Speech Language Pathologist (1099 Contract)

About the Role

This role is a 1099 contract role, targeting 10-20 hours per week.

We are seeking a compassionate, collaborative Speech-Language Pathologist (SLP) to provide assessment, intervention, and longitudinal care for adults with progressive neurodegenerative conditions across a fully remote, telehealth-based model.

This role focuses primarily on direct patient care, including evaluation, evidence-based treatment, caregiver education, and interdisciplinary collaboration. Working closely with senior clinical team members, the SLP will manage a varied caseload of patients with Parkinson’s disease, ALS, Huntington’s disease, FTD/PPA variants, and related neurologic conditions, adapting clinical care to disease progression and patient goals.

The Day-to-Day

Assessment & Diagnosis

• Conduct virtual speech, language, cognitive-communication, motor speech, voice, and dysphagia risk evaluations using standardized assessments and functional task analysis adapted for telehealth.
• Interpret findings to establish diagnostic impressions, identify functional goals, and formulate measurable, patient-centered treatment plans.
• Recognize when additional assessment, referral, or consultation with the Senior SLP is warranted, including when a patient’s needs extend beyond the scope of telehealth services.

Treatment & Intervention

• Deliver stage-appropriate, evidence-based interventions for progressive neurologic conditions, including:
• Cognitive-communication therapy targeting functional daily tasks, memory, and executive function.
• Motor speech therapy and compensatory communication techniques.
• Voice banking, message banking, and early communication-preservation planning.
• Augmentative and Alternative Communication (AAC) evaluation, trial support, and caregiver training.
• Telehealth-appropriate dysphagia screening, education, compensatory strategy training, and referral for instrumental assessment when indicated.
• Adapt intervention plans as clinical needs, functional priorities, and disease stages shift over time.
• Educate caregivers and family members on communication strategies, cueing techniques, and environmental modifications to ensure skill carryover.

Collaboration & Team Integration

• Partner with neurologists, care coordinators, behavioral health providers, and senior SLPs to align on care priorities and manage complex cases.
• Participate in interdisciplinary case conferences, clinical consultation, and case review as appropriate.

Documentation & Compliance

• Maintain timely, accurate, and confidential clinical documentation in the EMR in compliance with ASHA standards, HIPAA, state licensure rules, and payer requirements.
• Complete evaluations, session notes, progress reports, and AAC funding packets within required timelines.

Minimum Qualifications

• Master’s degree (M.A. or M.S.) in Speech-Language Pathology from an accredited program.
• Certificate of Clinical Competence (CCC-SLP) from ASHA.
• Active state license (or eligibility for licensure) in at least one US state, with willingness to obtain additional state licenses as needed.
• 3-5+ years of clinical experience as a licensed SLP, with at least 1-2 years of direct experience working with adult neurodegenerative populations.
• Proficiency with electronic medical records (EMR) systems, basic AAC technology, and remote/telepractice software.
• Strong written, verbal, and interpersonal communication skills.

Preferred Qualifications

• Active certification in LSVT LOUD or SPEAK OUT! (or willingness to complete training within 90 days of hire).
• Familiarity with multi-state telepractice delivery and virtual service workflows.
• Exposure to AAC evaluation process, including device trials and funding documentation.
• Clinical experience in specialized outpatient clinic, memory care, or multidisciplinary neuro clinic settings.