competency requirements for patient groups and areas served.
- Achieves and maintains required inpatient rehabilitation facility education specific to age (IP rehab)
- Demonstrates knowledge of physical, motor/sensory, psychosocial, safety and developmental factors in the Age-Specific Care Guidelines.
- Utilizes communication skills in obtaining information, providing education, and conveying patient needs sensitive to age and developmental level of the individual patient/caregiver.
- Adequate performance on financial/budget and inpatient care expectations
- Meets or exceeds productivity target consistently each year.
- Maintains expected coverage on severe weather days, assigned weekends, and assigned holidays.
- Follows departmental guidelines for use of Benefit Time Off (BTO).
- Keeps Speech Pathology scheduler aware of availability and needs for assistance meeting patient care requirements (IP rehab).
- Consistently and appropriately hands off patient care information and pager coverage upon expected and unexpected absences
- Consistently and appropriately bills for services provided.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Independently provides a full range of differential diagnostic and therapeutic services to pediatric and/or adult inpatients with wide ranging central or peripheral disorders of communication, cognitive-linguistics, feeding, and/or swallowing. Participates in regular team rounds and staff training. Provides consistent services despite severe weather and participates in team rotations through weekends and holidays to provide 365 day/year coverage.Weekend requirement is 2 days per 4 week rotation.
See All 168+ Speech Language Pathologist Jobs in North Carolina
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Find JobsSpeech Language Pathologist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Speech Language Pathologist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- BAYADA Home Health Care10

- Sidekick Therapy Partners9
- Pediatric Developmental Services8

- CenterWell7

- Broad River Rehab7

Top Industries Hiring
- Healthcare & Medical Services
- Education
What North Carolina Employers Look For
The qualifications that appear most often in speech language pathologist jobs across North Carolina.
- Active North Carolina speech-language pathology license issued by the NC Board of Examiners
- Master's degree in speech-language pathology or communication sciences and disorders
- Certificate of Clinical Competence in Speech-Language Pathology from ASHA preferred or required
- Clinical Fellowship Year completed or currently in progress for new graduate applicants
- Experience with pediatric or adult dysphagia evaluation and treatment in a clinical setting
- Familiarity with electronic health record systems used in outpatient or acute care environments
Speech Language Pathologist Jobs in North Carolina: Frequently Asked Questions
How do you become a speech language pathologist in North Carolina?
You must obtain a license from the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists before practicing in the state. Licensure requires a master's degree in speech-language pathology from an accredited program, completion of a supervised Clinical Fellowship Year, and a passing score on the Praxis examination in speech-language pathology. Many employers also expect or require ASHA's Certificate of Clinical Competence.
How much do speech language pathologists make in North Carolina?
Speech language pathologists in North Carolina earn a median of about $86,460 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,800 for the lowest 10% to over $121,040 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire speech language pathologists in North Carolina?
Employers hiring speech language pathologists in North Carolina right now include BAYADA Home Health Care, Sidekick Therapy Partners, and Pediatric Developmental Services, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems, public school districts, and rehabilitation networks generate consistent openings across the state throughout the year.
Which North Carolina cities have the most speech language pathologist jobs?
Charlotte, Winston-Salem, and Fayetteville currently have the most speech language pathologist openings in North Carolina. Charlotte and Raleigh lead because of their large hospital systems and growing suburban school districts, while Greensboro draws demand from both academic medical facilities and long-term care networks concentrated in the Piedmont Triad region.
Are there remote speech language pathologist jobs in North Carolina?
Yes, but they're less common than in desk-based fields because most speech language pathologist work requires direct patient or student contact. About 14% of speech language pathologist openings tied to North Carolina are remote or hybrid as of October 2026, representing a meaningful but limited share of the market. Teletherapy roles serving school districts and outpatient clients account for most of the remote opportunities available.
How can I get hired as a speech language pathologist in North Carolina with little or no experience?
The most realistic entry path is applying for a Clinical Fellowship Year position, which large North Carolina health systems such as UNC Health and Atrium Health post specifically for new graduates completing licensure requirements. Public school districts across the state also hire speech language pathology assistants and Clinical Fellows through the North Carolina Department of Public Instruction. Building experience in a school-based or early intervention setting and securing your North Carolina license early gives you a clear edge over other new applicants.
Where can I find and apply to speech language pathologist jobs in North Carolina?
You can find and apply to speech language pathologist jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring across the state. Find roles that match your experience and specialization and apply directly to the ones that fit.
See All 168+ Speech Language Pathologist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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