Full-Time

Speech Language Pathologist

Speech-Language Pathology

Updated on 9/4/2026

21st Century Home Health Services

21st Century Home Health Services

201-500 employees

Post-hospital home health services provider

Compensation Overview

$110k - $125k/yr

+ Bonus + Mileage Reimbursement + 401k Match

San Rafael, CA, USA

In Person

Field-based role; requires visiting patients in their homes.

Category
Medical, Clinical & Veterinary (1)

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Requirements
  • Current unrestricted California Speech Therapist License
  • Current BLS/CPR Certification
  • Valid California Driver's License
  • Knowledge and understanding of individual development and human behavior as it relates to the effects of illness/injury; and of the influence of culture on health care.
  • Completion of computer literacy and competency assessment prior to scheduling an in-person interview
Responsibilities
  • Provide skilled services to assist patients with breathing, speaking, and swallowing functions in partnership with the Case Manager.
  • Evaluate and treat speech, language, cognitive and fluency disorders that affect communication.
  • Serve as an educator, patient advocate and a member of the interdisciplinary care team
Desired Qualifications
  • Knowledge of state and federal homecare regulatory guidelines preferred
  • Experience in home health care is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Case Management fundamentals is highly desired
21st Century Home Health Services

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