COTA Jobs in North Carolina
COTA jobs in North Carolina are active across Charlotte, Raleigh, and Greensboro, with consistent demand in school-based therapy, skilled nursing, and inpatient rehabilitation. Large employers including Novant Health, Atrium Health, and UNC Health maintain ongoing cota rosters across multiple facilities throughout the state. Demand runs from new graduates entering pediatric or geriatric settings through experienced clinicians taking senior or lead roles. See the openings below and apply to the ones that match your experience.
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Showing 5 of 73+ COTA jobs
Hiring a Certified Occupational Therapy Assistant (COTA) for a contract position in Raleigh, North Carolina 27616
13 week contract assignment
Monday – Friday schedule
Expected 40 hours per week
Compensation:
Local Pay: $34 per hour
Estimated Travel Weekly Pay: $1,538
Travel per diems will follow GSA guidelines to ensure compliance
Ready for your next assignment?
Please apply, and we can ensure you get the highest pay possible. Apply today to discuss compensation, available start dates, and additional opportunities that match your experience.
Ready for your next assignment?
Please apply, and we can ensure you get the highest pay possible. Apply today to discuss compensation, available start dates, and additional opportunities that match your experience.
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Find roles in North Carolina that match your experience and apply in just a few clicks.
Find COTA JobsCOTA Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
COTA Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Broad River Rehab18
- HiredFirst9H
- Liberty Healthcare Companies5
- Yad Healthcare4
- Saber Healthcare4
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in COTA jobs across North Carolina.
- Active certification as a COTA through NBCOT and North Carolina licensure through the NCBOT
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Demonstrated experience with activities of daily living training and adaptive equipment
- Ability to document treatment notes accurately in electronic health record systems
- Valid driver's license for positions requiring travel between facilities or home health visits
- Experience in a specific practice setting such as pediatrics, geriatrics, or acute rehab
COTA Jobs in North Carolina: Frequently Asked Questions
How do you become a cota in North Carolina?
To work as a cota in North Carolina, you must earn an associate degree from an ACOTE-accredited occupational therapy assistant program, pass the NBCOT certification exam, and then apply for a license through the North Carolina Board of Occupational Therapy. The NCBOT issues the state license required to practice, and you must maintain it through continuing education every two years. Most North Carolina employers will not hire without both active NBCOT certification and a current state license.
Which companies hire cotas in North Carolina?
Employers hiring cotas in North Carolina right now include Broad River Rehab, HiredFirst, and Liberty Healthcare Companies, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems, skilled nursing chains, and school districts account for the majority of consistent cota openings across the state.
Which North Carolina cities have the most cota jobs?
The cities with the most cota openings in North Carolina are Raleigh, Fayetteville, and Winston-Salem. Charlotte and Raleigh drive volume through their large hospital systems and growing suburban populations, while Greensboro anchors the Piedmont Triad market with a strong concentration of long-term care and outpatient rehabilitation facilities.
Are there remote cota jobs in North Carolina?
Yes, but they're rare. Cota work is hands-on by nature, so most positions require in-person patient contact. About 25% of cota openings tied to North Carolina are remote or hybrid as of August 2026, and those positions are almost entirely in care coordination, utilization review, or telehealth-supported supervision roles rather than direct treatment.
How can I get hired as a cota in North Carolina with little or no experience?
The most realistic entry path is applying to new-graduate positions at North Carolina's large skilled nursing and rehabilitation networks, which regularly onboard new COTAs with structured mentorship. Atrium Health and UNC Health affiliates post entry-level cota openings across their post-acute and outpatient sites. Candidates who completed their Level II fieldwork at a North Carolina facility often receive priority consideration. Holding active NBCOT certification before you apply, even without post-graduation work history, is the single strongest credential advantage.
Where can I find and apply to cota jobs in North Carolina?
You can find and apply to cota jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring across the state. Search the listings, identify the roles that fit your experience and preferred setting, and apply directly to the ones that match.
See All 73 COTA Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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