Speech Therapist Jobs in Texas
Speech Therapist jobs in Texas are among the most active in the country, with strong demand at every level from clinical fellows completing their CFY through senior SLPs leading school district programs, hospital departments, and outpatient rehabilitation practices. Houston, Dallas-Fort Worth, and San Antonio anchor most of the hiring, with major employers including Texas Children's Hospital, CHRISTUS Health, and Baylor Scott and White Health consistently posting openings. The most in-demand specialties in Texas are pediatric language and articulation disorders, dysphagia and medical SLP in acute care settings, and early intervention services tied to the state's IDEA Part C programs. Find a role that fits below and apply directly.
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Showing 5 of 17+ Speech Therapist jobs
INTRODUCTION
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) NICU Speech Therapist today with St. David's Medical Center.
JOB SUMMARY AND QUALIFICATIONS
As a Speech Therapist (SLP), you'll help patients improve their communication, cognitive, and swallowing abilities through skilled, evidence-based care. Your role is key in helping patients make progress and independence while working closely with a supportive, collaborative rehabilitation team. You'll have the opportunity to practice in a well-resourced, consistent environment that values your clinical judgement and protects your time through clear caseloads, streamlined workflows, and network-backed clinical collaboration.
Your role will include:
- Evaluating communication, cognitive, and swallowing abilities using structured assessments, standardized tools, and clinical observation
- Developing and adjusting individualized treatment plans that support communication clarity, safe swallowing, and functional progress
- Documenting evaluations, daily notes, progress updates, and discharge summaries with accuracy and timeliness
- Educating patients and families on therapy goals, safety recommendations, home strategies, and expected progress
- Collaborating with physicians, nursing teams, rehabilitation staff, and care managers to support coordinated care and smooth transitions
What qualifications you will need:
- 6 months of experience in a Level IV NICU
- Basic Cardiac Life Support must be obtained within 30 days of employment start date
- Masters Degree
- (SLP) Speech-Language Pathologist
No Travel Required
No experience Required Years of Experience
BENEFITS
St. David's Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
St. David’s Medical Center, part of St. David’s HealthCare, is a comprehensive medical facility with three locations: St. David’s Medical Center, Heart Hospital of Austin, and St. David’s Georgetown Hospital. Located in Central Austin, St. David’s Medical Center features a 371-bed acute care hospital and a 64-bed rehabilitation hospital, offering a wide range of inpatient and outpatient services.
The hospital provides a full spectrum of women's services, including a renowned Level IV maternity unit, maternal-fetal medicine, and a high-risk maternal and neonatal transport team. It also boasts the region’s largest Level IV Neonatal Intensive Care Unit and offers outpatient breast imaging services through Solis Mammography, which is situated on-site. Additionally, the facility includes a 24-hour emergency department and a comprehensive stroke center.
St. David’s Medical Center specializes in treating high-acuity surgical patients, offering complex procedures such as spine surgeries, total joint replacements, advanced surgical oncology, bariatric surgery, and general surgery. It is also home to the esteemed Texas Cardiac Arrhythmia Institute. The hospital has earned accreditation from the American Nurses Credentialing Center (ANCC) as a Magnet® hospital, the highest and most prestigious distinction a healthcare organization can achieve for nursing practice and quality patient care.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our NICU Speech Therapist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
INTRODUCTION
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) NICU Speech Therapist today with St. David's Medical Center.
JOB SUMMARY AND QUALIFICATIONS
As a Speech Therapist (SLP), you'll help patients improve their communication, cognitive, and swallowing abilities through skilled, evidence-based care. Your role is key in helping patients make progress and independence while working closely with a supportive, collaborative rehabilitation team. You'll have the opportunity to practice in a well-resourced, consistent environment that values your clinical judgement and protects your time through clear caseloads, streamlined workflows, and network-backed clinical collaboration.
Your role will include:
- Evaluating communication, cognitive, and swallowing abilities using structured assessments, standardized tools, and clinical observation
- Developing and adjusting individualized treatment plans that support communication clarity, safe swallowing, and functional progress
- Documenting evaluations, daily notes, progress updates, and discharge summaries with accuracy and timeliness
- Educating patients and families on therapy goals, safety recommendations, home strategies, and expected progress
- Collaborating with physicians, nursing teams, rehabilitation staff, and care managers to support coordinated care and smooth transitions
What qualifications you will need:
- 6 months of experience in a Level IV NICU
- Basic Cardiac Life Support must be obtained within 30 days of employment start date
- Masters Degree
- (SLP) Speech-Language Pathologist
No Travel Required
No experience Required Years of Experience
BENEFITS
St. David's Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
St. David’s Medical Center, part of St. David’s HealthCare, is a comprehensive medical facility with three locations: St. David’s Medical Center, Heart Hospital of Austin, and St. David’s Georgetown Hospital. Located in Central Austin, St. David’s Medical Center features a 371-bed acute care hospital and a 64-bed rehabilitation hospital, offering a wide range of inpatient and outpatient services.
