Speech and Hearing Therapy Director

Most days tend to involve a blend of clinical supervision, program oversight, and cross-functional coordination — joining team meetings, reviewing caseloads and outcomes, and partnering with referral sources, payers, and institutional leadership. You'll often spend part of the time on staffing and scheduling in disciplines where workforce shortages are persistent.

The hardest part is often the productivity-vs-quality squeeze that runs through SLP and audiology services, where payer requirements push caseloads beyond what optimal practice would suggest. You'll typically defend the conditions that allow good practice while staying accountable for utilization and revenue targets, and lead a small specialized team in a tight labor market.

People who tend to thrive here are clinically expert, operationally disciplined, and committed to the professions. The trade-off is the chronic resource and workforce pressure in speech and hearing services. If you find satisfaction in building therapy services that meaningfully change clients' communication and connection, this role can carry quiet, real impact.