Certified Recreational Therapist Jobs in North Carolina
Certified Recreational Therapist jobs in North Carolina draw consistent demand across the state's robust network of acute care hospitals, long-term care facilities, behavioral health centers, and rehabilitation programs, with openings at entry through senior levels. Charlotte, Raleigh, and Greensboro anchor most of the hiring, where large systems like Novant Health, UNC Health, and Atrium Health maintain ongoing needs for credentialed therapists. The most in-demand specialties in North Carolina are behavioral health, geriatric rehabilitation, and pediatric therapeutic recreation. Scan the live roles below and apply to whichever ones fit.
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Kinston, NC | Full-Time
Lead with purpose. Create moments of joy. Make Memory Care feel like home.
Do you have a passion for enriching the lives of seniors living with Alzheimer's and dementia? Spring Arbor of Kinston is looking for a compassionate, creative, and experienced Cottage Care Director to lead our Memory Care programming and create meaningful moments for our residents every single day.
This role blends leadership, team development, resident advocacy, and innovative programming into one deeply meaningful career.
We're Looking for Someone Who:
- Has 5+ years of experience working with individuals living with Alzheimer's disease or other forms of dementia
- Has experience as a Recreational Therapist, Activity Director, Memory Care Program Director, or in a similar leadership role
- Holds an LPN or Med Tech certification (highly preferred)
- Is passionate about creating engaging, person-centered programming that promotes dignity, purpose, and joy
- Thrives in a collaborative environment and enjoys leading and inspiring a team
- Lead and oversee all Memory Care team members, including Med Techs, CNAs, and caregivers
- Recruit, hire, train, coach, and develop your Cottage Care staff
- Conduct onboarding, ongoing education, and state-required training
- Build a positive, collaborative, resident-centered team culture
- Partner with the Executive Director and Resident Care Director to drive operational excellence and regulatory compliance
- Develop and oversee innovative, person-centered activities and life enrichment programming
- Create meaningful opportunities that support cognitive, physical, emotional, social, and spiritual well-being
- Incorporate life skills, sensory experiences, reminiscence programs, and therapeutic engagement into daily routines
- Honor each resident's unique story, preferences, and abilities while encouraging participation
- Champion an environment built around the specific needs of residents living with memory impairment
- Complete resident assessments and ensure timely, accurate documentation
- Develop, implement, and monitor individualized care plans
- Collaborate closely with families and healthcare providers to ensure exceptional care
- Monitor physician orders and follow through on resident care needs
- Audit Medication Administration Records (MARs) and coordinate with pharmacy partners
- Oversee medication administration processes and support resident safety initiatives
- Partner with the interdisciplinary team to monitor wellness and coordinate services
- Serve as an active member of the community leadership team
- Support Manager-on-Duty responsibilities as assigned
- Participate in family meetings, community events, marketing initiatives, and resident engagement opportunities
- Build strong, lasting relationships with residents, families, team members, and community partners
- Must be at least 21 years of age
- Strong understanding of Alzheimer's disease, dementia, and cognitive impairment
- Experience reviewing incidents, changes in condition, and fall prevention strategies
- Excellent communication, problem-solving, and organizational abilities
- A genuine commitment to resident confidentiality and HIPAA compliance
At Spring Arbor, we believe Memory Care is about more than providing care — it's about creating moments of joy, connection, purpose, and belonging. As our Cottage Care Director, you'll lead a dedicated team committed to excellence while helping residents truly thrive every single day.
Spring Arbor of Kinston, NC | Full-Time, Exempt
Leadership Role | Meaningful Career Impact
Apply today or message us directly to learn more about this rewarding opportunity!
The Cottage Care Director (CCD) plans, directs and assists as needed in all cottage care (Memory Care) staffing and service needs.
