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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Overview

Open roles42
Top employerBroad River Rehab
Top cityCharleston, SC
Cities hiring27
Work type100% On-site
Top industryHealthcare

Showing 5 of 42+ COTA jobs

Certified Occupational Therapy Assistant, COTA - Home Health
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New 20h ago
Certified Occupational Therapy Assistant, COTA - Home Health
BAYADA Home Health Care
Columbia, South Carolina
Account Management
Business Development
Customer Success
Sales
10,000+

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Certified Occupational Therapy Assistant (COTA): Monday-Friday Shift
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Added 1d ago
Certified Occupational Therapy Assistant (COTA): Monday-Friday Shift
HiredFirst
Cheraw, South Carolina
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
BLS Certification

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PRN COTA - Walterboro
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Added 2d ago
PRN COTA - Walterboro
PruittHealth
Walterboro, South Carolina
Business Development
Customer Success
Growth Marketing
Associate's degree in occupational therapy
10,000+

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Occupational Therapy Assistant (COTA)
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Added 4d ago
Occupational Therapy Assistant (COTA)
Legacy Healthcare Services
Anderson, South Carolina
Business Development
Customer Success
Growth Marketing
$25 - $36/hr
Associate of Applied Science
1,001-5,000

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Occupational Therapy Assistant COTA - PRN
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Added 5d ago
Occupational Therapy Assistant COTA - PRN
National HealthCare Corporation
Charleston, South Carolina
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
10,000+

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See All 42 COTA Jobs in South Carolina

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COTA Jobs by City in South Carolina

Where South Carolina roles are concentrated, by current openings.

Charleston
4 jobs
Columbia
3 jobs
Rock Hill
3 jobs
Greenville
3 jobs
Aiken
2 jobs
Anderson
2 jobs
Bluffton
2 jobs
Darlington
2 jobs
Walterboro
2 jobs

COTA Job Market in South Carolina

A snapshot from current South Carolina openings, updated as new roles post.

Who's Hiring

Broad River Rehab8 open roles
National HealthCare Corporation5 open roles
PruittHealth3 open roles

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, National HealthCare Corporation, and PruittHealth, based on current listings on Migrate Mate as of October 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?

Charleston, Columbia, and Rock Hill 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 October 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 42 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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