Occupational Therapist Jobs in North Carolina
Occupational Therapist jobs in North Carolina are consistently active, with steady demand across hospital systems, pediatric clinics, school districts, and skilled nursing facilities at every level from new graduate to senior clinician. The heaviest hiring concentrates in Charlotte, Raleigh, and Greensboro, where large employers like Atrium Health, WakeMed, and Cone Health maintain ongoing occupational therapy needs. Pediatric OT, hand therapy, and school-based services are the specialties drawing the most consistent openings statewide. Find a role that fits below and apply directly.
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Showing 5 of 108+ Occupational Therapist jobs
POSTING DETAILS:
Make an Impact
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.
Why Work for Us?
Trillium believes that empowering others begins with supporting our team. We offer our employees:
- A collaborative, mission-driven work environment
- Competitive benefits and work-from-home options for most positions
- Opportunities for professional growth in a diverse inclusive culture
Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!
What We’re Looking For
Trillium Health Resources has a career opening for a Occupational Therapist (OT) to join our team! The Occupational Therapist leads occupational therapy services by overseeing staff, clinical operations, and service delivery. This role provides clinical and operational oversight, conducts clinical assessments and provides recommendations to support care planning, supports staff development, and ensures services align with standards of practice. This role supports effective rehabilitation services and promotes positive functional outcomes.
On a typical day, you might:
- Lead occupational therapy services and staff.
- Provide clinical supervision and guidance to occupational therapy staff and support personnel.
- Conduct clinical assessments and provide recommendations to support care planning and member needs.
- Monitor therapy outcomes and functional progress to support effective service delivery.
- Ensure compliance with clinical standards, regulatory requirements, and documentation practices.
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
- Typical working hours: 8:30 am – 5:00 pm; flexible work schedules available for some positions with management approval.
- Work-from-home options available for most positions
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
Qualifications
Required:
- Master’s degree in Occupational Therapy and one (1) year of experience working with the co-occurring of physical health and behavioral health, physical health, or chronic condition population.
- Fully licensed by the North Carolina Board of Occupational Therapy as an Occupational Therapist.
- Must have a valid driver’s license.
- Must reside in North Carolina and within Trillium’s Mid State Region or within 75 miles, which includes the following counties: Anson, Guilford, Montgomery, Randolph, and Richmond.
- Must be able to travel within catchment as required.
Preferred:
- Supervision of two (2) or more employees.
- Experience in all three (3) areas listed above.
Deadline for Application: September 15,2026@11:59PM
How to Apply
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:
- Employer name, dates of service (month/year), average hours worked per week, and essential job duties
- Education details (degree type, date awarded, institution, field of study)
- Licensure/certification information, if applicable
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.
#Innovation #Technology #Careers #NorthCarolina #Behavior
POSTING DETAILS:
Make an Impact
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.
Why Work for Us?
Trillium believes that empowering others begins with supporting our team. We offer our employees:
- A collaborative, mission-driven work environment
- Competitive benefits and work-from-home options for most positions
- Opportunities for professional growth in a diverse inclusive culture
Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.
If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!
What We’re Looking For
Trillium Health Resources has a career opening for a Occupational Therapist (OT) to join our team! The Occupational Therapist leads occupational therapy services by overseeing staff, clinical operations, and service delivery. This role provides clinical and operational oversight, conducts clinical assessments and provides recommendations to support care planning, supports staff development, and ensures services align with standards of practice. This role supports effective rehabilitation services and promotes positive functional outcomes.
On a typical day, you might:
- Lead occupational therapy services and staff.
- Provide clinical supervision and guidance to occupational therapy staff and support personnel.
- Conduct clinical assessments and provide recommendations to support care planning and member needs.
- Monitor therapy outcomes and functional progress to support effective service delivery.
- Ensure compliance with clinical standards, regulatory requirements, and documentation practices.
Employee Benefits:
Trillium knows that work/life balance is essential. That’s why we offer:
- Typical working hours: 8:30 am – 5:00 pm; flexible work schedules available for some positions with management approval.
