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Home Health Speech Language Pathologist PRN

Elara Caring · Litchfield, IL · $65.00–$75.00 an hour · Part time

Posted Sep 30, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you taught a caregiver to carry out a swallowing or communication strategy safely between your visits.

What they are checking: Whether their teaching sticks with families, since most progress in home health happens when the therapist is not there.

Tell me about a patient with cognitive-communication deficits where you had to change your approach partway through.

What they are checking: Whether they reassess honestly and adjust instead of sticking with a plan that isn't working.

What would you do

This is a PRN role. How do you pick up a patient mid-episode and get up to speed quickly?

What they are checking: Whether they can review records, connect with the team and deliver a useful visit without a long ramp-up.

The posting mentions ambient listening technology for documentation. How do you make sure your notes stay accurate when a tool helps write them?

What they are checking: Whether they take ownership of documentation accuracy instead of trusting a tool's output without review.

You arrive and a patient with dysphagia is eating something clearly unsafe for their diet level. What do you do?

What they are checking: How they handle an immediate safety risk while respecting patient choice and educating without shaming.

How do you work with the scheduler when your PRN availability changes week to week?

What they are checking: Whether they communicate availability reliably so patients don't fall through the gaps in a PRN schedule.

About the work

Walk me through a home health swallow evaluation when you don't have instrumental testing available in the home.

What they are checking: Whether they can make safe dysphagia calls with bedside tools and know when to push for further testing.

How do you adapt a treatment plan when the patient's home setting, family support or kitchen limits what you can do?

What they are checking: Whether they design therapy around real home conditions instead of clinic routines that fall apart after they leave.

What goes into your documentation to show skilled need and progress for a home health patient?

What they are checking: Whether they understand that notes must justify skilled therapy for compliance and payment, not just record activities.

When would you recommend a patient be discharged from speech therapy in home health?

What they are checking: Whether they can judge when goals are met or skilled care is no longer needed, protecting compliance and patient trust.

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The full job description

As published by Elara Caring.

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Per Diem / PRN Speech Language Pathologist - Home Visits • New ambient listening technology helps save time on documentation, so you can focus on your patients! • Dedicated therapy scheduler assists in grouping visits by day and location to help save on travel time for shorter more impactful days. At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. This means you have countless ways to make a difference as a Speech-Language Pathologist. To continue to be an industry pioneer in delivering unparalleled care, we need a Speech-Language Pathologist with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? • Work in a collaborative environment. • Be rewarded with a unique opportunity to make a difference • Competitive compensation package • Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost • Opportunities for advancement • Comprehensive insurance plans for medical, dental, and vision benefits • 401(K) with employer match • Paid time off, paid holidays, family, and pet bereavement • Pet insurance As a Speech-Language Pathologist, you’ll contribute to our success in the following ways: • Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care. • Evaluates the Speech-Language pathologist patient to determine the rehabilitation needs and potential for achievement and develops a plan of care in accordance with the findings. • Admits the patient and assesses speech-language therapy and all other needs according to OASIS and PPS regulatory guidelines. Makes the initial therapy evaluation visit and re-evaluates the patient’s speech language therapy needs during each visit. Makes follow-up assessments according to OASIS and PPS regulatory guidelines. • Initiates plan for patient safety, using the patient, family, and community resources. • Communicates significant findings, problems, and changes in condition or environment to the appropriate supervisor, the physician, and other team members involved with patient care. • Participates in the implementation and development of the Plan of Care to ensure quality and continuity of care and proper discharge planning. Verifies the Plan of Care prior to each visit and provides care according to physician’s orders, assessment data, and established standards and guidelines. • Writes physician orders to cover additional visits and changes to the Plan of Care, per agency policy. • Incorporates patient care goals established in the Plan of Care, into therapy care, as evidenced by documentation in therapy notes. Initiates and revises the Plan of Care in response to identified patient care issues. • Performs direct Speech-Language pathology services in accordance with accepted standards of practice and certified by the patient’s physician. • Selects diagnostic and therapeutic materials appropriate to patient needs. Instructs and provides patients and/or their caregiver in the home therapy program providing modification and clarification when necessary. • Assures clinical notes indicate continuing communication and coordination of services with physician, other staff, and disciplines. • Ensures that all therapy notes, supply log/visit logs are accurate and turned into the office according to office policy. • Physically demanding, high stress environment • Full range of body motion including handling, lifting and transfer of patients • Potentially work irregular hours including call hours if applicable What is Required? • Master’s degree from an accredited educational program in Language Pathology • Current, unrestricted SLP license in the state of work • Minimum one (1) year of experience as a SLP in a clinical care setting • Able and willing to travel within branch/office coverage area. • Ability to frequently lift, push, pull, and support up to 50 pounds, including positioning or transferring patients and moving equipment • Must have a dependable vehicle, valid driver’s license, and current auto insurance in accordance with state laws. • Must be able and willing to travel 50% The base salary for this position is $65.00 to $75.00 per point, based on the company’s good faith estimate at the time of posting. Actual pay will be determined based on factors such as education, experience, skills, and internal equity. Elara Caring determines compensation based on education, job related knowledge, skills, training, and experience. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location. You will report to the Branch Director, Clinical Manager, Clinical Supervisor or designee. Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

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