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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BAYADA Home Health Care has a special purpose: to help people of all ages to have a safe home life with comfort, independence, and dignity. We believe our clients and their families deserve the highest quality of home health care delivered with compassion, excellence, and reliability - our core values.
Each Occupational Therapist Assistant, COTA must:
- Be licensed as an Occupational Therapist Assistant by the state of South Carolina.
- Must be willing to travel in assigned territory.
- Have graduated from an occupational therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the AMA and the AOTA, as indicated by school transcript or diploma; or
- Have two years of appropriate experience as an Occupational Therapy Assistant and a satisfactory grade on a proficiency exam conducted, approved or sponsored by the U.S. Public Health Service when initial qualification occurred before December 31, 1977
- Have at least one year's work experience under the supervision of a qualified Occupational Therapist.
- Home health experience preferred.
BAYADA believes that our employees are our greatest asset:
- Benefits may include medical, dental, and life insurance; paid time off; weekly pay and direct deposit; scholarship opportunities; one-on-one training; recognition programs; referral bonuses; 401(k) with company match; and opportunities for career advancement.
- To learn more about BAYADA Benefits, click here
- Enjoy being part of a team that cares and a company that believes in leading with our values
- Develop your skills with training and scholarship opportunities
- Advance your career with specially designed career tracks
- Be recognized and rewarded for your compassion, excellence, and reliability
Apply now for immediate consideration.
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
See All 42 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, 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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