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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This position is Sign-on Bonus eligible
Position Highlights:
Location: High Point, North Carolina
SIGN ON BONUS ELIGIBLE
Relocation Assistance: Up to $7,500 in Relocation Assistance (for qualified candidates)
What You'll Need:
- B.S. or M.S. degree from accredited occupational therapy school.
- Current licensure in the state of applicable state.
- CPR certification in Basic Life Support, Level C.
What You'll Do:
- Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships and team building. Following hospital policies and procedures. Following departmental policies and procedures. Contributing to the overall quality of services. Assuming responsibility for keeping informed about changes in policies and procedures.
- Provides patient care assessment and treatment. Ensures patient evaluations and treatments are comprehensive, functional, and according to the standard of practice. Provides sound professional judgment in interpreting the evaluation results and establishing an acceptable treatment plan with realistic goals. Encourages patients and significant others in setting goals. Recognizes and responds to changes in the patient's physiologic state. Recommends next level of care. Ensures quality patient outcomes. Supervises support staff assisting with patient care by providing direction and feedback.
- Maintains accurate documentation. Completes written patent evaluations, progress notes, and discharge notes per policy. Ensures accurate and timely documentation of patient/family education, charges and departmental statistics, and ICD-10 codes as appropriate. Maintains patient records in a systematic order and documentation is legible. Ensures that documentation is legible.
- Meets department financial and productivity standards. Understands the budgeted expectation. Maintains productivity standards. Adjusts individual schedules to meet the needs of the patient and department.
- Participates in process management to optimize quality and efficiency of services. Identifies quality and operational opportunities. Participates in process management and communicates progress and barriers to supervisor. Researches and suggests evidence based best practices to improve quality of patient care.
- Promotes professional development and education of other health care workers and provides representation on committees. Conducts in-service training programs to provide state-of-the-art information to health care workers and enhances safety. Changes/developments in the profession locally, at the state level, and nationally are understood. Shares clinical expertise with other therapists, student affiliates, and other health care professionals.
- Communicates effectively. Communicates in a professional and timely manner with patients, physicians, staff, and all external customers. Responds to questions by staff. Promotes an open atmosphere of communication. Shares information learned from seminars. Informs supervisor of issues and resolutions to potential problems. Communicates information with patient and family and ensures understanding.
- Provides appropriate patient care in accordance with age/developmental guidelines. Demonstrates age/developmentally specific knowledge, skills, and abilities for the patients served. Utilizes knowledge of age/developmentally specific data when assessing patients. Interprets age/developmentally specific response to treatment/activity accurately. Maintains competence related to age/developmentally specific patient care by regularly updating knowledge of growth and development and the aging process.
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Find JobsOccupational Therapy Assistant Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
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 Rehab17

- Advocate Aurora Health7

- HiredFirst5H
- Atrium Health5

- 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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