Speech Therapist

Speech Therapist

Position Summary: Provide assessment, diagnosis, and treatment of speech, language, cognitive-communication, and swallowing (dysphagia) disorders in a geriatric, medically complex population in a subacute/long-term SNF setting. Collaborate with interdisciplinary team and support quality patient outcomes and regulatory compliance.

Key Responsibilities:

• Conduct comprehensive evaluations within 24 hours of physician referral to assess speech, language, cognition, and swallowing.
• Develop a functional therapy diagnosis and prognosis.
• Design and implement individualized treatment plans, use evidence-based interventions, adjust treatment based on progress, and establish clear, measurable goals.
• Provide direct therapy addressing communication and swallowing disorders in residents, including compensatory strategies, cognitive-communication interventions, and group therapy when appropriate.
• Document accurately and timely: evaluation reports, daily treatment notes, weekly progress updates, 14-day physician progress reports, discharge summaries, billing documentation, and any POC (plan of care) logs.
• Educate residents, families, and nursing/CNA staff on communication strategies, safe swallowing techniques, and home-exercise programs.
• Coordinate care with the interdisciplinary teamnurses, physicians, PT/OT, dietary, social workto optimize patient outcomes and support discharge planning.
• Participate in quality improvement and facility initiatives; advocate for patient-centered care, ethical practice, and compliance with Medicare/Medicaid documentation standards (PDPM, Title 22, CMS).
• If supervising SLPAs or therapy aides, ensure compliance with California regulations: supervisor must have ?2 years experience (or 3,120 hours), provide direct supervision for 20% of duties for first 90 days, and complete CEUs in supervision.

Qualifications:

• Master's degree in Speech-Language Pathology from an accredited institution.
• Current California SLP license. Temporary RPE license accepted if in process.
• Certificate of Clinical Competence (CCC-SLP) from ASHA preferred.
• Experience in skilled nursing facility or geriatric/rehabilitation settings preferred.
• Strong skills in clinical assessment and treatment planning, plus excellent communication, organization, and interpersonal abilities.
• Knowledge of Medicare/Medicaid billing, PDPM requirements, and California regulations (Title 22, CMS, etc.).
• Current BLS/CPR certification required.

Work Environment & Expectations:

Typical workload includes both subacute rehabilitation stays (often up to 100 days under Medicare Part A) and long-term care residents. Therapy intensity may reach up to ~3 hours/day depending on tolerance. Facilities often expect high productivity standardsusually around 8090% of available work time billed to therapyso proficiency in documentation and patient scheduling is essential. Work hours may fluctuate: quiet periods followed by days with multiple new admissions and intensive therapy sessions. Flexibility and adaptability are key. Building strong relationships with nursing and CNA staff is vitalcollaborate respectfully, avoid interrupting med passes, and support staff when possible.

Why Join Marysville Post Acute: Opportunity to work with a diverse geriatric population, including strokes, dementia, cognitive-communication deficits, and swallowing disorders. Collaborative, multidisciplinary environment committed to enhancing resident quality of life and functional independence. Supportive facility administering subacute rehab under Medicare and long-term careimpactful work with measurable outcomes. A setting in California's expanding rehabilitative care industry, with support for professional growth and development.