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Pediatric Occupational Therapy Assistant (COTA) Jobs & Careers in Eastern North Carolina

Make a difference in the little moments. Feel supported in your career. Have time for the life you love.

At Carolina Therapy Connection (CTC), we believe the clinicians helping make those moments possible deserve to feel appreciated, encouraged, and supported every step of the way.

Founded by an occupational therapist, CTC is a multidisciplinary pediatric therapy practice where occupational therapy assistants play an important role in helping children build independence, confidence, and meaningful life skills.

With clinics in Greenville, New Bern, Morehead City, and Goldsboro, North Carolina, we offer opportunities for COTAs to grow professionally, collaborate with experienced occupational therapists, and enjoy a fulfilling career that leaves room for life outside of work.

Whether you’re a new graduate beginning your career or an experienced occupational therapy assistant looking for something new, we’d love for you to discover what makes CTC different!

A COTA Career That Supports Your Life, Not Just Your Caseload

 

You spend your days helping children live more independent, meaningful lives. We believe you deserve a meaningful life outside of work, too.

 

We know that working in healthcare can be incredibly rewarding, but it can also be exhausting.

 

Between busy schedules, documentation, productivity expectations, and the energy that goes into caring for others, even the most passionate therapy professionals can experience burnout.

 

At Carolina Therapy Connection, we don’t want you to feel like you have to leave a profession you love just to find balance.

 

We’re intentional about offering scheduling flexibility, supportive teams, and resources that make your workday more manageable.

What Work-Life Balance Looks Like at CTC

  • Full-Time Benefits at 32 Hours: Eligible employees can qualify for full-time benefits beginning at 32 hours per week rather than a traditional 40-hour workweek.
  • Flexible Scheduling: Opportunities to build schedules that better support your family, personal priorities, and professional goals.
  • Four-Day Workweek Options: Condensed schedules may be available depending on the position, staffing, and clinic needs.
  • No Routine Nights or Weekends: Many COTA positions offer daytime weekday schedules so you can enjoy time outside of work.
  • 10-Month Employment Opportunities: Eligible positions may offer additional time away during the year.
  • Full-Time, Part-Time, and PRN Positions: Employment options to support different stages of life and career goals.
  • Paid Time Off and Holidays: Time to rest, recharge, and enjoy the people and activities you love.
  • AI-Supported Documentation: Technology designed to streamline clinical notes and help reduce paperwork.
  • Administrative Support: Dedicated teams help manage scheduling, insurance authorizations, billing, and other administrative responsibilities.

 

We know work-life balance looks different for everyone, and we want to provide opportunities that support your personal and professional needs.

 

Our goal is to help you build a rewarding, sustainable career doing work that matters.

 

Scheduling options and benefits depend on role, employment classification, clinic needs, and eligibility.

Built by an Occupational Therapist. A Place Where COTAs Are Valued.

 

One of the things that makes Carolina Therapy Connection special is that our practice was founded by an occupational therapist.

 

We understand how much clinical skill, creativity, patience, and compassion go into helping children build independence in everyday activities. And we recognize the important role occupational therapy assistants play in that process.

 

At CTC, our COTAs work collaboratively with supervising occupational therapists to carry out individualized treatment plans, provide skilled therapeutic interventions, and support children and families as they work toward meaningful goals.

 

We want our COTAs to feel comfortable asking questions, contributing ideas, pursuing their clinical interests, and developing strong professional relationships with their supervising OTs and fellow clinicians.

 

Because being part of a great therapy team means feeling like your skills, ideas, and contributions truly matter.

Pediatric Occupational Therapy That’s Creative, Playful & Purposeful

 

Our certified occupational therapy assistants have opportunities to provide engaging, individualized treatment activities that help children build functional skills and participate more fully in everyday life.

 

Working under appropriate occupational therapist supervision and established plans of care, COTAs may provide interventions addressing:

  • Sensory Processing & Regulation: Supporting children as they develop strategies for participation in everyday routines and activities.
  • Fine Motor Development: Helping children improve grasp, manipulation, bilateral coordination, and functional hand skills.
  • Visual Motor Integration: Supporting skills used in drawing, handwriting, play, and school-related activities.
  • Activities of Daily Living (ADLs): Helping children build independence with dressing, grooming, self-care, and everyday routines.
  • Pediatric Feeding: Providing feeding-related interventions within the established plan of care and clinician’s training and competency.
  • Autism & Developmental Differences: Using individualized, strengths-based treatment strategies to support meaningful participation.
  • Motor Planning & Coordination: Helping children improve coordination and functional movement through engaging activities.
  • School Readiness: Supporting the functional skills needed for classroom participation, handwriting, and learning routines.
  • Executive Functioning & Self-Regulation: Helping children practice strategies for attention, organization, transitions, and daily participation.
  • Caregiver Education: Helping families learn and carry over strategies established through the child’s therapy plan.

