Rehabilitation Specialist Jobs in North Carolina
Rehabilitation Specialist jobs in North Carolina draw steady demand across hospital systems, outpatient clinics, skilled nursing facilities, and state vocational rehabilitation programs, with openings available at every level from entry-level to senior case manager. Charlotte, Raleigh, and Greensboro are the largest hiring metros, anchored by employers like Atrium Health, Duke University Health System, and the North Carolina Division of Vocational Rehabilitation Services. The most consistent openings are in physical and occupational rehabilitation, substance use recovery support, and vocational counseling. Find a role that fits below and apply directly.
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JOB TITLE: Certified Peer Support Specialist – Psychosocial Rehabilitation (PSR)
SCHEDULE: Monday-Friday, Full-Time
LOCATION: On-site, Wilmington, NC-New Hanover
GENERAL STATEMENT OF DUTIES:
The peer support in psychosocial rehabilitation offers guidance and emotional support to individuals dealing with mental health challenges, drawing on their own lived experiences to foster hope and resilience. They facilitate recovery by building trusting relationships, providing encouragement, and promoting self-advocacy. Peer supports often lead group discussions, offer coping strategies, and help clients connect with additional resources. Their unique perspective helps create a sense of understanding and belonging, which is essential for effective recovery.
REQUIRED EDUCATIONAL/EXPERIENTIAL QUALIFICATIONS:
- Certification: Must have a North Carolina Peer Support Specialist (CPSS) certification.
- Lived Experience: Personal experience in recovery from a mental health disorder and/or substance use disorder is required.
- Knowledge of PSR Programs: Understanding of the role of PSR in promoting psychosocial skills and recovery-oriented services in a Medicaid-billed setting. Review of the state service definition is highly encouraged prior to interview. Please view PSR Service definition (see page 47, review PSR service definition in its entirety.)
POSITION HIGHLIGHTS:
- Peer Support Services: Provide individualized support to participants, fostering hope and promoting recovery by sharing personal lived experiences with mental health and/or substance use recovery.
- Facilitation of Group Activities: Lead peer support groups, wellness activities, and skill-building sessions, focusing on recovery, coping mechanisms, and empowerment.
- Advocacy: Advocate on behalf of participants within the program and in the broader community to ensure access to needed services and resources.
- Recovery Coaching: Assist participants in setting and achieving personal goals, including employment, education, housing, and improved mental health.
- Collaboration with Treatment Team: Work collaboratively with clinicians, case managers, and other staff to develop individualized treatment plans and ensure comprehensive, person-centered care.
- Documentation: Maintain accurate, timely, and Medicaid-compliant records of services provided, documenting progress and participation in accordance with program and regulatory standards.
- Crisis Support: Provide emotional support during crises and connect participants with appropriate crisis intervention services when necessary.
- Community Integration: Assist participants in building connections with local recovery communities, support groups, and resources that foster independence and social inclusion.
ADDITIONAL INFORMATION:
- Considerable knowledge of the role of a peer support in a PSR community.
- Ability to connect and articulate lived experience appropriately and judiciously.
- Considerable knowledge of community resources.
- Knowledge of the psycho-social, socioeconomic and behavioral problems and their treatment.
- Knowledge of laws, regulations, and policies which govern the PSR program.
- Ability to communicate effective in oral and written forms.
- Must be able to physically perform the basic life operational functions of stooping, reaching, and walking, fingering, grasping, talking, hearing, and performing repetitive motions.
- Must be able to perform sedentary work exerting up to 10 pounds of force occasionally and/or a negligible amount of force constantly or frequently to move objects.
- Must possess the visual acuity to perform extensive reading.
SALARY & BENEFITS:
- Competitive compensation based on experience
- Comprehensive medical, dental, and vision insurance
- Educational loan repayment programs & Career growth
- Retirement savings plan/401K
- Paid time off programs, rollover hours, 14 paid holidays
- Employee engagement activities, resource groups, and diversity events
REQUEST FOR ACCOMIDATIONS:
If you require an accommodation during the application process, please contact us at jobs@coastalhorizons.org.
We look forward to reviewing your application!
EEO STATEMENT
Coastal Horizons is an Equal Employment Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
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Where North Carolina roles are concentrated, by current openings.
Rehabilitation Specialist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring


What North Carolina Employers Look For
The qualifications that appear most often in rehabilitation specialist jobs across North Carolina.
- Active North Carolina counselor licensure or certification recognized by the North Carolina Board of Licensed Clinical Mental Health Counselors
- Bachelor's or master's degree in rehabilitation counseling, human services, or a closely related field
- Experience coordinating individualized rehabilitation or treatment plans for clients with disabilities
- Familiarity with vocational assessment tools, job placement strategies, and community support resources
- Strong documentation skills and proficiency with case management software or electronic health records
- Ability to collaborate with multidisciplinary teams including physicians, therapists, and social workers
Rehabilitation Specialist Jobs in North Carolina: Frequently Asked Questions
How do you become a rehabilitation specialist in North Carolina?
Most rehabilitation specialist roles in North Carolina require at minimum a bachelor's degree in rehabilitation counseling, psychology, or a related human services field, with many clinical and vocational positions preferring a master's degree. Professionals pursuing licensure as a counselor must meet the requirements of the North Carolina Board of Licensed Clinical Mental Health Counselors, which includes supervised clinical hours and a qualifying exam. The Certified Rehabilitation Counselor credential, issued by the Commission on Rehabilitation Counselor Certification, is widely required or preferred by North Carolina employers, particularly in vocational rehabilitation and disability services.
Which companies hire rehabilitation specialists in North Carolina?
Employers hiring rehabilitation specialists in North Carolina right now include Aramark, Adventure House, and ServiceSource, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems, state vocational rehabilitation offices, and nonprofit disability services organizations generate consistent openings throughout the year.
Which North Carolina cities have the most rehabilitation specialist jobs?
Brevard, Cleveland County, and Wilmington have the most rehabilitation specialist openings in North Carolina. Charlotte leads because of its concentration of large hospital networks and behavioral health facilities, Raleigh draws demand from academic medical centers and state government vocational programs in the Research Triangle, and Greensboro reflects the region's strong network of outpatient clinics and community rehabilitation providers serving the Piedmont Triad.
Are there remote rehabilitation specialist jobs in North Carolina?
Yes, but they're limited. About 0% of rehabilitation specialist openings tied to North Carolina are remote or hybrid as of October 2026, reflecting the hands-on and community-based nature of much of this work. The portions of the role most amenable to remote work include telephonic case management, vocational counseling documentation, and care coordination with insurance and employer contacts.
How can I get hired as a rehabilitation specialist in North Carolina with little or no experience?
The most realistic entry path is through the North Carolina Division of Vocational Rehabilitation Services, which hires rehabilitation technicians and counselor interns who work under licensed supervision while completing degree and credentialing requirements. Large health systems like Atrium Health and WakeMed operate new-graduate support programs in case management and care coordination that accept candidates from adjacent roles such as social work assistant, community health worker, or disability services aide. Enrolling in a Certified Rehabilitation Counselor exam preparation program and gaining supervised fieldwork hours during a graduate program significantly strengthens early applications.
Where can I find and apply to rehabilitation specialist jobs in North Carolina?
You can find and apply to rehabilitation specialist jobs in North Carolina on Migrate Mate, which lists current openings across the state. Find roles that fit your experience and credentials and apply directly through the listings.
See All 6 Rehabilitation Specialist Jobs in North Carolina
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