Speech Language Pathologist SLP
How this pay compares
This posting states $42–$53 an hour. Open speech-language pathologist jobs in North Carolina post a median of $48.50 an hour, the middle half $47–$54, across 57 jobs that state their pay, so this one is within 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
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 87.1%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.21x · Clicks 25
- How often these jobs state their pay: Jobs stating any pay 52.9% · Stating an hourly rate 32.3%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Physical, occupational, speech and respiratory therapy jobs
About the job
FULL TIME - SPEECH LANGUAGE PATHOLOGIST
Duties/Responsibilities:
Hearing ability sufficient to evaluate residents' speech.
Skill communicating verbally and in writing with residents and family members so that all parties understand the program and the degree of progress being made.
A Skilled Nursing Facility (SNF) SLP job involves assessing and treating residents with communication, cognitive, and swallowing disorders, often related to strokes, neurological conditions, or age. Responsibilities include developing individualized therapy plans, collaborating with the healthcare team, documenting progress, and providing patient and family education for improved functional independence.
Key Responsibilities
Assessment and Diagnosis:
Evaluate residents for speech, language, cognitive, and swallowing (dysphagia) disorders.
Treatment Planning:
Develop and implement individualized therapy plans to meet residents' specific rehabilitation goals.
Interdisciplinary Collaboration:
Work closely with nurses, occupational therapists, physical therapists, dietitians, and social workers to create a comprehensive and effective care plan.
Documentation:
Maintain thorough records of assessments, treatment plans, progress notes, and discharge summaries.
Patient and Family Education:
Educate residents and their families about therapy goals, strategies to maximize quality of life, and appropriate diets for swallowing disorders.
Palliative Care:
Provide support and education for patients and families facing end-of-life care, focusing on communication and swallowing needs.
Key Skills and Qualifications:
A graduate degree in Speech-Language Pathology from an accredited program.
A Certificate of Clinical Competence (CCC).
Strong clinical knowledge and experience in adult and geriatric care.
Empathy, adaptability, and excellent communication and collaboration skills.
From Rich Square Health & Rehabilitation Center's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Rich Square Health & Rehabilitation Center
Rich Square Health & Rehabilitation Center is a 69 (source: Medicare Care Compare: Rich Square Health & Rehabilitation Center)-bed nursing home in Rich Square, NC, certified by Medicare and Medicaid. Its job board posts jobs for therapists, nurses and nursing assistants. Source: Medicare Care Compare: Rich Square Health & Rehabilitation Center
Based in Rich Square, NCHires in North CarolinaPay on its listings: 100% of its open jobs state an hourly rate
More open jobs at Rich Square Health & Rehabilitation Center
- Occupational Therapist OT$50–$60/hr
- Physical Therapist PT$50–$60/hr
- SLP PRN Speech Language Pathologist$50–$60/hr
- Certified Occupational Therapy Assistant OTA$28–$45/hr
- Physical Therapist Assistant PTA$28–$45/hr
- RN$34–$39.50/hr
More physical, occupational, speech and respiratory therapy jobs
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