The hospital provides a full spectrum of women's services, including a renowned Level IV maternity unit, maternal-fetal medicine, and a high-risk maternal and neonatal transport team. It also boasts the region’s largest Level IV Neonatal Intensive Care Unit and offers outpatient breast imaging services through Solis Mammography, which is situated on-site. Additionally, the facility includes a 24-hour emergency department and a comprehensive stroke center.
St. David’s Medical Center specializes in treating high-acuity surgical patients, offering complex procedures such as spine surgeries, total joint replacements, advanced surgical oncology, bariatric surgery, and general surgery. It is also home to the esteemed Texas Cardiac Arrhythmia Institute. The hospital has earned accreditation from the American Nurses Credentialing Center (ANCC) as a Magnet® hospital, the highest and most prestigious distinction a healthcare organization can achieve for nursing practice and quality patient care.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our NICU Speech Therapist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
See All 17 Speech Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Speech Therapist JobsSpeech Therapist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Speech Therapist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Optum6
- Fox Rehabilitation Physical, Occupational And Speech Therapy Services3
- Memorial Hermann Health System3
- St. David's HealthCare2
- Kermit ISD1
Top Industries Hiring
- Healthcare & Medical Services12
- Consulting & Professional Services2
- Education1
- Food & Beverage1
What Texas Employers Look For
The qualifications that appear most often in speech therapist jobs across Texas.
- Active Texas state license issued by the Texas State Board of Examiners for Speech-Language Pathology and Audiology
- Master's degree in speech-language pathology from a CAPCO-accredited graduate program
- Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from ASHA or active Clinical Fellowship Year status
- Demonstrated clinical experience in a core specialty area such as pediatric disorders, dysphagia, or AAC
- Strong documentation and IEP or treatment plan writing skills for school or medical settings
- Familiarity with Texas Education Agency guidelines for school-based SLPs or Texas Medicaid billing requirements
Speech Therapist Jobs in Texas: Frequently Asked Questions
How do you become a speech therapist in Texas?
To work as a speech therapist in Texas, you must hold a license issued by the Texas State Board of Examiners for Speech-Language Pathology and Audiology. Licensure requires a master's degree in speech-language pathology from a CAPCO-accredited program, completion of a supervised Clinical Fellowship Year, and passing the Praxis exam in Speech-Language Pathology. School-based SLPs in Texas public schools must also meet Texas Education Agency certification requirements, which is a separate credentialing process.
How much do speech therapists make in Texas?
Speech therapists 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 therapists in Texas?
Employers hiring speech therapists in Texas right now include Optum, Fox Rehabilitation Physical, Occupational And Speech Therapy Services, and Memorial Hermann Health System, based on current listings on Migrate Mate as of June 2026. Texas's large integrated health systems, school districts serving rapidly growing suburban areas, and pediatric specialty hospitals consistently generate some of the steadiest SLP demand in the state.
Which Texas cities have the most speech therapist jobs?
Austin, Houston, and Amarillo are the Texas cities with the most speech therapist openings, driven by the concentration of major hospital systems, large independent school districts, and pediatric specialty centers in each metro. Rapidly growing suburban areas around Dallas-Fort Worth and Houston also generate significant openings as school districts expand to serve new communities.
Are there remote speech therapist jobs in Texas?
Yes, but they're less common than in desk-based fields because most speech therapy involves direct, in-person patient or student contact. About 0% of speech therapist openings tied to Texas are remote or hybrid as of June 2026. Teletherapy positions do exist and tend to concentrate in school-based contracting and early intervention services, where providers work with students or families across underserved or rural Texas regions.
How can I get hired as a speech therapist in Texas with little or no experience?
The most realistic entry path is completing your Clinical Fellowship Year with a Texas employer that structures CFY supervision as part of the hire, which large school districts like Houston ISD and Dallas ISD and health systems like Texas Children's Hospital routinely do. New graduates can also target early intervention contractor roles under the Texas Early Steps program or look for SLP assistant positions, which Texas licenses separately, as a way to build hours and clinical exposure before full licensure.
Where can I find and apply to speech therapist jobs in Texas?
You can find and apply to speech therapist jobs in Texas on Migrate Mate, which lists current Texas openings across school districts, hospital systems, outpatient clinics, and early intervention programs. Search the roles that match your specialty and experience level and apply directly to the ones that fit.
See All 17 Speech Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Speech Therapist Jobs