 

Our goal is to make therapy meaningful, functional, and enjoyable while helping children gain skills that make a difference in their daily lives.

 

Specific responsibilities are determined by the treatment plan, clinical competency, supervising OT, and applicable North Carolina practice requirements.

Sensory Gyms, Specialized Equipment & Room to Be Creative

 

We want our COTAs to have the tools and resources they need to make treatment engaging and effective.

 

Our pediatric therapy clinics offer sensory-rich environments and specialized treatment equipment designed to support hands-on learning, movement, sensory exploration, and functional skill development.

 

Depending on location and patient needs, treatment resources may include:

  • Sensory gyms and movement-based treatment areas
  • Therapeutic swings and suspended equipment
  • Fine motor and visual motor treatment materials
  • Balance and coordination equipment
  • Sensory exploration and regulation tools
  • Feeding therapy supplies and materials
  • Adaptive equipment and functional skill-building resources
  • Developmentally appropriate games and play-based treatment activities

 

Our occupational therapy assistants also receive company-provided computers and applicable clinical equipment to support their daily responsibilities.

 

We encourage creative treatment approaches that align with each child’s established occupational therapy goals.

 

Because sometimes the most meaningful progress happens when a child is having so much fun that they don’t even realize how hard they’re working!

 

Equipment and specialized resources vary by clinic.

Supportive OT Supervision, Mentorship & Team Collaboration

 

We believe supportive supervision should be about more than meeting a requirement.

 

It should also provide opportunities to learn, ask questions, strengthen your clinical skills, and feel confident in your work.

 

At Carolina Therapy Connection, COTAs collaborate with supervising occupational therapists who provide clinical direction and oversight consistent with professional standards and North Carolina requirements.

 

We value clear communication, shared problem-solving, and opportunities for professional development.

 

Our multidisciplinary environment also creates opportunities to learn from speech-language pathologists, physical therapists, mental health professionals, and educational specialists.

 

Whether you’re new to pediatric occupational therapy or have years of experience, we want you to feel like you’re part of a team that genuinely supports your growth.

Less Time on Paperwork. More Time Doing What You Love.

We know documentation is an important part of providing quality therapy, but we also understand how time-consuming it can become.

That’s why Carolina Therapy Connection invests in technology and administrative support designed to make clinical workflows more efficient.

Our team uses Ocean Friends AI, an electronic medical record system with AI-supported documentation tools designed to streamline daily treatment notes and other clinical responsibilities.

We also have dedicated administrative professionals who help with scheduling, insurance authorizations, billing, and other important workflows.

Our goal is to provide resources that help occupational therapy assistants feel organized, supported, and able to focus their energy on the patients and families they serve.

Benefits That Support You Beyond the Clinic

 

We believe taking care of our employees means supporting their health, well-being, financial future, and professional goals.

 

At Carolina Therapy Connection, we offer a variety of benefits for eligible team members.

Health, Wellness & Financial Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • 401(k) retirement savings plan
  • Paid time off (PTO)
  • Paid holidays
  • Employee Assistance Program (EAP), including access to counseling and wellness resources

Career Growth & Professional Development

  • Continuing education stipends
  • Clinical mentorship opportunities
  • Clinical ladder programs for professional advancement
  • Administrative and leadership development pathways, where available
  • Specialty training opportunities
  • Passion projects and new program development
  • Opportunities to mentor students within appropriate supervision requirements
  • Multidisciplinary collaboration and learning

Workplace Perks & Employee Appreciation

  • Flexible scheduling opportunities
  • Full-time benefits beginning at 32 hours per week for eligible employees
  • Four-day workweek possibilities
  • 10-month employment options for eligible positions
  • Sensory-rich pediatric treatment environments
  • Company-provided computers and applicable equipment
  • AI-supported documentation technology
  • Taybucks employee recognition program
  • Monthly team events, celebrations, and appreciation activities
  • Supportive occupational therapy teams

Grow Into the Occupational Therapy Assistant You Want to Be

 

At Carolina Therapy Connection, we recognize that occupational therapy assistants have different strengths, interests, and professional goals.

 

Some COTAs are especially passionate about sensory processing and regulation. Others love fine motor development, feeding interventions, early intervention, school readiness, or helping children become more independent with everyday activities.

 

Others may discover a passion for mentoring students, community outreach, or supporting specialty programs.

 

Through mentorship, continuing education, clinical advancement opportunities, and passion projects, we support our team members as they continue learning and developing their skills.

New Graduate COTAs Are Welcome!

 

Starting your career as a certified occupational therapy assistant is exciting, but we understand that transitioning into clinical practice can feel overwhelming.

 

Learning documentation systems, implementing treatment plans, communicating with families, and developing your clinical confidence takes time and guidance.

 

We don’t believe you should have to figure everything out on your own.

