Speech Pathologist - PRN
- PRN / per diem
How this pay compares
This posting states $95 an hour. Open speech-language pathologist jobs in Missouri post a median of $50 an hour, the middle half $46–$52.75, across 21 jobs that state their pay, so this one is above the middle half of what they post. Speech-language pathologists employed in Missouri earn a median of $42.92 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 Missouri: pay by town and employer
Medicare rating of Grace Reliant Health Services, LLC
Medicare gives Grace Reliant Health Services, LLC 3 of 5 stars for quality of patient care (Sep 2026; Missouri's agencies average 3.3). 87% of its patients said the team communicated well (the middle US agency: 87%). Patients' ratings of their care, not employees' of the job. Its other agencies · Missouri agencies by rating.
Physical, occupational, speech and respiratory therapy jobs in our research
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- 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
Grace Reliant's growing Home Health team is looking to invite a PRN Speech Pathologist to offer patients specialized support for speech, language, and swallowing difficulties, fostering effective communication. In alignment with the heart and voice of our organization; (We exist to help people live more complete and independent lives.) our Home Health team offers care in the comfort of each patient's home. Our team of top-notch providers works seamlessly to support your home health journey, ensuring that the care we deliver is as unique and respectful as you are, right where you need it most.
In this role, you will provide skilled speech pathology service on an intermittent basis to patients in their homes in accordance with the physician's orders.
This position serves patients in the following areas: Dexter and Sikeston . Mileage is paid at $.63/mile.
Job Responsibilities
- Evaluate patient's level of functioning and recommend mechanisms to enhance the patient's hearing ability.
- Provide initial and ongoing comprehensive assessments of the patient's needs, including Outcome and Assessment Information Set (OASIS) assessments
- Establish a Speech Therapy treatment plan in consultation with the physician and revises it with the approval of the physician as necessary.
- Assist in development and implementation of the interdisciplinary patient care plan as it pertains to Speech Therapy.
- Assure that the physician's orders are appropriate and discuss necessary changes
- Communicate with other team members and when appropriate instruct them in speech pathology techniques that they may use while working with the patient.
- Teach, supervise, and counsel the family and patient in the total Speech Therapy program and other related problems of the patient at home.
- Evaluate the patient, his/her significant other(s) and the home situation to determine what instruction will be required, what assistance will be available for the family in caring for the patient, and what other agency and community services will be required.
- Make arrangements for out-patient services for procedures which cannot be given in the home.
- Record on a timely basis all evaluation data, treatments, and patient's response to therapy intervention.
- Supervise the Home Health per agency policy when Speech Therapy is the only professional discipline involved in the patient's care.
- Record and report to the physician the patient's reaction to treatment and/or any changes in the patient's condition.
- Participate in the development of periodic revision of the physician's plan of treatment keeping him/her informed of the patient's status and obtaining additional orders if necessary.
- Communicate with the physician at least every 60 days or whenever changes occur regarding the patient's status and obtains additional orders if necessary.
- Evaluate the effectiveness of speech pathology intervention and updates the patient care plan as needed.
- Write clinical/progress notes on the date of the visit and incorporates in the patient's record within 72 hours.
- Assume responsibility for self-development by continually striving to improve his/her health care knowledge through educational programs, attendance at workshops and conferences, active participation in professional and related organization meetings and individual research and reading.
- Confirm, on a weekly basis, the scheduling of visits with the Clinical Manager in order to coordinate the patient's visit schedule.
- Participate in agency activities, case conferences and meetings, when appropriate.
- Participate with staff, patients, and physicians in discharge planning activities and completes a Speech Therapy Discharge Summary
Qualifications
- Master's Degree in Speech-Language Pathology
- Bachelor's in Speech and Hearing Therapy preferred
- Member of American Speech-Language and Hearing Association preferred
- Licensed to practice in State of Missouri
- Minimum 1 year of experience
- Current CPR Certification
- Clearance from criminal background, OIG and National Sex Registry
From Grace Reliant Health Services'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 Grace Reliant Health Services
Grace Reliant Health Services is a Medicare-certified home health agency in Cape Girardeau, MO providing nursing and therapy care at home. Its job board posts jobs for therapists and caregivers.
Based in Cape Girardeau, MOHires in MissouriPay on its listings: 100% of its open jobs state an hourly rate
More open jobs at Grace Reliant Health Services
- PRN- Physical Therapist$100/hr
- Occupational Therapist Assistant$28–$31/hr
- Direct Support Professional$18/hr
More physical, occupational, speech and respiratory therapy jobs
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