Speech Therapist Jobs in North Carolina
Speech Therapist jobs in North Carolina are in strong and steady demand, concentrated in hospital systems, school districts, pediatric clinics, and skilled nursing facilities, with openings at every level from clinical fellowship year through senior and lead positions. The highest volume of hiring is in Charlotte, Raleigh, and Greensboro, where large employers such as Atrium Health, UNC Health, and Novant Health maintain consistent speech therapy staffing needs. The most in-demand specialties are pediatric language disorders, dysphagia and swallowing rehabilitation, and early intervention services. Find a role that fits below and apply directly.
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Essential Functions
- Responsible for the daily management of an assigned patient caseload, ensuring timely care and documentation to meet the patent needs/services as prescribed in the established plan of care and per MD orders.
- Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available.
- Evaluates the ST patient to determine the rehabilitation needs, potential for achievement, and develops a plan of care in conjunction with the patient's physician.
- Establishes and implements plan of care, performs ST services certified by the patient's physician, and directs the care coordination of a multidisciplinary clinical team approach to promote health and safe outcomes.
- Maintains communication with multidisciplinary team providing updates and changes in schedules, patient data or needs, and physician orders.
- Incorporates short and long-term goals established in the plan of care into therapy, as evidenced by documentation in visit notes, monthly progress notes, and discharge summaries.
- Supports effective communication and collaboration with the physician oversight, and branch supervision to ensure timely feedback regarding patients' condition and/or need for changes in the plan of care.
- Remains and performs ordered treatments, therapies, and/or procedures in accordance with The Licensure Act for Speech and Language Pathologists and Audiologists and Home Health Conditions of Participation, TJC, Medicare Guidelines, OASIS and agency policy and procedures.
Physical Requirements
- Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 50 pounds in handling patients, medical equipment, and supplies. Ability to travel extensively during all seasons to assigned patients place of residence. Works in a variety of home environments and conditions. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and/or unit conditions. Ability to work flexible schedule to meet patients' needs. Personal Protective Equipment such as gloves, goggles, gowns, and masks are sometimes required due to possible exposure to hazardous chemicals or blood and body fluids.
Education, Experience and Certifications
- Master's Degree in Speech Language Pathology as well as current state licensure required. BLS required per policy guidelines.
Essential Functions
- Responsible for the daily management of an assigned patient caseload, ensuring timely care and documentation to meet the patent needs/services as prescribed in the established plan of care and per MD orders.
- Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available.
- Evaluates the ST patient to determine the rehabilitation needs, potential for achievement, and develops a plan of care in conjunction with the patient's physician.
- Establishes and implements plan of care, performs ST services certified by the patient's physician, and directs the care coordination of a multidisciplinary clinical team approach to promote health and safe outcomes.
- Maintains communication with multidisciplinary team providing updates and changes in schedules, patient data or needs, and physician orders.
- Incorporates short and long-term goals established in the plan of care into therapy, as evidenced by documentation in visit notes, monthly progress notes, and discharge summaries.
- Supports effective communication and collaboration with the physician oversight, and branch supervision to ensure timely feedback regarding patients' condition and/or need for changes in the plan of care.
- Remains and performs ordered treatments, therapies, and/or procedures in accordance with The Licensure Act for Speech and Language Pathologists and Audiologists and Home Health Conditions of Participation, TJC, Medicare Guidelines, OASIS and agency policy and procedures.
Physical Requirements
- Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 50 pounds in handling patients, medical equipment, and supplies. Ability to travel extensively during all seasons to assigned patients place of residence. Works in a variety of home environments and conditions. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient and/or unit conditions. Ability to work flexible schedule to meet patients' needs. Personal Protective Equipment such as gloves, goggles, gowns, and masks are sometimes required due to possible exposure to hazardous chemicals or blood and body fluids.
Education, Experience and Certifications
- Master's Degree in Speech Language Pathology as well as current state licensure required. BLS required per policy guidelines.
See All 49 Speech Therapist Jobs in North Carolina
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Find Speech Therapist JobsSpeech Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Speech Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Broad River Rehab10
- Novant Health7
- PruittHealth6
- Voyage Health4V
- Powerback Rehabilitation4
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in speech therapist jobs across North Carolina.
- Active speech-language pathology license issued or recognized by the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists
- Master's degree in speech-language pathology or communication sciences and disorders from an accredited program
- Certificate of Clinical Competence in Speech-Language Pathology from the American Speech-Language-Hearing Association
- Completion of a supervised clinical fellowship year prior to or within the first year of employment
- Experience conducting standardized assessments and developing individualized treatment plans for assigned patient populations
- Strong documentation skills and familiarity with electronic health record systems used in clinical or school-based settings
Speech Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a speech therapist in North Carolina?
To become a licensed speech therapist in North Carolina, you must hold a master's degree in speech-language pathology from an accredited program, complete a supervised clinical fellowship, 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 North Carolina employers also require or strongly prefer the Certificate of Clinical Competence from the American Speech-Language-Hearing Association before or shortly after hire.
How much do speech therapists make in North Carolina?
Speech therapists 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 therapists in North Carolina?
Employers hiring speech therapists in North Carolina right now include Broad River Rehab, Novant Health, and PruittHealth, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and its extensive public school districts are among the most consistent sources of full-time openings for speech therapists across the state.
Which North Carolina cities have the most speech therapist jobs?
The North Carolina cities with the most speech therapist openings are Charlotte, Winston-Salem, and Asheville. Charlotte and Raleigh drive the highest volume because of their large hospital systems and rapidly growing suburban school districts, while smaller cities on the list often reflect the presence of regional medical centers or university-affiliated clinics that maintain ongoing staffing needs.
Are there remote speech therapist jobs in North Carolina?
Yes, but they're less common than in many other fields because speech therapy is heavily hands-on and clinic- or school-based by nature. About 0% of speech therapist openings tied to North Carolina are remote or hybrid as of August 2026. The roles most likely to be remote are teletherapy positions serving rural school districts or home health patients in areas of the state with limited in-person provider access.
How can I get hired as a speech therapist in North Carolina with little or no experience?
The most direct entry path is completing your clinical fellowship year at a North Carolina employer that hires new graduates into supervised positions, which large health systems such as UNC Health and Atrium Health offer on a rolling basis. School districts across the state, particularly in rural regions with persistent shortages, regularly hire candidates who are fellowship-eligible and fully licensed shortly after. Building experience as a speech-language pathology assistant in North Carolina before completing your master's is another realistic route that opens the door to full therapist roles.
Where can I find and apply to speech therapist jobs in North Carolina?
You can find and apply to speech therapist jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring across the state. Find a role that fits your experience and specialty area and apply directly to the employer through the listing.
See All 49 Speech Therapist Jobs in North Carolina
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