Speech Pathologist Jobs in Missouri
Speech Pathologist jobs in Missouri are concentrated in Kansas City, St. Louis, and Springfield, where large health systems, school districts, and rehabilitation networks maintain steady demand for diagnosticians, pediatric specialists, and augmentative communication practitioners at every career level. Major employers with a lasting Missouri presence include BJC HealthCare, Children's Mercy Hospital, and CoxHealth, each running active speech pathology departments across acute care, outpatient, and school-based settings. The most in-demand specialties are pediatric language disorders, dysphagia management, and early intervention. See the openings below and apply to the ones that match your experience.
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Primary Purpose: Works to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults.
Routine Decision Making: Prioritizes by identifying more critical and less critical activities and tasks; adjusts priorities when appropriate.
Formal Supervisory Responsibility: No formal supervisor responsibility.
Age Specific Competencies: Provides care for pediatric/child patients (3 yrs-6 yrs); child (7yrs -11 yrs); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.
Essential Responsibilities and Tasks
All essential responsibilities and tasks are performed while meeting or exceeding Cass Regional’s Patient Satisfaction goals as measured by the established patient satisfaction survey.
Prepares for and performs speech, language, cognitive, voice and swallow evaluations and subsequent treatment as indicated. (95% of time)
- Diagnosing, treating, and preventing communication, cognitive and swallowing disorders.
- Creating treatment and therapy plans to suit the individualized needs of a diverse population of patients.
- Performing screenings to detect communication, cognitive or swallowing disorders.
- Educating patients and family members about speech disorders and causes, including disabilities and traumatic events.
- Keeping detailed records relating to patient conditions, evaluations, treatment and progress.
- Reporting progress and current status to appropriate parties, which may include family members, and medical professionals.
Operations of the speech-language pathology program. (5% of time)
- Reviews departmental policies and procedures and hospital directives, annually.
- Incorporates information obtained from in-services, educational seminars and journal studies to clinical areas within reasonable timeframes.
- Participates in Performance Improvement initiatives established within the department and assists in generating results for review of effectiveness.
ESSENTIAL PHYSICAL REQUIREMENTS
- Medium Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#.
PHYSICAL DEMANDS
- Lifting: Raising or lowering an object from one level to another (includes upward pulling).
- Carrying: Transporting an object, usually holding it in hands or arms or on the shoulders.
- Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats.
- Hearing: Ability to determine audible communication.
- Stooping: Bending the body downward and forward by bending the spine at the waist.
- Kneeling: Bending the legs at the knees to come to rest on the knee or knees.
- Crouching: Bending the body downward and forward by bending the legs and spine.
- Reaching: Extending the hands and arms in any direction.
- Handling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved).
- Fingering: Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling).
- Repetitive Motions: Substantial movements (motions) of the wrist, hands, and/or fingers.
- Speaking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
- Seeing: Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects.
- Acuity, far - clarity of vision at 20 feet or more.
- Acuity, near - clarity of vision at 20 inches or less.
- Depth perception - ability to judge distance and space relationships so as to see objects where and as they actually are.
- Field of vision - area seen up and down or to the right or left while eyes are fixed.
- Accommodations - adjustment of the lens of the eye to bring an object into sharp focus.
- Color vision- the ability to identify and distinguish colors.
WORKING CONDITIONS
- Inside: Worker spends approximately 100% of time inside.
- Noise and Vibration: Sufficient noise, either constant or intermittent to cause marked distraction or possible injury to the sense of hearing and /or sufficient vibration (production of an oscillating movement or strain on the body or its extremities from repeated motion or shock) to cause bodily harm if endured day after day.
Education and Certification/ Registration required for the Position: Master’s degree in Speech Pathology or related field required. A minimum of one-year work experience preferred. Experience in video swallows required. Holds ASHA's Certificate of Clinical Competence and maintains MO state licensure.
Required Knowledge: Knowledge of the principles and techniques of communication, cognitive, and swallowing pathology and use of instructional methods within the profession.
Required Skills and Ability: Skill in implementing protocols associated with a speech-language pathology program.
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Find Speech Pathologist JobsSpeech Pathologist Jobs by City in Missouri
Where Missouri roles are concentrated, by current openings.
Speech Pathologist Job Market in Missouri
A snapshot from current Missouri openings, updated as new roles post.
Who's Hiring

Top Industries Hiring
- Healthcare & Medical Services
What Missouri Employers Look For
The qualifications that appear most often in speech pathologist jobs across Missouri.
- Active Missouri speech-language pathologist license issued by the Missouri State Board of Healing Arts
- Master's degree or higher in speech-language pathology from an accredited program
- Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA
- Completed supervised clinical fellowship hours prior to independent practice
- Experience with dysphagia evaluation, MBSS or FEES procedures preferred
- Familiarity with augmentative and alternative communication devices and related documentation
Speech Pathologist Jobs in Missouri: Frequently Asked Questions
How do you become a speech pathologist in Missouri?
To become a licensed speech pathologist in Missouri, you must complete a master's degree in speech-language pathology from an accredited program, finish a supervised clinical fellowship, and pass the Praxis examination in Speech-Language Pathology. You then apply for licensure through the Missouri State Board of Healing Arts, which issues the state license required to practice independently. Most Missouri employers also expect ASHA's Certificate of Clinical Competence, which parallels the state requirement.
How much do speech pathologists make in Missouri?
Speech pathologists in Missouri earn a median of about $89,280 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $58,180 for the lowest 10% to over $119,240 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire speech pathologists in Missouri?
Employers hiring speech pathologists in Missouri right now include Aspire Senior Living, Career Links, and Innovate Rehab and Wellness, based on current listings on Migrate Mate as of October 2026. Missouri's large integrated health systems and its well-funded public school districts are among the most consistent sources of openings, particularly in the Kansas City and St. Louis metro areas.
Which Missouri cities have the most speech pathologist jobs?
The Missouri cities with the most speech pathologist openings are Kansas City, St. Louis, and Springfield. Kansas City and St. Louis dominate because of their large academic medical centers, pediatric hospitals, and sprawling public school systems, while Springfield draws consistent openings from CoxHealth and Mercy, making it the strongest market in southwest Missouri.
Are there remote speech pathologist jobs in Missouri?
Yes, but they're limited compared to desk-based fields, since most speech pathology work involves direct patient or student contact. About 0% of speech pathologist openings tied to Missouri are remote or hybrid as of October 2026, reflecting a real but narrow slice of the market. Teletherapy roles serving rural Missouri school districts and early intervention programs represent the most reliable remote opportunities in the state.
How can I get hired as a speech pathologist in Missouri with little or no experience?
The most realistic entry path is completing your clinical fellowship year with a Missouri health system or school district, which functions as a structured paid transition into full licensure. BJC HealthCare and Children's Mercy Hospital in Kansas City both onboard new clinical fellows, and Missouri's public school districts frequently hire candidates who are fellowship-eligible under a provisional credential issued by the Missouri State Board of Healing Arts. Building a caseload in early intervention or school-based settings is the most common on-ramp for candidates without independent practice hours.
Where can I find and apply to speech pathologist jobs in Missouri?
You can find and apply to speech pathologist jobs in Missouri on Migrate Mate, which lists current Missouri openings across health systems, school districts, and outpatient clinics. Search the roles that fit your specialty and experience level and apply directly to the ones that match.
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