Speech Pathologist Jobs in Texas
Speech Pathologist jobs in Texas are among the most active in the country, with strong demand running from newly licensed clinicians through senior clinical specialists in school districts, pediatric hospitals, and outpatient rehabilitation settings. The busiest hiring metros are Houston, Dallas-Fort Worth, and Austin, where large employers like Baylor Scott & White Health, Texas Children's Hospital, and the University of Texas system consistently post openings. The most in-demand specialties are pediatric language disorders, dysphagia, and school-based services tied to the state's growing student population. Find a role that fits below and apply directly.
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Description
Summary:
Provides Speech Pathology Services to patients referred, including assessment, treatment plan development and implementation with follow-up and discharge planning. Assists with clinical aspects of the department, including program development and Performance Improvement activities. In addition, supervises Rehab Techs, Students and Volunteers.
Responsibilities:
- Performs comprehensive diagnostic evaluations to determine the status of the speech, language, cognitive and swallowing abilities of inpatients and outpatients, considering diagnosis and age specific needs.
- Develops and implements, with patient/family participation, individualized treatment plans as indicated, considering diagnosis and age specific needs, with measurable goals and methods to achieve goals.
- Maintains quality documentation regarding patient status, to include Initial Patient Evaluations, Daily and Weekly Progress notes as required, Discharge Summaries and other notations as appropriate.
- Participates in patient care conferences, family conferences, in-service programs, departmental and interdepartmental meetings.
- Counsels family and other involved individuals regarding patient evaluation, care and treatment. Initiates and completes discharge planning in a timely manner and provides effective education and training.
- Supervises Speech Pathology students and volunteers.
- Assists in the supervision of Rehab Techs.
- Participates in the orientation of new associates and scheduling patients to assure quality patient coverage.
- Understands, supports and provides input for Performance Improvement activities.
- Complies with departmental productivity standards.
- Maintains an awareness of other agencies within the community in order to make appropriate referrals, when indicated, to network and to increase knowledge of community resources.
- Identifies and provides educational opportunities for self, department, students and community. Participates in research activities as appropriate.
- Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.
- Appropriately adapts assigned patient care assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each patient served.
- Demonstrates adherence to the CORE values of Santa Rosa Health Care.
- Performs other duties as assigned.
Requirements
Education:
- Master’s degree from an accredited college or university in the area of Speech Pathology is required.
Experience:
- A minimum of one and one-half (1.5) years full-time clinical experience as a Speech Pathologist.
LICENSURE/CERTIFICATION:
- Licensed as a Speech Pathologist by the State Board of Examiners for Speech-Language Pathology and Audiology.
- Certified by the American Speech-Language-Hearing Association.
- CPR certification is required.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
See All 156+ Speech Pathologist Jobs in Texas
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Find Speech Pathologist JobsSpeech Pathologist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Speech Pathologist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Cole Health15

- Baylor Scott & White Health12

- Believe Therapies11

- FOX Rehabilitation10

- Aegis Therapies7

Top Industries Hiring
- Healthcare & Medical Services114
- Education29
- Consulting & Professional Services9
- Non-Profit & Social Services4
- Insurance2
What Texas Employers Look For
The qualifications that appear most often in speech pathologist jobs across Texas.
- Active Texas license issued by the Texas State Board of Examiners for Speech-Language Pathology and Audiology
- Master's degree in speech-language pathology from a CAA-accredited program
- Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA
- Documented clinical fellowship hours or completion of a supervised clinical fellowship year
- Experience with pediatric or adult dysphagia evaluation and treatment protocols
- Familiarity with electronic health record systems used in Texas hospital or school settings
Speech Pathologist Jobs in Texas: Frequently Asked Questions
How do you become a speech pathologist in Texas?
To become a speech pathologist in Texas, you must earn a master's degree in speech-language pathology from a Council on Academic Accreditation-accredited program, complete a supervised clinical fellowship, and obtain licensure from the Texas State Board of Examiners for Speech-Language Pathology and Audiology. The board requires a passing score on the Praxis exam in speech-language pathology before your license is issued. Texas does not participate in a universal licensure compact, so out-of-state applicants apply for a standard Texas license by endorsement.
How much do speech pathologists make in Texas?
Speech pathologists in Texas earn a median of about $99,910 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $66,370 for the lowest 10% to over $132,990 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire speech pathologists in Texas?
Employers hiring speech pathologists in Texas right now include Cole Health, Baylor Scott & White Health, and Believe Therapies, based on current listings on Migrate Mate as of June 2026. Texas's large public school systems and pediatric hospital networks account for a significant share of consistent openings, particularly in the Houston, Dallas-Fort Worth, and Austin metro areas.
Which Texas cities have the most speech pathologist jobs?
Austin, Houston, and San Antonio have the most speech pathologist openings in Texas right now. Houston and Dallas-Fort Worth lead because of their large hospital systems, extensive public school districts, and outpatient rehabilitation networks, while Austin's rapid population growth has expanded both pediatric and adult caseloads at health systems and independent therapy practices across the metro.
Are there remote speech pathologist jobs in Texas?
Yes, but they are less common than in desk-based fields because most speech pathology work involves direct patient or student contact. About 0% of speech pathologist openings tied to Texas are remote or hybrid as of June 2026, reflecting a market where telehealth positions do exist. The roles most likely to be fully remote are school-based teletherapy contracts serving rural Texas districts and evaluation-only telehealth positions within larger health systems.
How can I get hired as a speech pathologist in Texas with little or no experience?
The most realistic entry path is applying for a clinical fellowship position, which Texas hospital systems and school districts hire for directly and which counts as supervised experience toward your CCC-SLP. Baylor Scott & White Health, Texas Children's Hospital, and large independent school districts such as Houston ISD and Dallas ISD regularly bring on new graduates for fellowship-track roles in pediatric, school-based, and acute care settings. Holding your Texas provisional license before applying and targeting districts with documented teletherapy or early intervention programs gives candidates a measurable edge over other new-graduate applicants.
Where can I find and apply to speech pathologist jobs in Texas?
You can find and apply to speech pathologist jobs in Texas on Migrate Mate, which lists current Texas openings updated regularly. Search the listings, find roles that match your specialty and preferred location, and apply directly to the employer through the posting.
See All 156+ Speech Pathologist Jobs in Texas
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