Adult Medical Speech-Language Pathologist - In-Home Care

Adult Medical Speech-Language Pathologist, In-Home Care

Company: Nexa Speech Concierge

Location: Palm Beach County Priority | Treasure Coast / South Florida Region

Service Model: In-home/community-based care; no brick-and-mortar reporting site

Job Type: 1099 Contract | Flexible Caseload

Compensation: Competitive per-visit contract compensation based on visit type, service area, clinician experience, availability, and current caseload needs. Specific rates are discussed during the initial conversation.

About Nexa Speech Concierge

Nexa Speech Concierge is a clinician-owned speech therapy practice providing skilled, in-home adult and geriatric speech therapy services across Florida’s Treasure Coast, Palm Beach region, and surrounding communities.

We serve adults with dysphagia, cognitive-communication disorders, aphasia, dysarthria, voice concerns, neurogenic communication disorders, dementia‑related communication needs, and other medically based speech therapy needs.

Our care is provided in the setting where function matters most: the patient’s home.

We are building a company that values high‑quality clinical care, strong communication, clinician autonomy, and sustainable caseloads. We take patient care seriously, but we also believe clinicians should feel supported, respected, and able to enjoy the work they do.

Position Overview

Nexa Speech Concierge is seeking a motivated Speech‑Language Pathologist to provide in-home adult medical speech therapy services on a flexible, contract basis. Nexa is currently prioritizing clinicians available to serve patients in Palm Beach County, with additional opportunities across the Treasure Coast and surrounding South Florida communities.

This role is ideal for an SLP who enjoys adult medical care, values autonomy, and wants the flexibility of in-home practice without feeling clinically isolated.

Unlike many traditional settings, clinicians at Nexa are not simply handed a large caseload across a broad region. Because every patient has a zip code, we build caseloads thoughtfully based on geography, clinician availability, bandwidth, clinical strengths, and patient need.

This is a community-based/in-home role. The listed address is used for job‑board location purposes only and is not a brick-and-mortar reporting site.

What Makes Nexa Different

At Nexa, we are intentional about building a clinician-friendly model.

Clinicians can expect:

• Flexible case acceptance based on geography, availability, and bandwidth.
• More input into preferred service areas and caseload development.
• Adult medical and geriatric caseloads with meaningful functional impact.
• Support with dysphagia, cognition, neurogenic communication, voice, and caregiver education.
• Clinical collaboration instead of “figure it out alone” energy.
• Opportunities to grow in dysphagia, FEES, and medically focused practice.
• A leadership team that understands clinical work because we are clinicians too.
• A culture that values professionalism, communication, sustainability, and quality of life.

We are not looking to overload clinicians or hand them a list of patients and wish them luck. Our goal is to create a model where strong patient care, clinician confidence, and work‑life sustainability can coexist.

Clinical Growth & FEES Opportunities

For clinicians interested in dysphagia and advanced medical practice, Nexa is building pathways for growth. Within our concierge model, clinicians may have opportunities for exposure to advanced dysphagia management, medically complex adult care, interdisciplinary communication, and FEES-related learning as the company continues to grow. Prior FEES experience is not required, but interest in dysphagia, instrumental swallowing assessment, and adult medical practice is highly valued.

This is a strong fit for an SLP who wants to move beyond generalist therapy and grow toward more specialized adult medical care in a flexible, in-home setting.

Primary Responsibilities

Responsibilities may include:

• Provide skilled in-home speech-language pathology evaluations and treatment for adult and geriatric patients.
• Evaluate and treat dysphagia, aphasia, dysarthria, cognitive-communication deficits, voice concerns, and…