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

As of Jun 9, 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.

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 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.

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.

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.
More about Lead Speech Language Pathologist jobs
What cities are hiring for Lead Speech Language Pathologist jobs? Cities with the most Lead Speech Language Pathologist job openings:
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What job categories do people searching Lead Speech Language Pathologist jobs look for? The top searched job categories for Lead Speech Language Pathologist jobs are:
Lead Speech Language Pathologist jobs near you
Infographic showing various Lead Speech Language Pathologist job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 88% Full Time, 5% Part Time, and 4% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $92,039 per year, or $44.2 per hour.
Lead Speech Language Pathologist

Lead Speech Language Pathologist

KidsCare Home Health

Richmond, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Overview
KidsCare Home Health is an ethical, therapist owned and operated home health company. We are seeking to immediately hire a Lead Speech Language Pathologist. KidsCare provides therapy services to children with special needs in the comfort of their own homes. If you have a passion for working with pediatrics and making a difference in your community, while enjoying work-life balance, KidsCare is the place for you!
Our leadership team recognizes the hard work and dedication of our therapists by promoting from within and by adding leadership roles that come with minimal stress levels. We have also redesigned our mentorship programs so that everyone gets the guidance they desire; your success is our focus!
At KidsCare we desire to work with individuals who embody the values of the organization which together create our C.A.R.E. culture. In return we offer a full benefits package to include health, dental, vision, disability and life insurance; paid time off, 401K, professional development funds and tuition reimbursement.
What Sets Us Apart:
  • Therapist Owned/Operated - We understand your challenges firsthand.
  • Ethically Centered - Our clients and therapists are our top priority.
  • Work Life Balance - Choose your caseload size based on your lifestyle needs.
  • Create Your Own Schedule - Choose patients and treatment times.

Responsibilities
The Speech-Language Pathologist (SLP) will evaluate, organize, and conduct medically prescribed speech therapy to pediatric patients in a home health setting. The SLP will direct the patient and their caregiver in selected tasks to reinforce and enhance performance. As a lead, this position will assist the Clinical Manager in overseeing, directing, and developing other Speech-Language Pathologists.
Essential Duties and Responsibilities
  • Provide leadership and oversite to team members through the performance of routine site visits.
  • Lead and mentor others through knowledge and skills sharing.
  • Provide clinical treatment to patients including screenings, evaluations, direct treatment, and family/caregiver training.
  • Perform evaluations with special attention to receptive and expressive language skills, speech fluency, vocal and oral motor competence, articulation, and auditory skills.
  • Coordinate patient care with office staff and other disciplines.
  • Maintain appropriate communication with the pediatric patient and family regarding progress, problems, home programs, and other issues related to the therapeutic process.
  • Refer patients and family members to appropriate services including other professionals, agencies, and resources as appropriate.
  • Consult with physician on patient progress and maintains appropriate records.
  • Responsible for the maintenance of supplies and equipment.
  • Attend internal and external public education functions which may include periodic in-service presentations.
  • Participate in Quality Assurance and Performance Improvement (QAPI) program.
  • Attend Continuing Education activities and expand scope of service.
  • Maintain adequate caseload with appropriate productivity.
  • Participate in proactive team efforts to achieve company and departmental goals.
  • Act as a mentor to students and new hires.
  • Actively participate in professional organizations and activiticies.
  • Demonstrate initiative and independent judgment in performance of all job responsibilities.
  • Will serve as the backup service provider for other caseloads as needed.
  • Comply with all company policies, practices, and procedures.
  • Other duties as assigned.

Qualifications
Education and Work Experience Requirements
  • Master's Degree in Speech-Language Pathology.
  • Current state-issued professional
  • Valid state driver
  • CPR
  • One (1) year of pediatric clinical experience required.
  • One (1) year of home health experience preferred.

Other Qualifications and Skills
  • Ability to read and write in simple correspondence with effective public speaking in small groups.
  • Excellent critical thinking and critical thinking skills.
  • Detail-oriented with strong organizational skills.
  • Ability to interpret instruction with the ability to solve practical problems with a variety of concrete variables.
  • Proficient computer skills to include Microsoft Office Suite, record keeping and routine database activity.
  • Manage multiple tasks simultaneously.

Physical Demands/Working Environment
  • Spends one-third to two-thirds of time in standing, walking, reaching sitting kneeling, and crawling activities.
  • Over two-thirds of time is spent using hands, fingers, and will handle, feel, talk, and hear.
  • Diverse indoor residential or childcare setting.
  • Moderate physical activity performing strenuous activities of a therapy nature.
  • Must be able to lift a minimum of twenty-five pounds.
  • Specific vision abilities required by this job include close vision requirements.
  • Moderate noise (i.e., business office with computers, phone, and printers, light traffic).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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