Mid Level Speech Pathologist Jobs
Mid level speech pathologist jobs go to clinicians ready to own their caseloads, mentor newer staff, and shape clinical decisions with real autonomy. Openings are spread across on-site, hybrid, and remote settings in Healthcare & Medical Services, with employers like Houston Methodist, UCHealth, and Sutter Health hiring at this level now.
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INTRODUCTION
At Houston Methodist, the Speech Language Pathologist (SLP) II position is responsible for evaluating and developing the therapy plan of care for a broad range of diagnoses and acuities. This position may specialize in care for certain complex patient types, through advanced training and education. As an experienced SLP, this position provides education to patients, patient's family members, and/or caregivers, and collaborates with other interprofessional team members, as needed, for problem resolution and/or achievement of identified patient specific goals. As a member of the interprofessional care team, the SLP II position provides patient care directly and delivers exceptional patient care with adherence to safety standards and guidelines to ensure optimal patient safety, customer service, and optimum patient outcomes. This position serves as preceptor, mentor, and resource to less experienced staff, including other Therapists, and technicians and may act as a clinical resource to students, and clinical fellows. The SLP II position assists with collection of quality metrics and analytics, with development of best practices and process improvement initiatives, as designated.
FLSA STATUS
Non-exempt
QUALIFICATIONS
Education
Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
Experience
Three years of experience as a Speech Language Pathologist
LICENSES AND CERTIFICATIONS
Required
SLP - Speech Language Pathologist - State Licensure - Texas Department of Licensing and Regulation_PSV Compact license acceptable according to the Board requirements within 90 days and
ASHA-CCC-SLP - AHSA-Certified Clinical Competence in Speech-Language Pathology (ASHA) - American Speech-Language-Hearing Association and
BLS - Basic Life Support or Instructor (AHA) - American Heart Association
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Strong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role components
Demonstrates increasing expertise and executes experienced clinical skills in treatments provided and/or for a particular patient population
Exhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers
Ability to function independently, capable of handling challenging/difficult therapy procedures and patient care situations
Demonstrates sound judgment in interactions with physicians, interprofessional care team and patients and their families
Possesses proficient computer knowledge; operates multiple computer systems and standard Rehabilitation equipment
Demonstrates professional and technical competence in the selection, evaluation, utilization of treatment plans for increasingly complex patient populations
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Contributes to teamwork, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.
Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care. Partners with members of the interprofessional care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
Teaches and provides guidance to nursing, and support staff. Orients new team members and assists with precepting students in clinical rotations and clinical fellows. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
Performs complete and comprehensive evaluation of patients across a broad range of diagnosis and acuities to identify patient’s level of function and to determine the treatment plan. Develops the plan of care based on evaluation findings and implements the physical therapy treatment plan. Provides service to complex patient populations.
Provides education to patients, patient’s family members, and/or caregivers, based on learning needs. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly. Serves as resource to clinical fellows and nursing in teaching best practices.
Collaborates and communicates with the healthcare team modifications to patient’s treatment plan, progress, and discharge planning for achievement of identified patient specific goals. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
* Balances and adjusts as needed the caseload for the assigned team members to result in optimum patient care and outcome. Initiates improvements for department score on patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Assesses patients regularly, monitors progress towards treatment goals, modifies goals, and plan or program as indicated. Recognizes complications/limitations associated with certain procedures and proactively addresses such for optimum outcomes.
Provides oversight of speech-related activities completed by interprofessional health care team, and if necessary, adjusts the plan to improve quality of outcome and maintain the safety of the patient.
Proactively identifies opportunities for corrective action and assists in process improvement by providing recommendations and contributes to meeting department and hospital targets for quality and safety. Identifies areas of practice improvements with research-based evidence and assists in development of treatment protocols and best practice for certain population or practice area to achieve patient safety outcomes, supported by accurate documentation.
FINANCE ESSENTIAL FUNCTIONS
Maintains accurate and complete documentation of patient education and procedures performed in a timely manner in the patient record. Enters accurate charges for services provided as applicable.
* Uses resources efficiently to maximize utilization of time and equipment. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed. Meets labor productivity standards by effectively managing established patient load assignments.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Initiates innovative solutions through evidence-based practice/performance improvement projects. Actively participates in and may lead department projects and/or hospital committees. Participates in HM-related and approved hospital/community teaching opportunities, community services and/or functions.
Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Assists higher level SLPs with program development and/or clinical competencies.
Seeks opportunities to identify self-development needs and expand learning beyond baseline competencies with a focus on continual development as a Speech Language Pathologist, taking appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: Yes
+ Business professional: No
+ Other (department approved): Yes
ON-CALL
Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
On Call No
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area No
+ May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Sugar Land Hospital is committed to leading medicine by delivering the Houston Methodist standard of unparalleled quality, safety, service and innovation to patients in Fort Bend County and surrounding areas. Houston Methodist Sugar Land offers access to the most innovative care available, including comprehensive cancer care; neuroscience and spine care; orthopedics and sports medicine; heart and vascular care; women’s services; childbirth center with level III NICU; bariatric and digestive care; and advanced imaging — all backed by our focus on healing people today and offering hope for tomorrow.
Houston Methodist is an Equal Opportunity Employer.
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Mid Level Speech Pathologist Jobs: Frequently Asked Questions
How do I get a mid level speech pathologist job?
Position yourself around ownership and outcomes, not just task completion. Highlight caseload complexity you have managed independently, any mentorship or training you have provided, and measurable results such as patient progress data or program improvements. Tailor your resume to show clinical decision-making and specialty depth, and make sure your cover letter addresses the specific population or setting the employer serves.
Which companies hire mid level speech pathologists?
Companies hiring mid level speech pathologists right now include Houston Methodist, UCHealth, and Sutter Health, based on current listings on Migrate Mate as of November 2026. Hiring at this level comes from a wide range of employers, including health systems, school districts, rehabilitation networks, and outpatient specialty practices looking for clinicians who can work with limited supervision.
Are there remote mid level speech pathologist jobs?
Yes, though availability varies by specialty and employer. About 0% of mid level speech pathologist openings are remote or hybrid as of November 2026, with teletherapy roles most common in school-based and adult outpatient settings. Fully on-site positions remain standard in acute care, skilled nursing, and early intervention programs where in-person assessment is required.
How do I move up to a mid level speech pathologist role?
The path from entry level to mid level is built through deepening clinical independence over your first few years. Focus on expanding the complexity of cases you can handle without supervision, developing a specialty area such as dysphagia, AAC, or pediatric language, and taking on visible contributions like leading a small project, training a new hire, or improving a clinical workflow. Consistent documentation of measurable patient outcomes strengthens your case for advancement.
Which industries hire the most mid level speech pathologists?
Mid Level speech pathologist roles concentrate in Healthcare & Medical Services, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at the mid level because they need clinicians who can manage complex or high-volume caseloads independently, fill specialty gaps, and contribute to program quality without requiring close oversight.