OT Jobs in North Carolina

OT jobs in North Carolina are in strong demand, with openings concentrated in hospital systems, school districts, pediatric clinics, and skilled nursing facilities, and positions available from new-graduate rotations through senior and lead-therapist levels. The largest hiring markets are Charlotte, Raleigh-Durham, and Greensboro, where employers like Atrium Health, Duke Health, and Novant Health maintain steady OT rosters. The most in-demand specialties across North Carolina are pediatrics, hand therapy, and inpatient acute care. Find a role that fits below and apply directly.

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Overview

Open roles124+
Top employerBroad River Rehab
Top cityHickory, NC
Cities hiring75
Work type70% On-site
Top industryHealthcare

Showing 5 of 124+ OT jobs

Occupational Therapist / OTR / OT / PRN
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New 22h ago
Occupational Therapist / OTR / OT / PRN
Broad River Rehab
Cherryville, North Carolina
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
201-500

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Occupational Therapist (NC OT License Required)-Pediatrics
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New 23h ago
Occupational Therapist (NC OT License Required)-Pediatrics
Pediatric Boulevard
Indian Trail, North Carolina
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$55 - $60/hr
On-Site
Master's degree

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Occupational Therapist (OT) - PRN Days | Rocky Mount LTACH
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Added 3d ago
Occupational Therapist (OT) - PRN Days | Rocky Mount LTACH
PAM Health
Rocky Mount, North Carolina
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
BLS Certification
5,001-10,000

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Occupational Therapist (OT)
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Added 3d ago
Occupational Therapist (OT)
Legacy Healthcare Services
Raleigh, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$43 - $50/hr
1,001-5,000

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Sr. OT Network Engineer
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Added 3d ago
Sr. OT Network Engineer
TrueNet Communications
Liberty, North Carolina
Engineering (Non-Software)
Manufacturing Operations
Quality Assurance & Testing (QA Testing)
Specialized Engineering

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OT Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Hickory
8 jobs
Raleigh
8 jobs
Charlotte
7 jobs
Hendersonville
4 jobs
Durham
3 jobs
Gastonia
3 jobs
Rocky Mount
3 jobs
Apex
2 jobs
Dunn
2 jobs

OT Job Market in North Carolina

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

Who's Hiring

  • Broad River Rehab24
  • Saber Healthcare13
  • BAYADA Home Health Care13
  • Continuum Therapy Partners6
  • Liberty Healthcare Companies6

Top Industries Hiring

  • Healthcare & Medical Services
  • Renewable Energy
  • Accounting & Auditing

What North Carolina Employers Look For

The qualifications that appear most often in OT 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 accredited program
  • Successful completion of the NBCOT certification examination
  • Clinical fieldwork experience in a relevant practice setting or specialty area
  • Strong documentation skills and familiarity with electronic health record systems
  • Ability to collaborate with interdisciplinary care teams in fast-paced clinical environments

OT Jobs in North Carolina: Frequently Asked Questions

How do you become a ot in North Carolina?

To work as an ot in North Carolina, you must hold a license issued by the North Carolina Board of Occupational Therapy. The path starts with completing an accredited master's or doctoral OT program, followed by required fieldwork hours and passing the NBCOT certification exam. Once you pass, you apply for licensure directly with the North Carolina Board of Occupational Therapy before you can practice in the state.

Which companies hire ots in North Carolina?

Employers hiring ots in North Carolina right now include Broad River Rehab, Saber Healthcare, and BAYADA Home Health Care, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems, public school districts, and rehabilitation networks consistently post the highest volume of OT openings across the state.

Which North Carolina cities have the most ot jobs?

Hickory, Raleigh, and Charlotte have the most ot openings in North Carolina. Charlotte and Raleigh-Durham lead because of their large hospital systems and growing suburban populations driving outpatient and pediatric demand, while Greensboro's concentration of rehabilitation centers and academic medical affiliates keeps it among the top markets for OT hiring in the state.

Are there remote ot jobs in North Carolina?

Yes, but they're rare. OT is a hands-on clinical profession, so the large majority of roles require in-person patient contact. About 30% of ot openings tied to North Carolina are remote or hybrid as of October 2026, and those positions are most commonly in areas like utilization review, care coordination, and telehealth-based home program consultation.

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

The most realistic entry path is applying directly to new-graduate positions at large North Carolina health systems like Atrium Health, Duke Health, and Novant Health, which regularly hire new graduates into structured orientation programs. School districts across the Charlotte-Mecklenburg and Wake County systems also hire entry-level OTs for pediatric caseloads. Completing your fieldwork rotations at a North Carolina facility, passing the NBCOT exam promptly, and obtaining your North Carolina Board license before applying puts you ahead of candidates who are still pending credentials.

Where can I find and apply to ot jobs in North Carolina?

You can find and apply to ot jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring across the state. Find roles that fit your experience and specialty area and apply directly to the ones that match.

See All 124+ OT Jobs in North Carolina

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