About The Position

1to1 Rehab is seeking Speech-Language Pathologists to support an adult community caseload funded through Ontario Health at Home. Services are delivered in clients’ homes, long-term care or retirement homes, and approved community settings. This independent contractor role offers flexibility in accepting referrals based on availability, geography, and clinical interests, allowing clinicians to build a caseload at their own pace. The primary focus is on communication and swallowing in adult and older-adult populations. 1to1 Rehab provides strong clinical and administrative support, ensuring clinicians have autonomy while not feeling isolated.

Requirements

  • Master’s Degree in Speech-Language Pathology
  • Registration in good standing with CASLPO
  • Strong clinical reasoning, assessment, and intervention skills
  • Excellent communication, organization, and interpersonal abilities
  • Professional liability insurance
  • Access to a reliable vehicle and valid driver’s license
  • Clear Police Vulnerable Sector Check (within the last year)

Nice To Haves

  • Experience working with adult or older-adult populations preferred

Responsibilities

  • Completing comprehensive speech-language pathology assessments for adults, including communication (speech, language, cognitive-communication, voice, fluency) and swallowing and feeding (dysphagia).
  • Developing and implementing individualized, client-centred treatment plans aligned with best practice and Ontario Health at Home service parameters.
  • Providing functional, practical intervention strategies that support safety, independence, and participation at home.
  • Educating and coaching clients, families, and caregivers to support carryover of strategies into daily routines.
  • Monitoring progress, adjusting interventions as needed, and determining readiness for discharge or follow-up.
  • Collaborating with clients, caregivers, and interdisciplinary team members to support coordinated care.
  • Maintaining timely, accurate clinical documentation in accordance with 1to1 Rehab and Ontario Health at Home requirements.

Benefits

  • Control over caseload and schedule — accept or decline referrals based on fit and capacity
  • Flexible scheduling that supports work–life balance, family commitments, or other clinical work
  • Adult-focused clinical support and mentorship, including consultation support for complex cases
  • Clear clinical escalation pathways and risk support
  • Strong administrative support, including scheduling, billing, and documentation assistance
  • Mobile-friendly documentation systems, significantly reducing after‑hours paperwork
  • A sense of community and connection
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