Occupational Therapist Jobs in South Carolina
Occupational Therapist jobs in South Carolina concentrate heavily in healthcare systems, school districts, and long-term care facilities, with strong demand at every level from new graduates to senior clinicians. The largest hiring metros are Columbia, Charleston, and Greenville, where employers like Prisma Health, MUSC Health, and Encompass Health maintain consistent occupational therapist pipelines. Pediatric OT, hand therapy, and acute rehabilitation are the most in-demand specialties across the state. Scan the live roles below and apply to whichever ones fit.
Find Occupational Therapist JobsOverview
Showing 5 of 79+ Occupational Therapist jobs











Employee Type:
PRNWork Shift:
Day - 8 hour shift (United States of America)Join Team Tidelands and help people live better lives through better health!
Occupational Therapist Acute Care/Float
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.
A Brief Overview
Responsible for providing a full range of therapeutic services including assessment, treatment planning and therapeutic interventions in an interdisciplinary environment consistent with the position's qualification, professional practices, and ethical standards. An Occupational therapist (OT) must be able to evaluate a patient's condition and devise a customized Occupational rehabilitation and treatment plan. The OTs' goal is to develop, maintain and restore maximum movement and functional ability, to maximize quality of life in an acute care setting. The Occupational therapist shall also demonstrate accountability for the contribution to program development, quality improvement, problem solving, and productivity enhancement in a flexible interdisciplinary fashion. The employee may have job functions where they will handle and deliver medications based on the requirements of their job in the assigned work facility. The employee will complete other duties as assigned.
What you will do
- Review physician's referral (prescription), patient's condition, medical history, and submitted medical records to determine Occupational therapy treatment required. Plans and prepares written treatment program based on evaluation of patient and incorporate proper interventions that can help patients better perform everyday tasks, decrease pain, ambulation, and improve strength and mobility
- Evaluate patients' functional ability through various standardized tests, measures patient's strength, motor development, sensory perception, functional capacity, and level of independence with daily activities, and records findings to develop treatment programs
- Develop a treatment plan for patients with specific goals and tasks
- Administer treatments involving application of Occupational agents, such as cold packs, contrast baths, moist packs, ultraviolet and infrared lamps, Iontophoresis, electrical stimulation, and ultrasound machines
- Evaluate effects of treatment at various stages and adjusts treatments to achieve maximum benefit
- Record treatment, responses, and progress in the patient’s electronic medical record and prepare reports as indicated by licensure, the provider, and or insurance recommendations
- Instruct patient and family in treatment procedures to be continued at home
- Complete documentation per clinical / department guidelines and meets expectations of monthly department chart audits
- Complete required orientation as directed by facility
- Achieves the established average monthly patient care productivity metric
Education Qualifications
- Bachelor's Degree Required
- Master's Degree Preferred
Skills and Abilities
- Ability to utilize therapy equipment in an outpatient rehabilitation setting to provide treatment and procedures
- Punctual and dependent for assigned/confirmed shifts
- Ability to respect cultural and religious practices of patients
Licenses and Certifications
- Occupational Therapist Registered/Licensed - South Carolina Department of Labor, Licensing and Regulation Required
- Basic Life Support Certified - American Heart Association within 30 Days Required
Physical Demand
Medium-Heavy Physical Demand
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.
See All 79 Occupational Therapist Jobs in South Carolina
Find roles in South Carolina that match your experience and apply in just a few clicks.
Find Occupational Therapist JobsOccupational Therapist Jobs by City in South Carolina
Where South Carolina roles are concentrated, by current openings.
Occupational Therapist Job Market in South Carolina
A snapshot from current South Carolina openings, updated as new roles post.
Who's Hiring
- HealthPRO Heritage10

- Spartanburg Regional Healthcare System6

- HiredFirst4H
- Ernest Health3

- McLeod Health3

Top Industries Hiring
- Healthcare & Medical Services
- Education
What South Carolina Employers Look For
The qualifications that appear most often in occupational therapist jobs across South Carolina.
- Active South Carolina occupational therapist license issued by the SC Board of Examiners
- Master's or doctoral degree from an ACOTE-accredited occupational therapy program
- Passing score on the NBCOT certification examination required for licensure
- Experience in a clinical specialty such as pediatrics, hand therapy, or acute rehab
- Strong documentation skills and familiarity with electronic health record systems
- Ability to collaborate with interdisciplinary care teams in fast-paced clinical settings
Occupational Therapist Jobs in South Carolina: Frequently Asked Questions
How do you become a occupational therapist in South Carolina?
To practice as an occupational therapist in South Carolina, you must hold a license from the South Carolina Board of Examiners in Occupational Therapy. The path starts with completing an ACOTE-accredited master's or doctoral OT program, then passing the NBCOT certification exam. After passing, you apply directly to the Board for your South Carolina license. The Board also accepts licensure by endorsement for therapists already licensed in another state.
How much do occupational therapists make in South Carolina?
Occupational therapists in South Carolina earn a median of about $101,130 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $75,370 for the lowest 10% to over $123,110 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire occupational therapists in South Carolina?
South Carolina occupational therapist roles are posted by HealthPRO Heritage, Spartanburg Regional Healthcare System, and HiredFirst and others right now, based on current listings on Migrate Mate as of August 2026. South Carolina's large integrated health systems, inpatient rehabilitation centers, and school districts are among the most consistent sources of full-time occupational therapist openings across the state.
Which South Carolina cities have the most occupational therapist jobs?
Spartanburg, Columbia, and Myrtle Beach have the most occupational therapist openings in South Carolina right now. Columbia leads as the state capital and home to major health systems like Prisma Health, while Charleston's concentration of academic medical centers and MUSC Health drives strong demand, and Greenville's growing hospital network and suburban growth make it one of the state's most active hiring markets for this role.
Are there remote occupational therapist jobs in South Carolina?
Yes, but they're rare. Occupational therapy is a hands-on clinical role, so most positions require in-person patient contact. About 0% of occupational therapist openings tied to South Carolina are remote or hybrid as of August 2026, reflecting how limited remote work is in this field. The portions of the role most suited to remote delivery are telehealth evaluations and home program consultations for established patients.
How can I get hired as a occupational therapist 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 South Carolina's major health systems, particularly Prisma Health and MUSC Health, both of which regularly bring on new graduates through structured onboarding programs. School districts across Richland and Greenville counties also hire entry-level therapists, often in COTA-to-OT transition or support roles. Having your NBCOT credential and an active South Carolina license in hand before applying gives you a meaningful edge over candidates still awaiting results.
Where can I find and apply to occupational therapist jobs in South Carolina?
You can find and apply to occupational therapist jobs in South Carolina on Migrate Mate, which lists current openings across the state. Search the available roles, find the ones that match your experience and preferred location, and apply directly to the positions that fit.
See All 79 Occupational Therapist Jobs in South Carolina
Find roles in South Carolina that match your experience and apply in just a few clicks.
Find Occupational Therapist Jobs