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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- Implements therapeutic interventions to improve patients' functional abilities.
- Educates patients and their families on techniques and strategies for daily living activities.
- Documents patient progress and adapt treatment plans as necessary.
- Collaborates with interdisciplinary team to ensure comprehensive patient care.
- Other duties as assigned.
Experience: 0-1 years
Licenses and Certifications:
- Must have and maintain a current, valid state OT licensure or registration
- Current valid CPR certification, preferred
Travel: Yes. Minimally, as required (Typically less than 10%)
Whether you’re looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you’ve ever belonged.
Six months of training, orientation and fun!
We believe in setting our employees up for success. That’s why your first six months are referred to as your “blue-badge” period – a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
- Implements therapeutic interventions to improve patients' functional abilities.
- Educates patients and their families on techniques and strategies for daily living activities.
- Documents patient progress and adapt treatment plans as necessary.
- Collaborates with interdisciplinary team to ensure comprehensive patient care.
- Other duties as assigned.
Experience: 0-1 years
Licenses and Certifications:
- Must have and maintain a current, valid state OT licensure or registration
- Current valid CPR certification, preferred
Travel: Yes. Minimally, as required (Typically less than 10%)
Whether you’re looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you’ve ever belonged.
Six months of training, orientation and fun!
We believe in setting our employees up for success. That’s why your first six months are referred to as your “blue-badge” period – a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
See All 94 OT Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find OT JobsOT Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
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 Healthcare12
- BAYADA Home Health Care8
- Liberty Healthcare Companies5
- Continuum Therapy Partners4
Top Industries Hiring
- Automotive
- Healthcare & Medical Services
- Renewable Energy
- Technology & Software
- Government & Public Sector
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 August 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?
Roxboro, Asheboro, and Hendersonville 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 29% of ot openings tied to North Carolina are remote or hybrid as of August 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 94 OT Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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