Occupational Therapy Assistant Jobs in North Carolina

Occupational Therapy Assistant jobs in North Carolina are in strong and steady demand, concentrated in skilled nursing facilities, pediatric clinics, school systems, and inpatient rehabilitation centers, with openings at every level from new graduate to senior clinician. The heaviest hiring runs through Charlotte, Raleigh-Durham, and Greensboro, where employers such as Atrium Health, WakeMed Health and Hospitals, and Novant Health maintain large and ongoing occupational therapy assistant rosters. Hand therapy, pediatrics, and geriatric rehabilitation are the most consistently sought specializations across the state. Find a role that fits below and apply directly.

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Overview

Open roles101+
Top employerBroad River Rehab
Top cityRaleigh, NC
Cities hiring60
Work type91% On-site
Top industryHealthcare

Showing 5 of 101+ Occupational Therapy Assistant jobs

Advocate Aurora Health
Occupational Therapist, Hand Therapy
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Advocate Aurora Health
Added 2d ago
Occupational Therapist, Hand Therapy
Advocate Aurora Health
High Point, North Carolina
Clinical Support
Healthcare Administration
Human Resources
$38.2 - $57.3/hr
CPR Certification
10,000+

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Advocate Aurora Health
Occupational Therapist - Outpatient, Atrium Health Physical Therapy Union
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Advocate Aurora Health
Added 2d ago
Occupational Therapist - Outpatient, Atrium Health Physical Therapy Union
Advocate Aurora Health
Monroe, North Carolina
Healthcare Administration
Patient Services & Wellbeing
Public Health
$33.05 - $49.6/hr
BLS Certification
10,000+

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Advocate Aurora Health
Occupational Therapist - Outpatient, Atrium Health Physical Therapy Lincolnton
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Advocate Aurora Health
Added 2d ago
Occupational Therapist - Outpatient, Atrium Health Physical Therapy Lincolnton
Advocate Aurora Health
Lincolnton, North Carolina
Healthcare Administration
Patient Services & Wellbeing
Public Health
$33.05 - $49.6/hr
BLS Certification
10,000+

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Advocate Aurora Health
Occupational Therapist, Hand Therapy
We won't show you this job again
Advocate Aurora Health
Added 2d ago
Occupational Therapist, Hand Therapy
Advocate Aurora Health
Greensboro, North Carolina
Business Operations
Program Management
Project Management
$38.2 - $57.3/hr
CPR Certification
10,000+

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Advocate Aurora Health
Occupational Therapist - Outpatient, Atrium Health Physical Therapy Gateway
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Advocate Aurora Health
Added 2d ago
Occupational Therapist - Outpatient, Atrium Health Physical Therapy Gateway
Advocate Aurora Health
Concord, North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$33.05 - $49.6/hr
BLS Certification
10,000+

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Occupational Therapy Assistant Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Raleigh
6 jobs
Fayetteville
5 jobs
Durham
4 jobs
Concord
4 jobs
Winston-Salem
4 jobs
Brevard
3 jobs
Asheville
3 jobs
Charlotte
3 jobs
Lumberton
3 jobs

Occupational Therapy Assistant Job Market in North Carolina

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

Who's Hiring

  • Broad River Rehab
    Broad River Rehab17
  • Advocate Aurora Health
    Advocate Aurora Health7
  • H
    HiredFirst5
  • Atrium Health
    Atrium Health5
  • Liberty Healthcare Companies
    Liberty Healthcare Companies5

Top Industries Hiring

  • Healthcare & Medical Services

What North Carolina Employers Look For

The qualifications that appear most often in occupational therapy assistant jobs across North Carolina.

  • Active North Carolina Occupational Therapy Assistant license issued by the NC Board of Occupational Therapy
  • Associate degree from a ACOTE-accredited occupational therapy assistant program required
  • Current NBCOT COTA certification in good standing
  • Experience working in skilled nursing, inpatient rehabilitation, or pediatric clinical settings
  • Proficiency with electronic health records such as Epic or Meditech
  • Valid CPR and Basic Life Support certification maintained throughout employment

Occupational Therapy Assistant Jobs in North Carolina: Frequently Asked Questions

How do you become a occupational therapy assistant in North Carolina?

To become an occupational therapy assistant in North Carolina, you must complete an associate degree from an ACOTE-accredited program, pass the NBCOT COTA national certification exam, and then apply for licensure through the North Carolina Board of Occupational Therapy. The board requires proof of your NBCOT certification and a completed application before you can practice legally in the state. Several community colleges across North Carolina, including Cape Fear Community College and Cabarrus College of Health Sciences, offer accredited programs.

How much do occupational therapy assistants make in North Carolina?

Occupational therapy assistants in North Carolina earn a median of about $69,390 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $55,130 for the lowest 10% to over $83,360 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire occupational therapy assistants in North Carolina?

Employers hiring occupational therapy assistants in North Carolina right now include Broad River Rehab, Advocate Aurora Health, and HiredFirst, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and growing network of skilled nursing and rehabilitation facilities keep demand consistent across both urban centers and rural communities throughout the state.

Which North Carolina cities have the most occupational therapy assistant jobs?

The cities with the most occupational therapy assistant openings in North Carolina are Raleigh, Fayetteville, and Durham. Charlotte and Raleigh-Durham lead because of their concentration of major health systems, academic medical centers, and pediatric specialty clinics, while Greensboro draws volume from its established network of skilled nursing and long-term care facilities serving the Triad region.

Are there remote occupational therapy assistant jobs in North Carolina?

Yes, but they're rare. Occupational therapy assistant work is inherently hands-on, requiring direct patient contact for assessment and treatment, so most roles are fully on-site. About 9% of occupational therapy assistant openings tied to North Carolina are remote or hybrid as of August 2026, and those positions are typically limited to documentation support, care coordination, or telehealth roles at larger health systems rather than direct clinical treatment.

How can I get hired as a occupational therapy assistant in North Carolina with little or no experience?

The most realistic entry path is applying for occupational therapy assistant roles at skilled nursing facilities, which in North Carolina tend to be the most open to new graduates alongside hospitals. Atrium Health and Novant Health both run structured new-graduate onboarding programs that pair COTAs with supervising occupational therapists during the early months. Rehabilitation aide and restorative aide positions at North Carolina long-term care facilities are strong lateral entry points that build clinical exposure before stepping into a licensed COTA role. Completing your fieldwork rotations at a North Carolina employer you want to join gives you a recognized credential and an internal advantage.

Where can I find and apply to occupational therapy assistant jobs in North Carolina?

You can find and apply to occupational therapy assistant jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring in the state. Search the listings, find roles that match your experience and preferred location, and apply directly to the ones that fit.

See All 101+ Occupational Therapy Assistant Jobs in North Carolina

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