Speech Therapist (ST)

Fira-health is seeking a full-time Speech Therapist (ST) to deliver skilled, outcome-focused speech-language pathology services across Oakland County, Michigan, Michigan homes. Your mission will be enabling patients to communicate safely, manage swallowing function, and maintain cognitive independence—all while empowering their families with strategies that sustain progress beyond your visits.

Position Summary

As a Speech-Language Pathologist supporting our home health program in Oakland County, Michigan, you'll work field-based across diverse patient settings, conducting thorough evaluations and delivering individualized treatment within skilled home health scope. Your role centers on patient independence: restoring communication and swallowing safety, addressing cognitive-communication needs, and building caregiver competence so the entire family becomes part of the recovery plan. Fira-health invests in operations and technology—including charting tools and soon-to-launch scheduling optimization—so you can concentrate fully on clinical excellence and measurable patient outcomes.

Your Responsibilities

• Conduct comprehensive speech-language evaluations in home settings and deliver skilled treatment as outlined in physician orders and individualized treatment plans.
• Assess and treat communication disorders (including aphasia), cognitive-communication impairments (attention, memory, executive function), and dysphagia screening and swallow education within home health scope and medical necessity.
• Develop patient-centered care plans with measurable, functionally meaningful goals that align with each patient's and family's priorities and the care team's objectives.
• Coordinate across the multidisciplinary team—nurses, physicians, social workers, therapists—communicating clinical observations, plan updates, and any changes in patient status.
• Provide hands-on coaching to patients and caregivers using evidence-based teach-back and carryover strategies, embedding therapeutic techniques into daily routines and home life.
• Maintain thorough, timely documentation that meets home health compliance, clinical defensibility, and operational efficiency standards.

What We're Looking For

• Active Michigan Speech-Language Pathology license in good standing.
• Strong clinical reasoning and demonstrated capacity to work independently in home-based practice with minimal remote supervision.
• Ability to quickly identify and report clinical concerns and changes in patient status to nursing or physician leadership.
• Proven skill teaching and coaching caregivers; comfort with teach-back methods and behavioral carryover planning.
• Excellent written and verbal communication; organized, clear documentation habits.
• Reliable execution of treatment plans, order adherence, and progress tracking toward patient goals.
• Valid driver's license and comfort with frequent, predictable travel throughout assigned Oakland County, Michigan, Michigan territory.
• Preferred Qualifications: Prior home health experience; specialized background in neurological conditions, post-stroke rehabilitation, aphasia, or dysphagia in home-based or community settings.

Why Join Fira-health

• Operational Excellence: Our experienced clinical and operational leadership removes friction from your day—managing logistics, scheduling, and administrative overhead so you focus on patient care.
• Transparent Compensation: Productivity-based pay structure with clear expectations and competitive market rates. Target annual earnings: $110,000 (at $75 per productivity point).
• Thoughtful Scheduling: Full-time position, Monday–Friday with occasional weekend availability as needed. Smart routing and scheduling reduces travel time and last-minute disruptions, keeping your day organized and sustainable.
• Clinician-Centered Technology: Charting platform built to streamline documentation; scheduling system launching soon to further optimize routes and visit coordination and reduce administrative surprises.
• Mission-Driven Organization: Work with a team committed to expanding access to high-quality, patient-centered skilled home health. We hire clinicians who take pride in the work and want to raise the standard.

How to Apply

To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.