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Lead Speech Language Pathologist Jobs (NOW HIRING)

Mindful Sprouts

NY · On-site

$120 - $150/hr

  • Medical

  • Dental

  • Vision

  • PTO

About the Job The Lead Speech-Language Pathologist (Lead SLP) serves as the clinical and operational leader of the Speech Therapy Department at Mindful Sprouts. This role is responsible for ensuring ...

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How much do lead speech language pathologist jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for lead speech language pathologist in the United States is $44.25, according to ZipRecruiter salary data. Most workers in this role earn between $37.74 and $50.96 per hour, depending on experience, location, and employer.

What is a lead speech language pathologist?

A Lead Speech Language Pathologist is an experienced clinician who oversees speech-language pathology services within an organization or department. They are responsible for supervising other speech-language pathologists, coordinating therapy programs, ensuring compliance with regulations, and sometimes managing caseloads of their own. This role often involves mentoring staff, developing training, and maintaining high standards of care for patients with speech, language, voice, and swallowing disorders.

How does a lead speech language pathologist typically balance clinical responsibilities with team leadership duties?

A Lead Speech Language Pathologist often divides their time between direct patient care and overseeing the clinical and administrative functions of their team. This involves mentoring junior staff, coordinating caseload assignments, and ensuring the team follows best practices and compliance standards. While they continue to provide assessments and therapy to clients, they also facilitate team meetings, provide training, and serve as a liaison between their department and other healthcare professionals. Effective time management and strong communication skills are essential to successfully juggle these dual responsibilities.

What are the key skills and qualifications needed to thrive as a lead speech language pathologist, and why are they important?

To thrive as a Lead Speech Language Pathologist, you need advanced expertise in speech-language assessment and intervention, a master's degree in speech-language pathology, and state licensure or ASHA certification. Familiarity with therapy planning software, electronic medical records, and standardized assessment tools is typically required. Leadership, mentorship, and strong interpersonal communication skills help you guide teams and collaborate with other professionals. These skills ensure effective treatment, cohesive team performance, and positive patient outcomes in diverse clinical settings.

What is the difference between Lead Speech Language Pathologist vs Speech Language Pathologist?

AspectLead Speech Language PathologistSpeech Language Pathologist
CredentialsMaster's degree, state licensure, ASHA certification, additional leadership trainingMaster's degree, state licensure, ASHA certification
Work EnvironmentSupervisory roles, program development, team leadershipDirect therapy, assessments, client interaction
Employer & Industry UsageSchools, hospitals, clinics with leadership rolesHospitals, schools, private practices
Search & Comparison IntentLeadership, advanced roles, supervisionDirect therapy, clinical work

The main difference between a Lead Speech Language Pathologist and a Speech Language Pathologist is that the lead role involves supervisory responsibilities, program development, and team leadership, while the standard SLP primarily focuses on direct therapy and assessments. Both roles require similar credentials, but the lead position emphasizes additional leadership skills and experience.

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Lead Speech Language Pathologist jobs near you
Infographic showing various Lead Speech Language Pathologist job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $92,039 per year, or $44.2 per hour.

Lead Speech-Language Pathologist (Lead SLP)

Mindful Sprouts

Boca Raton, FL • On-site

$36.25 - $48.75/hr

Full-time

Medical, Dental, Vision, PTO

Posted 12 days ago

Job description

About the Job
The Lead Speech-Language Pathologist (Lead SLP) serves as the clinical and operational leader of the Speech Therapy Department at Mindful Sprouts. This role is responsible for ensuring the delivery of exceptional, evidence-based speech-language services while fostering a culture of clinical excellence, collaboration, accountability, and compassionate care.
The Lead SLP provides direct patient care while overseeing the performance, development, and clinical quality of the Speech Therapy team. This individual partners closely with executive leadership to improve department operations, drive quality initiatives, support strategic growth, and ensure every family receives outstanding service. The ideal candidate is an experienced pediatric Speech-Language Pathologist with strong leadership abilities, excellent clinical judgment, and a passion for mentoring clinicians and building high-performing teams.Responsibilities
  • Build and scale the Speech Therapy Department, including its service model, clinical standards, policies, workflows, documentation tools, outcome measures, and staffing plan.
  • Lead the recruitment, onboarding, training, coaching, performance management, and retention of SLPs, Clinical Fellows/provisional licensees, and SLPAs.
  • Complete pediatric evaluations, develop evidence-based plans of care, provide skilled therapy, and serve as the primary resource for complex clinical cases.
  • Maintain a clinically appropriate direct-care caseload while ensuring timely, accurate, medically necessary, and payer-compliant documentation.
  • Serve as the designated supervisor or mentor for SLPAs, provisional licensees, and Clinical Fellows when assigned.
  • Maintain required supervision plans, competency records, observation schedules, performance reviews, regulatory notifications, and coverage arrangements.
  • Monitor clinical quality, outcomes, documentation, authorizations, supervision compliance, incidents, family concerns, and corrective actions.
  • Track department KPIs, including client access, clinician utilization, cancellations, documentation timeliness, outcomes, family experience, retention, and growth.
  • Coordinate with Intake, Scheduling, Credentialing, Authorizations, Billing, Compliance, and executive leadership to support efficient and compliant services.
  • Coordinate with BCBAs, RBTs and other treating professionals to coordinate care while maintaining appropriate clinical boundaries and discipline-specific judgment.
  • Advise executive leadership on staffing, resources, service development, and responsible department growth.
Required:
  • Master’s or doctoral degree in Speech-Language Pathology and an active, unrestricted Florida SLP license in good standing.
  • Current ASHA Certificate of Clinical Competence (CCC-SLP) and eligibility to serve as a Clinical Fellowship mentor.
  • At least five years of pediatric clinical experience, including work with children with autism or other developmental needs.
  • At least two years of clinical leadership or supervisory experience, including demonstrated experience supervising SLPAs.
  • Strong pediatric clinical judgment and knowledge of evaluations, plans of care, medical necessity, payer requirements, and EMR documentation.
  • Excellent leadership, communication, coaching, organization, problem-solving, and conflict-resolution skills.
  • Ability to satisfy background screening, credentialing, payer enrollment, exclusion-screening, and employment requirements.
  • Valid driver’s license, reliable transportation, and ability to work primarily on-site.
Preferred:
  • Experience building or expanding a pediatric therapy department or working collaboratively with ABA providers.
  • Experience with pediatric feeding and swallowing, AAC, Florida Medicaid, quality assurance, or payer audits.
  • Bilingual proficiency in English and Spanish.
Benefits:
  • Bi-weekly performance bonus.
  • Competitive salaried employee (W2) based on experience, expertise, and attitude.
  • Up to 20 days of paid vacation and 5 days of sick time.
  • Health, Dental, and Vision insurance upon regularization.
  • Employee Referral Program Bonus
  • Annual salary increases with a predictable percentage increase based on performance review. 
Terms and conditions apply.If you don’t see the right fit among our current openings, we invite you to visit our Careers page to explore other opportunities and learn more about our team, values, and culture.

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