Occupational Therapy Assistant Jobs in South Carolina

Occupational Therapy Assistant jobs in South Carolina concentrate heavily in skilled nursing facilities, inpatient rehabilitation centers, pediatric clinics, and school-based settings, with active hiring from entry-level to senior clinician roles. Columbia, Greenville, and Charleston lead in openings, anchored by large employers such as Prisma Health, Roper St. Francis Healthcare, and Encompass Health. The most in-demand specialties in South Carolina are pediatric therapy, geriatric rehabilitation, and hand therapy. Find a role that fits below and apply directly.

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Overview

Open roles74
Top employerBroad River Rehab
Top cityCharleston, SC
Cities hiring35
Work type83% On-site
Top industryHealthcare

Showing 5 of 74+ Occupational Therapy Assistant jobs

Occupational Therapist (OT) | Occupational Therapy - Contract - Days
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New 4h ago
Occupational Therapist (OT) | Occupational Therapy - Contract - Days
HealthTrust Workforce Solutions
Walterboro, South Carolina
Clinical Support
Healthcare Administration
Mental & Behavioral Health
$43.4 - $51.1/hr
1,001-5,000

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Occupational Therapy Assistant / OTA - PRN
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New 16h ago
Occupational Therapy Assistant / OTA - PRN
Aegis Therapies
Hilton Head, South Carolina
Allied Health
Healthcare Administration
Patient Services & Wellbeing
$30 - $40/hr
5,001-10,000

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Certified Occupational Therapy Assistant, COTA - Home Health
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New 20h ago
Certified Occupational Therapy Assistant, COTA - Home Health
BAYADA Home Health Care
Columbia, South Carolina
Account Management
Business Development
Customer Success
Sales
10,000+

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Pediatric Occupational Therapy Assistant
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Added 1d ago
Pediatric Occupational Therapy Assistant
Columbia Speaks, LLC
Lexington, South Carolina
Clinical Support
Healthcare Administration
Human Resources

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Certified Occupational Therapy Assistant (COTA): Monday-Friday Shift
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Added 1d ago
Certified Occupational Therapy Assistant (COTA): Monday-Friday Shift
HiredFirst
Cheraw, South Carolina
Allied Health
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
BLS Certification

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See All 74 Occupational Therapy Assistant Jobs in South Carolina

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Occupational Therapy Assistant Jobs by City in South Carolina

Where South Carolina roles are concentrated, by current openings.

Charleston
7 jobs
Columbia
6 jobs
Anderson
4 jobs
Florence
4 jobs
Rock Hill
4 jobs
Spartanburg
4 jobs
Myrtle Beach
4 jobs
Lexington
3 jobs
Greenville
3 jobs

Occupational Therapy Assistant Job Market in South Carolina

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

Who's Hiring

Broad River Rehab8 open roles
PruittHealth7 open roles
Your Health Organization7 open roles

Top Industries Hiring

  • Healthcare & Medical Services

What South Carolina Employers Look For

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

  • Active South Carolina occupational therapy assistant license issued by the SC Board of Occupational Therapy
  • Associate degree from an ACOTE-accredited occupational therapy assistant program
  • Certified Occupational Therapy Assistant credential from the National Board for Certification in Occupational Therapy
  • Current CPR and Basic Life Support certification from an approved provider
  • Experience documenting patient progress in electronic health records systems
  • Ability to implement treatment plans under a licensed occupational therapist's supervision

Occupational Therapy Assistant Jobs in South Carolina: Frequently Asked Questions

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

You must hold an active occupational therapy assistant license issued by the South Carolina Board of Occupational Therapy, which operates under the South Carolina Department of Labor, Licensing and Regulation. To qualify, complete an associate degree from an ACOTE-accredited program, pass the NBCOT Certified Occupational Therapy Assistant examination, and submit a licensure application to the board. South Carolina also requires that you practice under the supervision of a licensed occupational therapist.

How much do occupational therapy assistants make in South Carolina?

Occupational therapy assistants in South Carolina earn a median of about $73,740 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $52,050 for the lowest 10% to over $87,860 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire occupational therapy assistants in South Carolina?

Companies currently hiring occupational therapy assistants in South Carolina include Broad River Rehab, PruittHealth, and Your Health Organization, per current listings on Migrate Mate as of October 2026. South Carolina's concentration of skilled nursing facilities, hospital-based rehabilitation units, and pediatric outpatient clinics means openings appear across both large health systems and independent specialty practices throughout the state.

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

Charleston, Columbia, and Anderson have the most occupational therapy assistant openings in South Carolina. Columbia's density of hospital systems and state government healthcare facilities drives the highest volume, while Greenville and Charleston generate strong demand through their expanding health system campuses, rehabilitation hospitals, and growing suburban pediatric clinic networks that serve rapidly increasing populations.

Are there remote occupational therapy assistant jobs in South Carolina?

Yes, but they're rare. Occupational therapy assistants work hands-on with patients, making the role inherently on-site by nature. About 17% of occupational therapy assistant openings tied to South Carolina are remote or hybrid as of October 2026, and those positions typically involve documentation review, telehealth-assisted care coordination, or supervisory consultation rather than direct patient treatment.

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

The most realistic entry path is applying to new-graduate positions at South Carolina's larger rehabilitation hospital networks and skilled nursing facilities, which regularly hire candidates immediately after NBCOT certification. Prisma Health and Encompass Health operate structured clinical onboarding programs for newly licensed COTAs. Candidates who worked as occupational therapy aides or rehabilitation technicians during school carry an advantage, and completing your fieldwork rotations at South Carolina facilities often leads directly to a job offer.

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

You can find and apply to occupational therapy assistant jobs in South Carolina on Migrate Mate, which lists current openings across the state. Find roles that fit your experience and location and apply directly to the employers posting them.

See All 74 Occupational Therapy Assistant Jobs in South Carolina

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