The Speech Pathologist IV, Clinical Specialist is a senior therapist who is fully competent with the duties and competencies of SLP I, II, and III and has a broad clinical skill set across a variety of patient types, ages, and diagnoses utilizing and applying innovative and advanced skills and techniques to solve patient care needs in an accurate and efficient manner. The SLP IV/CS addresses language, articulation, fluency, voice and swallow deficits, and utilizes augmentative and alternative communications systems when indicated. Conducts clinical and instrumental swallow assessments (video fluoroscopy and flexible endoscopic evaluations) for a wide variety patient populations and diagnoses, utilizing and applying innovative and advanced clinical reasoning skills and practice that is evidence based. The Speech Language Pathologist IV functions independently and serves as a content expert population(s)/service line(s). The SLP IV may be granted administrative time to develop new and modified pathways, processes, and interventions in their focus area(s), including researching any new/proposed initiatives, understanding the impact on rehab practices, and ensuring rehab staff are aware of, educated on, and aligned with any new process. The SLP IV uses electronic and face to face communication including Clinical Alerts, classroom education sessions, and/or arranging for internal/external content experts to provide education to rehab staff to ensure knowledge is obtained by front line staff.