Therapeutic Recreation Specialist Jobs in North Carolina

Therapeutic Recreation Specialist jobs in North Carolina are concentrated in hospital systems, long-term care facilities, and behavioral health programs, with steady demand from entry-level through senior clinician roles. The strongest hiring is in Charlotte, Raleigh, and Greensboro, where employers such as Atrium Health, Duke Health, and Novant Health maintain large rehabilitation and behavioral health departments. Community mental health, pediatric rehabilitation, and geriatric care are the most in-demand specialties across the state. Find a role that fits below and apply directly.

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Overview

Open roles6
Top employerUNC Health
Top cityRaleigh, NC
Cities hiring4
Work type100% On-site
Top industryHealthcare

Showing 5 of 6+ Therapeutic Recreation Specialist jobs

Worldwide Clinical Trials
Executive Director, Therapeutic Strategy Lead, Oncology
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Worldwide Clinical Trials
Added 2d ago
Executive Director, Therapeutic Strategy Lead, Oncology
Worldwide Clinical Trials
North Carolina
Program Management
Project & Program Management
Project Management
$180k - $357k/yr
On-Site
Bachelor's degree
1,001-5,000

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B
Therapeutic Day Program Coach (High Impact job)
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B
Added 4d ago
Therapeutic Day Program Coach (High Impact job)
Bottom Up Outreach Center
Greensboro, North Carolina
Cloud & DevOps
Solutions Engineering & Architecture
Technical Program Management
$16 - $20/hr
On-Site
RBT Certification

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UNC Health
RN Clinical Nurse II - Therapeutic Infusion Center - Eastowne
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UNC Health
Added 3w ago
RN Clinical Nurse II - Therapeutic Infusion Center - Eastowne
UNC Health
Chapel Hill, North Carolina
Biotech & Life Sciences
Clinical Trials
Research & Academia
$34.22 - $48.38/hr
On-Site
BLS Certification
10,000+

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Azurity Pharmaceuticals - US
Vice President, Head of Medical – Anti-Infective, Respiratory, Gastrointestinal & Other Therapeutic Areas (ARGO)
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Azurity Pharmaceuticals - US
Added 3w ago
Vice President, Head of Medical – Anti-Infective, Respiratory, Gastrointestinal & Other Therapeutic Areas (ARGO)
Azurity Pharmaceuticals - US
Raleigh, North Carolina
Business Development
Enterprise Sales
Sales

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Living Well Balanced, P.C.
Therapeutic Massage Therapist
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Living Well Balanced, P.C.
Added 1mo ago
Therapeutic Massage Therapist
Living Well Balanced, P.C.
Raleigh, North Carolina
Allied Health
Healthcare Administration
Nursing
Patient Services & Wellbeing
$35 - $45/hr
On-Site

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See All 6 Therapeutic Recreation Specialist Jobs in North Carolina

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Therapeutic Recreation Specialist Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Raleigh
2 jobs
Greensboro
1 job
Rolesville
1 job
Chapel Hill
1 job

Therapeutic Recreation Specialist Job Market in North Carolina

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

Who's Hiring

UNC Health
UNC Health1 open role
B
Bottom Up Outreach Center1 open role
L
Local Point PT & Wellness1 open role

Top Industries Hiring

  • Healthcare & Medical Services
  • Biotechnology & Pharmaceuticals

What North Carolina Employers Look For

The qualifications that appear most often in therapeutic recreation specialist jobs across North Carolina.

  • Active Certified Therapeutic Recreation Specialist (CTRS) credential recognized in North Carolina
  • Bachelor's degree in recreational therapy or a closely related therapeutic services field
  • Experience delivering therapeutic recreation programs in clinical or residential care settings
  • Ability to assess patient needs and develop individualized treatment plans
  • Current CPR and Basic Life Support certification required at time of hire
  • Strong documentation skills and familiarity with electronic health record systems

Therapeutic Recreation Specialist Jobs in North Carolina: Frequently Asked Questions

How do you become a therapeutic recreation specialist in North Carolina?

You become a therapeutic recreation specialist in North Carolina by earning a bachelor's degree in recreational therapy or a related field, completing a supervised clinical internship, and passing the national certification exam administered by the National Council for Therapeutic Recreation Certification to earn the CTRS credential. North Carolina does not issue a separate state license for therapeutic recreation specialists, so the CTRS is the primary professional credential employers require statewide.

Which companies hire therapeutic recreation specialists in North Carolina?

North Carolina therapeutic recreation specialist roles are posted by UNC Health, Bottom Up Outreach Center, and Local Point PT & Wellness and others right now, based on current listings on Migrate Mate as of July 2026. North Carolina's large integrated health systems, state-operated psychiatric hospitals, and county-level mental health centers consistently maintain the most active therapeutic recreation openings across the state.

Which North Carolina cities have the most therapeutic recreation specialist jobs?

Raleigh, North Carolina, and Greensboro have the most therapeutic recreation specialist openings in North Carolina. Charlotte and Raleigh lead because of their large integrated hospital networks and growing behavioral health infrastructure, while Greensboro draws demand through anchor institutions like Cone Health and regional long-term care campuses that maintain dedicated therapeutic recreation departments.

Are there remote therapeutic recreation specialist jobs in North Carolina?

Yes, but they're rare. About 0% of therapeutic recreation specialist openings tied to North Carolina are remote or hybrid as of July 2026, reflecting the hands-on, patient-facing nature of most therapeutic recreation work. The positions most likely to include remote components are supervisory or program coordination roles that involve documentation, care planning, and staff oversight rather than direct patient treatment.

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

The most realistic entry path is completing your required clinical internship with a North Carolina facility, since many large employers such as Atrium Health and Novant Health convert strong interns into entry-level hires. New graduates can also target activity assistant or recreation aide positions at skilled nursing facilities and community behavioral health programs across the state, then work toward full CTRS eligibility. Earning the CTRS credential, even provisionally, and gaining experience in adjacent roles like activity director assistant or group therapy support moves candidates ahead in North Carolina hiring queues.

Where can I find and apply to therapeutic recreation specialist jobs in North Carolina?

You can find and apply to therapeutic recreation specialist jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings to find roles that match your credentials and experience, then apply directly to the ones that fit.

See All 6 Therapeutic Recreation Specialist Jobs in North Carolina

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