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21st Century Home Health Services

Post-hospital home health services provider

Speech Therapist Fellow

Full-TimeUpdated on 10/15/2026
No salary listed
Entry
Master's
San Rafael, CA, USA
In PersonRequires field visits to patients’ homes.
Medical, Clinical & VeterinaryRehabilitation Therapies

About the job

Requirements
  • A master's degree in Speech-Language Pathology from an accredited program.
  • A temporary California state license or certification to practice as a Speech Therapist Clinical Fellowship Year candidate.
  • A valid California license.
  • Ability to work independently and as part of a team.
Responsibilities
  • Conduct comprehensive assessments of patients’ speech, language, voice, and swallowing functions.
  • Use standardized tests and clinical observations to diagnose disorders.
  • Collaborate with patients, families, and other healthcare professionals to gather relevant information.
  • Develop and implement individualized treatment plans based on assessment results.
  • Provide therapy for speech, language, and voice disorders, as well as swallowing difficulties.
  • Use therapeutic techniques and technologies to meet patient needs.
  • Monitor patient progress and adjust treatment plans as needed.
  • Educate patients and their families about communication and swallowing disorders.
  • Train patients and families on strategies to enhance speech and language skills at home.
  • Offer guidance on dietary modifications and safe swallowing techniques.
  • Work with a multidisciplinary team, including physicians, nurses, and occupational therapists.
  • Participate in patient care conferences and contribute to treatment planning.
  • Maintain communication with patients, families, and team members.
  • Maintain detailed records of patient assessments, treatment plans, and progress.
  • Prepare reports for healthcare providers and insurance companies as needed.
  • Ensure compliance with relevant laws, regulations, and professional standards.
  • Participate in regular supervision and mentorship sessions with a licensed Speech-Language Pathologist.
  • Stay current with advancements in speech therapy practices and techniques.

About the company

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21st Century Home Health Services

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21st Century Home Health Services provides Medicare-certified skilled home health care to patients recently discharged from hospital care across Northern California. Its services include skilled nursing, physical therapy, occupational therapy, speech pathology, medical social services, and home health aide support delivered through in-home visits that monitor vital signs, manage medications, and support rehabilitation. It partners with hospitals to extend the continuum of care and reduce readmissions, reporting hospital readmission rates below 10% and serving over 3,000 patients with a staff of more than 400. The goal is to ensure a safe hospital-to-home transition and improve patient outcomes through patient-centered care.

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Stockholm, Maine

Founded

2014

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Simplify Jobs

Simplify's Take

What believers are saying

  • Revelio shows headcount rose 70.1% from 2023 to March 2026.
  • Active job postings reached 286 in 2026, signaling aggressive expansion.
  • The April 2026 HHCAHPS redesign rewards agencies with strong patient communication and outcomes.

What critics are saying

  • CMS cut home-health payments 3.0% for 2026, pressuring margins immediately.
  • Its license expired January 19, 2026 in BBB records, creating compliance scrutiny risk.
  • Revelio shows 323 employees in March 2026, so staffing shocks threaten service capacity.

What makes 21st Century Home Health Services unique

  • Burlingame-based 21st Century holds California home-health licensure and open HCAI status in 2026.
  • It reports under-10% readmissions and a 5-star Medicare classification across Northern California.
  • Its dense hospital-to-home network across nine counties supports referral capture and continuity.

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Benefits

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Flexible Work Hours

Mileage/Vehicle Reimbursement

Health Insurance

Medical, Dental, Life Insurance

Flexible Spending Accounts

Pet Insurance

Parental Leave

Family Planning Benefits

Fertility Treatment Support

Conferences Attendance Budget

Professional Development Budget

Wellness Program

Mental Health Support

Stock Options

Company Equity

Remote Work Options

Hybrid Work Options

Time Off for PTO