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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SPEECH THERAPIST-P
Our team members are dedicated professionals who bring heart, integrity, and commitment to improving quality of life every day. At Wellsential Health, we believe caring for our team is just as important as caring for our residents. When our team members feel supported, valued, and well cared for, they can provide the highest level of care in return. If you’re looking for meaningful work where you can make a lasting impact, Wellsential Health is the place to grow your career and serve with purpose.
The Speech Therapist (ST) conducts assessments and reassessments of rehabilitation needs and potential. The ST also plans, implements, and supervises therapeutic programs which include patient teaching and therapeutic activities to improve or restore communicative and swallowing abilities.
JOB DUTIES/ KNOWLEDGE:
- Conducts assessments and reassessments of the patient's communication and swallowing disorders by applying diagnostic and prognostic procedures.
- Plans, implements, and supervises an individualized therapeutic program designed to restore and/ or improve communicative activities of daily living, and to treat swallowing disorders.
- Coordinates and collaborates with the Rehab Director, or designed professional, to ensure integration of the therapeutic program in the plan of care.
- Guides and teaches the patient in techniques, exercises, or precautions designed to improve the patient's ability to swallow and communicate.
- Observes, records, and reports the patient's reaction to treatment and any changes in the patient's condition or treatment. Documents the extent of the patient's involvement in the decision affecting his/her care.
- Instructs other agency personnel and patients family members in activities of speech therapy in which they may safely and effectively assist the patient.
- Participates in patient case conferences to coordinate the patient's plan of care and promote positive therapeutic outcome.
- Participates in continuous assessment and evaluation of the agency via Quarterly Record Review, or the quality Assurance/ Improvement Program.
- Fallows state guidelines and maintains appropriate documentation when supervising an Assistant in speech.
- Maintain code of ethics set by the American Speech Language Hearing Association.
PHYSICAL REQUIREMENTS
Sight and hearing sufficient to comprehend written and verbal communication, ability to work a minimum of eight (8) hours per day while driving, standing, sitting, and completing reports and documentation.
JOB PERFORMANCE:
Demonstrates initiative and skills in planning and organizing work
- Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks.
- Completes work, care and documentation with accuracy within agency time frames.
- Requires minimal supervision and is self-directed.
MISSION/ AGENCY STANDARDS:
Demonstrates organizational awareness and commitment
- Understands and appropriately applies the chain of command in relation to job position and supervision.
- Knows and understands the agency mission in relation to own job position.
Observes confidentiality policy at all times
- Protects and honors customer and coworker confidentiality.
- Respects customers' and coworkers' right to privacy.
Observes attendance and attire polices
- Meets attendance and punctuality expectations.
- Demonstrates cooperation with requests to meet agency needs.
- Consistently adheres to agency dress code.
Complies with all other related policies, procedures and requests
- Recommends and/ or supports changes to policies and procedures.
- Demonstrates knowledge of policies and procedures applicable to own job positon.
- Adheres to policies and procedures. Honors requests of management for interim rules.
Conserves agency resources
- Maintains agency property, supplies and equipment in a manner that demonstrates ownership and accountability.
- Maintains the work area to reduce the likelihood for safety hazards and to enhance its general appearance.
COMMUNICATION SKILLS:
Demonstrates interpersonal understanding and utilizes effective communication skills
- Considers effects of words and actions on others.
- Utilizes listening skills that indicate understanding and promote accurate interpretation of others' concerns, motivations and feelings.
- Recognizes the influence of beliefs and cultures on behaviors and accepts strengths and limitations in others.
- Works toward resolution of interpersonal conflicts as they arise.
- Recognizes when others are in need of information, assistance or direction and consistently offers and provides help.
- Attends and participates positively in meetings.
- Regularly reads and appropriately applies information to practice.
- Uses words that express respect, patience and understanding in interactions with others.
- Acknowledges other verbally and nonverbal (eye contact, expression, tone of voice) promptly and courteously.
- Follows appropriate phone etiquette.
Exhibits behaviors of cooperation
- Develops cooperation and collaborative work efforts that in general benefits all involved parties.
- Demonstrates the initiative to meet the needs of the agency by assisting coworkers when load permits.
PERSONAL/ PROFESSIONAL DEVELOPMENT:
Continuing education and personal/ professional development responsibilities
- Maintains personal health status requirement in relation to job position
- Maintains professional licensure/ certification (if applicable).
- Maintains current personnel file information and provides information to agency in timely manner.
- Sets own development challenges and volunteers to learn.
- Assists with orientation of new personnel.
- Adheres to agency infection control and safety polices, including education, reporting, and practice implementation specific to job position.
- Attends agency provided in-service programs to fulfill requirements of position and agency polices.
Exhibits adaptability, flexibility, self-control and maturity in work and behavior
- Maintains stable performance and emotions when faced with opposition, pressure and/ or stressful conditions.
- Develops work relationships that honor and respect others' strengths and abilities.
SERVICE EXCELLENCE:
Service Excellence 50% of yearly evaluation
- Shows courtesy, compassion and respect.
- Communicates with all individuals appropriately, while maintaining confidentiality.
- Contributes to teamwork, and harmonious working relationships.
- Supports and demonstrates continuous improvement of quality and service.
- Shares ideas and suggestions.
- Participates in projects.
- Participates in problem solving.
- Reports problems, unusual events appropriately.
- Demonstrates behavior that promotes professionalism and self-development.
- Participates in educational programs/ seminars.
- Promotes cost consciousness.
- Displays professional appearance.
- Promotes professional environment, including emphasis on cleanliness and safety.
PROBLEM SOLVING:
Exhibit critical thinking abilities and applies them for continuous
Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.See All 127+ Speech Therapist Jobs in Texas
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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
- Angels of Care Pediatric Home Health17

- Optum9

- Tenet Healthcare7

- American Traveler7

- Regency Integrated Health Services7

Top Industries Hiring
- Insurance
- Consulting & Professional Services
- Healthcare & Medical Services
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 Angels of Care Pediatric Home Health, Optum, and Tenet Healthcare, based on current listings on Migrate Mate as of October 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?
San Antonio, Austin, and Dallas 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 15% of speech therapist openings tied to Texas are remote or hybrid as of October 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 127+ Speech Therapist Jobs in Texas
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