COTA Jobs in South Carolina
COTA jobs in South Carolina are concentrated in skilled nursing facilities, outpatient rehabilitation clinics, school districts, and home health agencies, with demand steady across entry-level through senior clinician roles. Columbia, Greenville, and Charleston account for most openings, where large employers such as Prisma Health, MUSC Health, and Encompass Health maintain consistent cota hiring. Pediatric rehab, geriatric care, and school-based occupational therapy assistance are the most in-demand specialties across the state. Find a role that fits below and apply directly.
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Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home.
The Enhabit Advantage:
Enhabit offers competitive benefits designed to support well-being and help employees thrive in every stage of their careers. Eligible employees receive:
- Generous paid time off for full-time employees
- 401(k) matching
- Medical, dental and vision coverage
- Supplemental insurance options
- Flexible spending accounts
- Incentive bonus opportunities
- Continuing education and scholarship opportunities
- Must be a graduate of an approved school of clinical education. Must be licensed in the state where they currently practice. Must have at least one year experience as a licensed therapy assistant.
- Must have basic demonstrated technology skills, including operation of a mobile device.
- Experience as a licensed therapy assistant may be deferred with a review and approval from the regional vice president or regional director.
- Medicare home health or hospice experience is preferred.
- Must possess a valid state driver license
- Must maintain automobile liability insurance as required by law
- Must maintain dependable transportation in good working condition
- Must be able to safely drive an automobile in all types of weather conditions
- Must possess CPR certification
Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home.
The Enhabit Advantage:
Enhabit offers competitive benefits designed to support well-being and help employees thrive in every stage of their careers. Eligible employees receive:
- Generous paid time off for full-time employees
- 401(k) matching
- Medical, dental and vision coverage
- Supplemental insurance options
- Flexible spending accounts
- Incentive bonus opportunities
- Continuing education and scholarship opportunities
- Must be a graduate of an approved school of clinical education. Must be licensed in the state where they currently practice. Must have at least one year experience as a licensed therapy assistant.
- Must have basic demonstrated technology skills, including operation of a mobile device.
- Experience as a licensed therapy assistant may be deferred with a review and approval from the regional vice president or regional director.
- Medicare home health or hospice experience is preferred.
- Must possess a valid state driver license
- Must maintain automobile liability insurance as required by law
- Must maintain dependable transportation in good working condition
- Must be able to safely drive an automobile in all types of weather conditions
- Must possess CPR certification
See All 44 COTA Jobs in South Carolina
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Find COTA JobsCOTA Jobs by City in South Carolina
Where South Carolina roles are concentrated, by current openings.
COTA Job Market in South Carolina
A snapshot from current South Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What South Carolina Employers Look For
The qualifications that appear most often in COTA jobs across South Carolina.
- Active South Carolina cota license issued by the South Carolina Board of Occupational Therapy
- Associate degree in occupational therapy assisting from an ACOTE-accredited program
- Current NBCOT COTA certification in good standing
- CPR and Basic Life Support certification required prior to start date
- One or more years of clinical experience in a skilled nursing or rehabilitation setting
- Reliable transportation and ability to travel to multiple patient sites when required
COTA Jobs in South Carolina: Frequently Asked Questions
How do you become a cota in South Carolina?
You must earn an associate degree from an ACOTE-accredited occupational therapy assistant program, complete supervised fieldwork hours, pass the NBCOT COTA certification exam, and then apply for licensure through the South Carolina Board of Occupational Therapy. The board requires proof of your NBCOT certification and a completed application before you may practice. South Carolina does not participate in the OTA compact, so out-of-state applicants must apply for a full South Carolina license.
Which companies hire cotas in South Carolina?
Employers hiring cotas in South Carolina right now include Broad River Rehab, HiredFirst, and National HealthCare Corporation, based on current listings on Migrate Mate as of August 2026. South Carolina's large hospital systems, post-acute rehabilitation networks, and public school districts generate the most consistent cota openings across the state.
Which South Carolina cities have the most cota jobs?
Aiken, Cheraw, and Darlington have the most cota openings in South Carolina. Columbia leads because of its density of hospital systems, VA facilities, and school districts, while Greenville's rapidly growing Upstate healthcare corridor and Charleston's academic medical center and expanding outpatient rehab market drive strong hiring in those metros.
Are there remote cota jobs in South Carolina?
Yes, but they're rare. About 0% of cota openings tied to South Carolina are remote or hybrid as of August 2026, reflecting the hands-on nature of occupational therapy assistance. The small share of remote work that does exist tends to involve care coordination, documentation, or supervisory roles rather than direct patient treatment.
How can I get hired as a cota in South Carolina with little or no experience?
The most realistic entry path is applying to Level II fieldwork placements or new-graduate positions at skilled nursing facilities, which in South Carolina includes sites connected to Prisma Health and Encompass Health rehabilitation hospitals. School districts across Richland, Greenville, and Charleston counties regularly hire cotas at the entry level for school-year contracts. Holding an active South Carolina cota license and NBCOT certification before you apply gives you a clear edge, and candidates with CNS or rehabilitation aide experience often move into cota assistant roles more quickly.
Where can I find and apply to cota jobs in South Carolina?
You can find and apply to cota jobs in South Carolina on Migrate Mate, which lists current openings from employers hiring across the state. Search the listings, find roles that match your experience and preferred location, and apply directly to the ones that fit.
See All 44 COTA Jobs in South Carolina
Find roles in South Carolina that match your experience and apply in just a few clicks.
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