Speech Pathologist Jobs in North Carolina
Speech Pathologist jobs in North Carolina draw consistent demand from school districts, hospital systems, and outpatient rehabilitation networks, with openings at every level from clinical fellows completing their CFY through senior clinicians and department leads. The heaviest hiring concentrates in Charlotte, Raleigh-Durham, and Greensboro, where large employers such as Atrium Health, Duke Health, and UNC Health operate extensive speech-language pathology programs. The most in-demand specialties include pediatric language disorders, dysphagia and swallowing, and school-based services. Find a role that fits below and apply directly.
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Empower healing and restore independence - join our compassionate therapy team in a skilled nursing facility and make a meaningful impact in the lives of residents every step of the way!
We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026!
Advantages:
Flexible Pay Options – Choose On-Demand Pay and get paid as soon as tomorrow for work done today or opt for our Weekly Pay schedule!
Positive, Family-Like Atmosphere – Work in a fun, supportive environment where teamwork and care go hand-in-hand.
Generous PTO & Benefits – Enjoy a comprehensive benefits package designed to support your well-being and work-life balance.
Career Growth Opportunities – Take advantage of our Loan and Forgiveness program as well as other educational programs to advance your nursing career.
Continuing Education Units – Access to free CEUs to support required licensure.
Strong, Stable Leadership – Join a team led by experienced managers who are committed to customer service excellence and staff development.
AHCA Bronze Award Recipient – Be part of an award-winning team recognized for quality care.
Benefits and Perks*:
DAILY Pay!
Benefit eligibility the first of the month following 30 days
Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution.
401K through Fidelity
Employer-paid life insurance (FT employees)
Robust Employee Assistance Program
Generous Paid Time Off (PTO)
Educational, leadership, and tuition opportunities
Various discount programs offered, including discounted childcare programs through KinderCare
Wellness programs offered through WebMD
Employee recognition programs
Culture of employees creating an IMPACT!
Position Summary:
The primary purpose of your job is to return patients to optimal physical function in a SNF setting. You will facilitate achievement of patient, physician, and therapy goals. Instruct the patient in maintaining achieved level of function after discharge through education, independent exercise program, and appropriate activity modification.
Education/Qualifications:
Employee must hold a Master’s Degree in Speech-Language Pathology from an accredited college or university and hold an active, unencumbered license from the state of practice.
Must possess basic computer skills and ability to navigate through various software programs, including service delivery software and the electronic health record software.
Shifts & Wages:
Part-Time Opportunities Available
Shifts Needed: Negotiable
Wage: Negotiable
Sign On Bonus: Negotiable
Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.
We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
INDPOTH
See All 174+ Speech Pathologist Jobs in North Carolina
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Find Speech Pathologist JobsSpeech Pathologist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Speech Pathologist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Advocate Aurora Health13

- HiredFirst10H
- Yad Healthcare10

- HealthPRO Heritage10

- Edu-Aids9

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in speech pathologist jobs across North Carolina.
- Active North Carolina Speech-Language Pathology license issued by the NC Board of Examiners for SLPs
- Master's degree in speech-language pathology or communication sciences and disorders
- Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA or eligibility
- Clinical Fellowship Year completion or current CFY supervision documentation for new graduates
- Experience with electronic documentation systems such as Epic or other hospital-based EMR platforms
- Caseload management experience across pediatric, adult, or school-based settings depending on employer
Speech Pathologist Jobs in North Carolina: Frequently Asked Questions
How do you become a speech pathologist in North Carolina?
To become a licensed speech pathologist in North Carolina, you must hold a master's degree in speech-language pathology, complete a supervised Clinical Fellowship Year, pass the Praxis Examination in Speech-Language Pathology, and obtain licensure through the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists. Most employers also expect or require the ASHA Certificate of Clinical Competence. The state board manages all applications and renewals for practicing clinicians.
How much do speech pathologists make in North Carolina?
Speech 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 pathologists in North Carolina?
Employers hiring speech pathologists in North Carolina right now include Advocate Aurora Health, HiredFirst, and Yad Healthcare, based on current listings on Migrate Mate as of August 2026. North Carolina's large academic medical systems, regional school districts, and contract therapy staffing firms that serve rural counties account for much of the ongoing demand across the state.
Which North Carolina cities have the most speech pathologist jobs?
Charlotte, Wilmington, and Winston-Salem have the most speech pathologist openings in North Carolina. Charlotte and Raleigh-Durham dominate because of their dense concentration of hospital systems, pediatric specialty clinics, and large public school districts, while Greensboro anchors the Piedmont Triad's rehabilitation and long-term care market, which draws consistent hiring from regional health networks and outpatient therapy groups.
Are there remote speech pathologist jobs in North Carolina?
Yes, but they represent a smaller share of the market. About 21% of speech pathologist openings tied to North Carolina are remote or hybrid as of August 2026, reflecting the hands-on nature of most clinical work. Teletherapy roles are the most consistently remote segment, particularly positions serving school-based caseloads in rural North Carolina counties or providing adult outpatient language services through telehealth platforms.
How can I get hired as a speech pathologist in North Carolina with little or no experience?
The most realistic entry path is applying for Clinical Fellowship Year positions, which large North Carolina employers such as Duke Health, Atrium Health, and UNC Health system facilities post regularly for new master's graduates. School districts operated by Wake County, Charlotte-Mecklenburg, and Guilford County also hire clinical fellows and provisionally licensed SLPs into school-based roles. Candidates with strong supervised fieldwork hours in pediatric or medical settings and a clear path to CCC-SLP credentialing move fastest through these pipelines.
Where can I find and apply to speech pathologist jobs in North Carolina?
You can find and apply to speech pathologist jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring in the state right now. Find roles that match your experience, specialty, and preferred setting, then apply directly to the employers posting them.
See All 174+ Speech Pathologist Jobs in North Carolina
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