- Work-from-home options available for most positions
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
Qualifications
Required:
- Master’s degree in Occupational Therapy and one (1) year of experience working with the co-occurring of physical health and behavioral health, physical health, or chronic condition population.
- Fully licensed by the North Carolina Board of Occupational Therapy as an Occupational Therapist.
- Must have a valid driver’s license.
- Must reside in North Carolina and within Trillium’s Mid State Region or within 75 miles, which includes the following counties: Anson, Guilford, Montgomery, Randolph, and Richmond.
- Must be able to travel within catchment as required.
Preferred:
- Supervision of two (2) or more employees.
- Experience in all three (3) areas listed above.
Deadline for Application: September 15,2026@11:59PM
How to Apply
To be considered, submit your application and resume through our ADP Career Center. Your resume must include:
- Employer name, dates of service (month/year), average hours worked per week, and essential job duties
- Education details (degree type, date awarded, institution, field of study)
- Licensure/certification information, if applicable
After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.
Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.
Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.
#Innovation #Technology #Careers #NorthCarolina #Behavior
See All 108+ Occupational Therapist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find Occupational Therapist JobsOccupational Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Occupational Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Advocate Aurora Health19
- Yad Healthcare8
- HiredFirst5H
- Collage Rehabilitation Partners4
- Atrium Health3
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in occupational therapist jobs across North Carolina.
- Active occupational therapist license issued or recognized by the North Carolina Board of Occupational Therapy
- Master's or doctoral degree in occupational therapy from an ACOTE-accredited program
- Successful completion of the NBCOT certification examination
- Experience with evaluation, goal-setting, and treatment planning for assigned patient populations
- Proficiency with electronic health record documentation systems used in clinical settings
- Strong interpersonal skills for collaborating with interdisciplinary care teams and patients
Occupational Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a occupational therapist in North Carolina?
You must hold an active license from the North Carolina Board of Occupational Therapy, which requires graduating from an ACOTE-accredited master's or doctoral program and passing the NBCOT certification exam. After passing, you apply to the Board for state licensure before practicing in North Carolina. Continuing education is required to renew your license on the Board's established cycle.
How much do occupational therapists make in North Carolina?
Occupational therapists in North Carolina earn a median of about $92,940 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $62,230 for the lowest 10% to over $118,300 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in North Carolina?
Employers hiring occupational therapists in North Carolina right now include Advocate Aurora Health, Yad Healthcare, and HiredFirst, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems, school districts contracting therapy services, and regional rehabilitation networks are among the most consistent sources of full-time occupational therapist openings across the state.
Which North Carolina cities have the most occupational therapist jobs?
Charlotte, Raleigh, and Winston-Salem account for the largest share of occupational therapist openings in North Carolina. Charlotte and Raleigh drive volume through their major hospital systems and growing suburban populations, while Greensboro's concentration of regional medical centers and outpatient rehabilitation providers keeps it a consistent hiring market for the role.
Are there remote occupational therapist jobs in North Carolina?
Yes, but they're rare. Occupational therapy is fundamentally a hands-on clinical role, so the majority of positions require in-person patient contact. About 8% of occupational therapist openings tied to North Carolina are remote or hybrid as of August 2026. The portions of the role most suited to remote work include telehealth consultations, documentation review, and care coordination for certain populations.
How can I get hired as a occupational therapist in North Carolina with little or no experience?
The most realistic entry path is applying for new-graduate positions at large North Carolina health systems like Atrium Health, WakeMed, or Novant Health, which routinely onboard candidates completing their fieldwork rotations. School-based OT roles through county public school systems are another strong entry point and often hire newly licensed therapists directly. Completing Level II fieldwork at a North Carolina facility, securing your NBCOT certification promptly, and applying for state licensure before graduation gives candidates a meaningful edge.
Where can I find and apply to occupational therapist jobs in North Carolina?
You can find and apply to occupational therapist jobs in North Carolina on Migrate Mate, which lists current North Carolina openings across health systems, school districts, outpatient clinics, and rehabilitation facilities. Find roles that match your specialty and experience level and apply directly to the employers posting them.
See All 108+ Occupational Therapist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find Occupational Therapist Jobs