JOB RESPONSIBILITIES:
- Supervisory role of all MTs, CNAs and other cottage staff
- Recruit and hire, manage and direct cottage care staff
- Orient, monitor progress and reinforce training of cottage care staff, including state required training
- Collaborate with Resident Care Director (RCD) and Executive Director in implementing state regulations as required
- Function as part of the management team (manager on duty coverage, presenting the community, planning and participating in staff meetings, planning and implementing marketing and community events)
- Develop a care team and residential living environment that supports overall Cottage Care philosophy
- Create and coordinate implementation of ongoing person-centered activities and life skills programming
- Monitor physician orders to assure follow-through and completion
- Audit Medication Administration Records (MAR) and notify pharmacy of changes
- Complete resident assessments in a timely manner and train designated team members in assessment skills
- Develop and implement resident care plans to meet the needs of residents
- Monitor all aspects of the medication administration program
- Direct and coordinate resident care service needs in collaboration with care team and community department heads as appropriate
- See full job description for additional job duties
- Experience in and knowledge of diagnoses
- Knowledge of medication and administration procedures
- Knowledge in diagnostic review of resident falls
- Knowledge in skillfully conducting resident assessments and creating appropriate Plans of Care
- Educational background in understanding cognitive impairment
- Ability to coordinate with medical providers with understanding of physiology
- Ability to conduct professional care plan meetings with families as a licensed advocate for resident’s needs
- Knowledge of effective supervisory and management practices, techniques, and methods
- Knowledge of resources for seniors and of related agencies
- Understanding of the social, psychological, and recreational needs of Alzheimer’s and memory impaired residents
- Ability to exercise confidentiality following HIPAA guidelines
- Must be 21 years of age or older
- Experience or training in an equivalent setting preferred
- RN or LPN required and in good standing with state licensing authority
- General understanding of and concern for the needs of seniors
- Aptitude and previous experience with Alzheimer’s and memory impaired residents
Equal Employment Opportunity & Non-Discrimination
Allegro Living provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
See All 7 Certified Recreational Therapist Jobs in North Carolina
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Find JobsCertified Recreational Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Certified Recreational Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
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What North Carolina Employers Look For
The qualifications that appear most often in certified recreational therapist jobs across North Carolina.
- Active NCTRC certification as a Certified Therapeutic Recreation Specialist required
- Bachelor's degree in recreational therapy or closely related therapeutic recreation field
- Experience delivering therapeutic recreation programs in clinical or residential settings
- Ability to conduct patient assessments and develop individualized treatment plans
- Current CPR and Basic Life Support certification required at time of hire
- Strong documentation skills and familiarity with electronic health record systems
Certified Recreational Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a certified recreational therapist in North Carolina?
You become a certified recreational therapist in North Carolina by earning a bachelor's degree in recreational therapy or a closely related field, completing a supervised internship, and passing the national exam administered by the National Council for Therapeutic Recreation Certification to earn the Certified Therapeutic Recreation Specialist credential. North Carolina does not require a separate state license, so the NCTRC credential is the recognized professional standard employers expect before hiring.
Which companies hire certified recreational therapists in North Carolina?
Employers hiring certified recreational therapists in North Carolina right now include UNC Health, Allegro Living, and Lifepoint Health, based on current listings on Migrate Mate as of July 2026. North Carolina's large integrated health systems, state-operated psychiatric hospitals, and skilled nursing networks make up a significant share of consistent postings across the state.
Which North Carolina cities have the most certified recreational therapist jobs?
Butner, Leland, and Wilson have the most certified recreational therapist openings in North Carolina. Charlotte and Raleigh lead because of their concentration of major hospital systems and rehabilitation campuses, while Greensboro's sizable behavioral health and long-term care infrastructure drives demand in the Piedmont Triad region.
Are there remote certified recreational therapist jobs in North Carolina?
Yes, but they're rare. Recreational therapy is a hands-on clinical discipline requiring direct patient interaction, so most positions are fully on-site. About 0% of certified recreational therapist openings tied to North Carolina are remote or hybrid as of July 2026, and those roles typically involve supervisory, program coordination, or telehealth consultation functions rather than direct care delivery.
How can I get hired as a certified recreational therapist in North Carolina with little or no experience?
The most realistic entry path is applying for therapeutic recreation internship or new-graduate positions at North Carolina's state psychiatric hospitals, such as those within the state's Division of Mental Health network, or at skilled nursing facilities affiliated with large systems like Novant Health or Atrium Health that regularly onboard new NCTRC candidates. Lateral moves from activity coordinator or recreation aide roles at long-term care facilities are also common entry points. Completing your NCTRC certification before applying gives you a measurable edge over uncredentialed candidates.
Where can I find and apply to certified recreational therapist jobs in North Carolina?
You can find and apply to certified recreational therapist jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the available roles, find the ones that match your credentials and experience, and apply directly to the ones that fit.
See All 7 Certified Recreational Therapist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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