Speech Language Pathologist (SLP) - Outpatient, Union
- BLS
How this pay compares
This posting states $33.05–$49.60 an hour. Open speech-language pathologist jobs in North Carolina post a median of $49 an hour, the middle half $44.44–$52.50, across 39 jobs that state their pay, so this one is below the middle half of what they post. Speech-language pathologists employed in North Carolina earn a median of $41.57 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Speech-language pathologists in North Carolina: pay by town and employer
Medicare rating of Atrium Health Union
Medicare gives Atrium Health Union 4 of 5 stars (Jul 2026; North Carolina's hospitals average 3.3). 80% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare did not cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 52% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · North Carolina hospitals by rating.
Public Service Loan Forgiveness
Medicare lists Atrium Health Union as owned by a government body, and Advocate Health also runs for-profit hospitals, so which entity employs you decides whether the work counts toward PSLF. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.
Licensed in another state?
North Carolina is not issuing ASLP-IC privileges yet, so a speech-language pathologist or audiologist licensed in another state needs a North Carolina license for this job. (ASLP-IC Commission, 9 Nov 2026.) For a North Carolina license, apply to the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists for a license by endorsement ($90, by its own page): what North Carolina asks. Every state's ASLP-IC status.
What North Carolina requires of a speech-language pathologist
Speech-language pathology license, from the North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists.
- An applicant with an active, full, unrestricted license in another state completes the online reciprocal application and its open book quiz, has one state of current licensure send an official verification letter, and has the school send official transcripts showing the master's or doctoral degree. No examination is required of an applicant who holds the ASHA certificate of clinical competence or met equivalent requirements in another state (G.S. 90-296).
- Staying active: Licenses renew every year (G.S. 90-300), and licensees complete 30 hours of continuing education in each three-year cycle.
Speech-language pathologist jobs and requirements in North Carolina · Every state's rule
Physical, occupational, speech and respiratory therapy jobs in our research
- How long these jobs stay listed: Still listed at 7 days 87.4%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.22x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.7% · Stating an hourly rate 32.4%
From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
Provides adult and pediatric patient evaluation and care planning for speech-language pathology. Delivers patient care appropriate to age specific and other population needs. Provides clinical leadership.
Essential Functions
- Assesses and documents patient's medical, mental and emotional needs at admission and on an on-going basis. Develops and implements a plan of care to meet patient and family needs, to include discharge planning and utilization of available resources.
- Acts as patient advocate; treats patients and families with compassion and implements plan of care in a safe and timely manner.
- Demonstrates clinical reasoning, coupled with clinical skills to conduct accurate clinical assessments and perform patient care activities; evaluates effectiveness of therapy interventions, identifies and prioritizes patient/family strengths, needs and priorities.
- Identifies the normal course of illness in assigned patient population recognizing and intervening appropriately when deviations occur.
- Communicates patient information and thoroughly documents therapist's actions and plan of care.
- Provides clinical leadership and mentoring.
Physical Requirements
Hearing (corrected) adequate for oral/aural communication. Vision (corrected) adequate for reading. Intelligible speech and adequate language/cognitive skills to perform job duties. Sitting, standing, and walking required throughout the day. Job duties sometimes require climbing stairs, kneeling, twisting, bending; on occasion, crouching, crawling and reaching overhead. Lifting of patients, equipment or supplies will be required up to 20 pounds frequently and 50 pounds occasionally. Must be able to demonstrate any appropriate exercise and activities to patients/caregivers. 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. Work is in a fast-paced clinical environment. The work environment is primarily indoors but occasionally outdoors.
Education, Experience and Certifications
Master's Degree in Speech Language Pathology required. applicable state license for Speech Language Pathology required. BLS required per policy guidelines.
From Advocate Health's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Advocate Health
Advocate Health is a nonprofit health system (Atrium Health, Advocate Health Care, Aurora Health Care) with 69 (source: Advocate Health, About Us) hospitals and 1,000+ (source: Advocate Health, About Us) sites of care in Alabama, Georgia, Illinois, Indiana, Michigan, North Carolina, South Carolina and Wisconsin. Source: Advocate Health, About Us
Based in Charlotte, NCHires in North Carolina, South Carolina, Georgia, Alabama, Illinois, WisconsinPay on its listings: 100% of its open jobs state an hourly rate
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