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ECU Health Medical Center
Greenville, North Carolina

Occupational Therapist I

Occupational TherapistFull-Time

Listed compensation

$84k-$122k

The week · per this posting · weekdays assumed

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

Posted 42m ago · Verified live

Job Description

Position Summary

Responsible for assessing, treatment planning and execution of Occupational Therapy treatments. These services are based on the patient/family preferences and the developmental needs, medical conditions and diseases as they affect patient care and recovery.

The staff therapist will be responsible for maintaining patient care documentation and adherence to documentation guidelines. The staff therapist shall participate in maintaining a patient caseload and meeting established productivity standards.

Able to understand the patient problems as related to the patient's occupational performance. Supervises Level I & II students Occupational Therapy and Rehab Studies students. Interprets results of standardized tests. Develops plan of care. Involved with special projects and capable of assisting with research.

May provide supervision and delegation of responsibilities to OT I and II & all OTA staff. Assists with teaching OT and OTA students at the collegiate level, staff development, credentialing Occupational Therapy Assistants. Has identified an area of clinical expertise. Performs other duties as assigned.

This level involves increased responsibility for solving problems directly related to difficult patient care but also for reorganizing and assisting with resolution within the department in order to maximize patient care/staff performance. Will have identified a second area of expertise. Able to assist with a single case research project. Performs other duties as assigned.

Minimum Requirements

Bachelor's, Master's or Doctorate in Occupational Therapy is required.

Ten or more years of licensure required.

Registration or Certification

  • North Carolina Board of Occupational Therapy (NCBOT)
  • National Board for Certification of Occupational Therapy (NBCOT
  • Clinical Ladder Pay Range
  • $83636.80 - $121904.64
  • Other Information
  • ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.

Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law.

We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Key Responsibilities

The therapist is responsible for assessing patients, developing treatment plans, and executing occupational therapy services based on individual needs. They also supervise students, assist with research projects, and contribute to department-level problem solving and staff development.

Requirements

Candidates must hold a Bachelor's, Master's, or Doctorate degree in Occupational Therapy. A minimum of ten years of licensure is required, along with NCBOT and NBCOT certifications.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
10+ years of experience

Key Skills

Patient assessmentClinical documentationStudent supervisionStandardized testingResearch assistance

Occupational Therapist Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$103k midpoint carries the purchasing power of roughly $109k 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, 12% are remote, 33% have no call, 52% require no weekends.

What does the Occupational Therapy market look like in North Carolina?
MeasureThis jobMarket
Listed pay$84k–$122kOccupational Therapy median $87k (middle half $84k–$88k)13 comparable listings, Nov 2026
Cost-of-living adjusted pay~$109k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Occupational Therapy listings in North Carolina255 active9,061 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 12% remote · 33% no call · 52% no weekends42 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina Occupational Therapist listings: 15% state a sign-on bonus (median $5k) · 8% offer loan repayment286 active listings, Nov 2026
New Occupational Therapy listings3,243 in the last 30 days1,641 the 30 days before (+98%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+3.5% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Occupational Therapist Jobs

18 matches · ranked by pay

Salary Distribution

18 jobs · 13 employers
8
<$100k
7
$100k-115k
0
$115k-130k
2
$130k-145k
1
$160k

Annual compensation range

Benefits & Perks

17 jobs · 13 employers
401k / retirement match
100%
CME allowance
35%
Sign-on bonus
29%
Loan repayment
18%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

Occupational Therapist (Home Health)

21st Century Home Health Services · Galt, California

$130k-$160k
#2

Occupational Therapist-Home Health

Sentara Health · Gloucester, Virginia

$96k-$141k
#3

SPED Teacher - ECE Occupational Therapist

$62k-$131k
#4

Occupational Therapist (OT) - Santa Clara

From $109,000
+ 16 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 8,973 comparable listings. Shaded area = the share scoring below this one.

Living in Greenville

Typical 3-bedroom home value
$237k≈ 2.8× annual pay
Typical market rent
$1,460/mo≈ 21% of gross pay
Residents’ average commute
19 min
Metro price indexU.S. average = 100
88.4
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Greenville, NC metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.