 

At Carolina Therapy Connection, new graduate COTAs in eligible positions may have opportunities for:

  • Guidance from supervising occupational therapists
  • Mentorship and clinical support
  • Help with implementing treatment plans and documentation
  • Collaboration with experienced clinicians
  • Exposure to a variety of pediatric treatment approaches
  • Continuing education and professional development

 

Our goal is to help you develop your skills, build confidence, and feel encouraged throughout your career.

 

A Workplace Where You Feel Valued, Supported & Appreciated

 

We know occupational therapy assistants bring so much more to the table than completing treatment sessions.  You bring creativity, encouragement, patience, clinical skill, and compassion to children and families every day.

 

At Carolina Therapy Connection, we want you to feel recognized for those contributions.

 

Through our Taybucks recognition program, monthly team events, employee appreciation activities, mentorship, and opportunities for feedback, we’re intentional about creating a workplace where team members feel supported.

 

We celebrate accomplishments, encourage one another through challenges, and believe there should be plenty of laughter and joy along the way.

 

And while we know no workplace is perfect, we’re committed to listening, learning, and continually improving.

 

Our goal isn’t just to hire wonderful occupational therapy assistants. It’s to create a place where they want to stay, grow, and build meaningful careers.

Proud to Be One of North Carolina’s Best Employers

 

Carolina Therapy Connection has been recognized as one of North Carolina’s Best Employers for four consecutive years, from 2023 through 2026.

 

We’re grateful for this recognition because building a positive workplace and supportive company culture has always been important to us.

 

More than anything, we’re committed to continuing to create an environment where our employees feel valued, encouraged, and proud of the difference they make.

Pediatric COTA Jobs in Greenville, New Bern, Morehead City & Goldsboro, NC

 

Looking for certified occupational therapy assistant jobs in Eastern North Carolina?

 

Carolina Therapy Connection serves children and families through four clinic communities.

COTA Jobs in Greenville, NC

Explore pediatric occupational therapy assistant careers in Greenville and surrounding Pitt County communities, with opportunities for creative treatment and multidisciplinary collaboration.

Occupational Therapy Assistant Jobs in New Bern, NC

Discover COTA opportunities in New Bern, serving children and families throughout Craven County and surrounding areas.

Pediatric COTA Jobs in Morehead City, NC

Explore occupational therapy assistant careers in Morehead City, serving Carteret County and communities along the Crystal Coast.

COTA Jobs in Goldsboro, NC

Find pediatric occupational therapy assistant opportunities in Goldsboro and surrounding Wayne County communities.

Available openings, schedules, and employment types vary by location.

Frequently Asked Questions About COTA Careers at Carolina Therapy Connection

Occupational therapists are responsible for evaluating patients, developing occupational therapy plans of care, and providing clinical oversight. Certified occupational therapy assistants provide skilled occupational therapy interventions under appropriate OT supervision and within their scope of practice.

Both play important roles in helping children develop functional skills and participate in meaningful daily activities.

Yes! Carolina Therapy Connection offers pediatric occupational therapy assistant opportunities based on current staffing needs and available openings.

Yes. Depending on position and clinic needs, opportunities may include four-day workweeks, part-time employment, PRN positions, and 10-month employment options.

Yes. Eligible employees can qualify for full-time benefits beginning at 32 hours per week, subject to applicable plan requirements and company policies.

Many of our COTA positions offer daytime weekday schedules without routine evening or weekend requirements. Specific schedules vary by position.

Yes! New graduate occupational therapy assistants are encouraged to review appropriate openings. Mentorship and clinical support opportunities may be available depending on the position and supervision capacity.

Yes. Occupational therapy assistants work under the supervision of licensed occupational therapists in accordance with North Carolina practice requirements and applicable professional standards.

Yes. Our pediatric clinics offer sensory-rich treatment environments and clinical equipment for hands-on therapy. Resources vary by location and patient needs.

Yes. Eligible employees may receive continuing education stipends and have opportunities for professional development, specialty training, and career growth.

Yes. CTC uses Ocean Friends AI, an electronic medical record system with AI-supported documentation tools designed to streamline clinical workflows.

CTC has clinics in Greenville, New Bern, Morehead City, and Goldsboro, North Carolina. Current job openings and locations are listed on our secure Paylocity careers portal.

Visit our secure Paylocity careers portal to explore available occupational therapy assistant positions, review qualifications, and submit your application.

Visit Carolina Therapy Connection’s secure Paylocity careers portal to review available counseling positions, accepted credentials, employment details, and application instructions.

Ready to Love Your COTA Career?

You deserve a career where you can make a difference,
continue growing professionally, and still have time for the life you love.

At Carolina Therapy Connection, we’re committed to helping mental health professionals feel supported, appreciated, and encouraged to grow. Whether you’re an experienced clinician looking for a fresh opportunity or an associate-level therapist beginning your professional journey, we’d love to get to know you!