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Covenant Case Management Services
Charlotte, North Carolina

Occupational Therapist

Occupational TherapistFull-Time

Listed compensation

$62/hour

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago · Verified live

Job Description

Covenant Case Management Services is seeking an enthusiastic Occupational Therapist to join our team!

The SCS Occupational Therapist provides consultative services to individuals with Intellectual and Developmental Disabilities (IDD) enrolled in the NC Innovations Waiver.

The OT’s role is to assess functional skills and environmental needs, then provide training and recommendations to caregivers, Direct Support Professionals (DSPs), and interdisciplinary team members.

The focus is on promoting independence in daily living activities, safety, and quality of life through adaptive strategies and environmental modifications.

Key Responsibilities

Conduct assessments related to activities of daily living (ADLs), fine motor skills, sensory needs, self-regulation, and environmental supports.

Develop and update consultative support plans that align with the individual’s Person-Centered Plan (PCP).

Train caregivers, DSPs, and support staff on implementing adaptive strategies, equipment use, and environmental modifications.

Provide recommendations for adaptive devices, sensory supports, and modifications that enhance independence and safety.

Collaborate with interdisciplinary team members (PT, Speech Therapy, Nursing, Behavioral Specialists, Case Managers, etc.) to ensure cohesive support.

Document all assessments, training sessions, and recommendations in compliance with NC Innovations Waiver, MCO, and agency requirements.

  • Participate in treatment team meetings, intake committees, and care plan reviews as needed.
  • Stay current on evidence-based practices and regulatory guidelines related to occupational therapy and IDD services.

Equal Employment Opportunity Statement

Covenant Case Management Services actively encourages applications from individuals of all backgrounds and lived experiences. We believe diversity strengthens our ability to serve individuals and families with dignity, respect, and compassion.

Covenant Case Management Services is an Equal Employment Opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, marital status, or any other protected characteristic under applicable federal, state, or local laws.

We are committed to providing a workplace free from discrimination and harassment and to fostering a diverse, inclusive, and respectful environment for all employees, contractors, and applicants. Employment decisions are based on qualifications, merit, and business needs.

Requirements

The role requires experience in occupational therapy, specifically within the context of IDD services and the NC Innovations Waiver. Candidates must be capable of performing assessments, developing support plans, and maintaining compliance with regulatory documentation standards.

Qualifications

Experience
2+ years of experience

Key Skills

AssessmentFunctional Skills TrainingSensory SupportPerson-Centered PlanningCaregiver TrainingInterdisciplinary CollaborationRegulatory ComplianceEvidence-based Practice

Occupational Therapist Career Context

In North Carolina, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$92k (201 salary observations; 730 listings), vs ~$97k nationally (6,680 salary observations; 25,679 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$129k midpoint carries the purchasing power of roughly $137k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 42 active Occupational Therapy listings this role was benchmarked against, 5% are remote, 43% have no call, 64% require no weekends.

Occupational Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Sep 2026).

Top Occupational Therapist Jobs

23 matches · ranked by pay

Salary Distribution23 jobs · 12 employers

1
$90k
8
$95k-105k
8
$105k-110k
1
$110k
5
$120k+

Annual compensation range

Benefits & Perks23 jobs · 12 employers

401k / retirement match
96%
Sign-on bonus
48%
CME allowance
48%
Loan repayment
13%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist Matawan NJ

Healthcare Recruitment Counselors · Matawan, New Jersey

$140k
#3

Occupational Therapist Marlboro NJ

$140k
#4

Occupational Therapist (OT) Acute Care

$80k-$130k
+ 21 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Occupational Therapy listings

Listing-based score, 0–10, across 9,348 comparable listings. Shaded area = the share scoring below this one.

Living in Charlotte

Typical 3-bedroom home value
$355k
Typical market rent
$1,744/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

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About Covenant Case Management Services

Services for the Elderly and Disabled
Albermarle, North Carolina
11-50 employees