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Teletherapy jobs are licensed clinical roles delivered over live video. The big three are speech-language pathologists (SLPs), occupational therapists (OTs) and school psychologists, and most of the work is contracted by school districts that cannot find enough on-site staff. You log in, see a student on your screen, run the session, and document it.
The market is deep because the underlying professions are in demand. The Bureau of Labor Statistics projects speech-language pathologist employment to grow 17% from 2025 to 2035, and occupational therapy assistant employment 21%. About 39% of SLP jobs are already in educational services, which is exactly where teletherapy contracts live (BLS: speech-language pathologists).
Every listing on this page is tagged as a remote teletherapy role. If none are showing, the feed is empty right now and you can leave your email above.
How much do teletherapy jobs pay?
BLS publishes median pay for the underlying professions, and it is the best baseline for a salaried (W-2) offer. Contract rates are a different story: those numbers come from third-party job boards and are labeled reported below.
| Role | Median pay | Source |
|---|---|---|
| Speech-language pathologist | $97,870/yr ($47.05/hr) | BLS OOH, 2025 |
| Occupational therapist | $100,330/yr | BLS OOH, 2025 |
| Occupational therapy assistant | $72,300/yr | BLS OOH, 2025 |
| School psychologist | $95,990/yr | BLS OOH, 2025 |
| SLP, 1099 contract | ~$46–$54/hr (reported) | Third-party job boards |
| eLuma contract listings | ~$40–$58/hr (reported) | Third-party job boards |
The 1099 versus W-2 choice matters more than the headline rate. Contract work usually pays more per hour but carries no benefits, a 15.3% self-employment tax, and quarterly estimated payments. Run the math on take-home, not hourly rate.
What you need before you apply
The rule that trips people up: you generally must be licensed in the state where the student or client is physically located, not where you sit. ASHA explains this on its telepractice portal.
Beyond a state license, Presence asks for the ASHA Certificate of Clinical Competence for SLPs, NBCOT certification for OTs, and prefers the NCSP credential for school psychologists. Some states also require a Department of Education credential to work in schools.
Licensing compacts are helping, slowly:
- Audiology and speech-language pathology compact (ASLP-IC): operational since October 28, 2025, with 37 jurisdictions enacted and early privileges only (aslpcompact.com).
- Occupational therapy compact: 37 member states, but only 8 were issuing privileges in 2026 (IN, OH, MD, MN, TN, VA, WV, WI), per AOTA.
- PSYPACT: 44 jurisdictions as of September 2026 (verify current status at psypact.org). School psychologists often work under an education credential, so it may not apply to you.
Bottom line: multiple state licenses are still the norm for a full caseload.
Verified teletherapy employers
These companies list teletherapy roles on their own careers pages:
- Presence: SLP, OT, school psychology, social work and licensed counselors. Presence says network clinicians are independent contractors, and sessions run roughly school hours (about 8:00 to 2:30).
- VocoVision: SLP, OT, school psychologists, teachers of the visually impaired and interpreters, on contract and full-time.
- eLuma: SLP and school psychology.
- AXIS Teletherapy: postings on its Greenhouse board.
A day on a caseload
Expect a school-day schedule: back-to-back 30 to 60 minute sessions with students, an aide or teacher on the other end to help with materials, then notes and IEP paperwork. Contracts follow the school year, so there is typically a summer gap and a fall ramp-up. That is an inference from how school contracts work, not a guarantee, so ask any employer about summer hours.
The trade-offs: no commute and a flexible home base, against screen fatigue, variable student engagement and the risk of being a contractor with no paid time off.
Protect yourself
Legitimate teletherapy companies never charge fees to work with them. Be wary of job offers that arrive by text, recruiters you cannot find on the company's own careers page, and any request to deposit a check. The FTC has current guidance on job offers by text. Always apply through the employer's own site.
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Teletherapy Jobs — FAQ
Do I need a license in every state where my students live?
Generally yes. You must be licensed where the student or client is physically located when the session happens. Compacts such as the ASLP-IC and PSYPACT are expanding, but many clinicians still hold several state licenses.
How much do teletherapy SLPs and OTs earn?
The Bureau of Labor Statistics reports a median of $97,870 a year for speech-language pathologists and $100,330 for occupational therapists (2025). Contract rates reported on third-party job boards run roughly $40 to $58 an hour for SLPs, but these are not verified.
Are teletherapy jobs W-2 or 1099?
Both exist. Some employers hire full-time W-2 staff, while networks such as Presence say their clinicians are independent contractors. 1099 work usually pays more per hour but has no benefits and adds a 15.3% self-employment tax.
How do I spot a teletherapy job scam?
Real employers never charge you to apply, train or start, and never ask you to deposit a check. Verify any recruiter on the company's own careers page and apply there directly.
Is teletherapy worth it?
It suits licensed clinicians who want school-day hours and no commute and who can handle multi-state licensing and contractor status. If you want benefits and a stable salary, compare W-2 offers first.
Check the listings above and look at the related hubs for rehab therapy jobs and behavioral health jobs.