Smart Rehab Speech-Language Pathologist (SLP) - In-Home Outpatient (Medicare Part B) | Greater St. Louis Remote · Contractor Company website

Apply for Speech-Language Pathologist (SLP) - In-Home Outpatient (Medicare Part B) | Greater St. Louis

Smart Rehab provides in-home therapy for older adults through two care models: Medicare Part B outpatient therapy and Medicare Part A home health therapy through partner agencies. Our Part B program is built around a simple idea, outpatient-quality care delivered in the patient’s home with one-on-one visits and a strong focus on mobility, balance, fall prevention, and home safety. Across both service lines, we’re known for therapist autonomy, clear communication, and a supportive, clinician-led culture, so clinicians can do great work and patients can stay safe and independent at home.

This position provides outpatient speech therapy services in the home for older adults under Medicare Part B. Speech-Language Pathologists deliver one-on-one care during patient visits, focusing on practical, real-life goals that improve safety, communication, and quality of life in the home environment.

Therapists manage a local caseload, work independently, and maintain flexibility in scheduling. This is not a home health role, patients are not required to be homebound, and care is not productivity-driven.

Who This Role Is Ideal For

This role is intentionally designed for SLPs who value quality, autonomy, and one-on-one care.

It is a great fit for an SLP who:

• Enjoys working with older adults in a home-based outpatient model
• Prefers one-on-one visits over high-volume clinic schedules
• Values clinical independence and relationship-based care
• Enjoys functional, practical treatment focused on the patient’s real home environment
• Wants flexibility and control over their weekly schedule
• Has experience in outpatient, home-based, SNF, or home health settings and wants a more patient-centered pace

This role may not be the best fit for clinicians seeking high daily visit volume or productivity-based environments.

Key Responsibilities

• Perform speech therapy evaluations, follow-up visits, progress notes, and discharges in patients’ homes
• Evaluate and treat areas such as:
• Dysphagia/swallowing and safe feeding strategies
• Cognitive-communication (memory, attention, executive function)
• Speech/language and functional communication
• Voice as clinically appropriate
• Develop and update plans of care in compliance with Medicare Part B requirements
• Educate patients and caregivers on strategies, exercises, and safety recommendations
• Coordinate as needed with physicians and the Smart Rehab team
• Complete documentation accurately and on time using the company EMR

Schedule & Caseload

• Flexible schedule, clinicians control when visits are completed
• Local, geographic caseload to minimize drive time
• One-on-one visits (no double booking, no productivity quotas)
• A quality-driven outpatient model delivered in the home

Required Qualifications

• Licensed Speech-Language Pathologist in the state of practice
• Eligible for Medicare Part B enrollment or reassignment (or willing to complete with support)
• Experience with older adults preferred
• Valid driver’s license and reliable transportation
• Comfortable working independently in the home setting

Desired Skills & Traits

• Strong clinical reasoning and autonomy
• Excellent patient/caregiver communication and education skills
• Organized, dependable, and self-directed
• Comfortable with documentation and basic technology
• Experience with dysphagia management and geriatric care preferred

Compensation & Pay

• Paid per visit as a 1099 independent contractor
• Competitive per-visit rates based on visit type
• Initial evaluations paid at a higher rate
• Consistent referral flow available
• Flexible caseload based on availability
• Paid promptly on a regular schedule