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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- Education and Training: Licensed as OT in the state where the hospital or clinic resides. Current BLS certification required.
- Experience: One (1) year of clinical experience preferred.
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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



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 Atrium Health, BAYADA Home Health Care, and PruittHealth, based on current listings on Migrate Mate as of October 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?
Raleigh, Charlotte, and Concord 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 0% of occupational therapist openings tied to North Carolina are remote or hybrid as of October 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 116+ Occupational Therapist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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