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Signature HealthCARE
Kinston, North Carolina

Certified Occupational Therapist Assistant (COTA)

Occupational Therapy AssistantFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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Posted 1h ago · Verified live

Job Description

About Us

Signature HealthCARE of Kinston is a 106-bed facility that offers a wide array of services from short-term rehabilitation to traditional long-term care. The vision, to radically change the landscape of long-term care forever. Through education and empowerment, we earn the trust of every resident, family member, and the community we serve.

Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care. ai-enabled solutions.

We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.

Overview

Are you looking for a mission-purpose driven career where you are part of a team that makes a difference in peoples’ lives every day?

Signature Rehab is dedicated to providing top rehab care to residents of Signature HealthCARE nursing homes nationwide, as well as other individuals on an outpatient basis.

We are recruiting for a Certified Occupational Therapist Assistant to join our team.

How You Will Make a Difference

Under Signature Rehab’s integrated care model rehabilitative therapist work closely with other clinical caregivers to ensure residents and patients make a full recovery and a timely return to the activities they enjoy.

What You Need to Make a Difference

Graduate of accredited Certified Occupational Therapy Assistant program, culminating in a minimum of an Associate’s Degree.

A Valid Certified Occupational Therapist Assistant license in the state where services are rendered.

Our exceptional Benefits Package and Signature Perks include the following and more!

Live with Purpose at Signature HealthCARE

  • Our exceptional benefits and Signature Perks are designed to support your health, wealth, and well-being, including:
  • Medical, Dental & Vision Coverage
  • First Stop Health Virtual Healthcare
  • 401(k) & Roth 401(k)
  • Company-Paid & Voluntary Life Insurance
  • Health Savings Account (HSA) & Flexible Spending Account (FSA)
  • Paid Time Off (PTO) & Holiday Incentive Pay
  • Tuition Reimbursement & Tuition Discounts with Select Universities
  • Student Debt Assistance (eligible SNF RNs & LPNs)
  • Uniform Allowance
  • Partner Perks Discount Program
  • Perfect Attendance Program
  • Pay Advance & Next Day Pay
  • Employee Assistance Program (EAP)
  • Support Beyond Benefits with VitalLink and the Signature Inspire Foundation
  • At Signature HealthCARE, our team members are empowered—not just encouraged—to use their talents and abilities to solve problems.
  • Our culture is built on three pillars: Learning, Spirituality, and Intra-preneurship.
  • Each pillar has dedicated initiatives that strengthen our culture and create opportunities for growth.

Come see what the revolution is all about!

Signature HealthCARE is an Equal Opportunity/Affirmative Action Employer. We are committed to creating an inclusive workplace for all applicants and stakeholders.

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Key Responsibilities

The Certified Occupational Therapist Assistant will work within an integrated care model to provide rehabilitative therapy to residents and patients. They will collaborate with clinical caregivers to ensure patients achieve a full recovery and return to their daily activities.

Requirements

Candidates must be a graduate of an accredited Certified Occupational Therapy Assistant program with a minimum of an Associate's Degree. A valid Certified Occupational Therapist Assistant license in the state of service is required.

Qualifications

Education
Associate degree

Key Skills

Patient careClinical documentationCare.ai solutions

Occupational Therapist Career Context

In North Carolina, the Occupational Therapy weighted monthly median benchmark on WeekdayDoc is ~$90k (157 salary observations; 754 listings), vs ~$97k nationally (5,202 salary observations; 27,817 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; 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)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapy market look like in North Carolina?
MeasureThis jobMarket
North Carolina vs national$90k median in North Carolina$97k nationally (−6%)157 state / 5,202 national salary observations
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Occupational Therapy listings in North Carolina246 active9,022 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedNorth Carolina Occupational Therapist listings: 15% state a sign-on bonus (median $5k) · 9% offer loan repayment275 active listings, Nov 2026
New Occupational Therapy listings3,032 in the last 30 days1,687 the 30 days before (+80%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapy pay trend+2.9% 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 OTA Jobs

1 matches · ranked by pay
#1

Certified Occupational Therapist Assistant (COTA)

PACS · Concord, California

$48-$53/hr

Work-life snapshot

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

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

Signature HealthCARE logo

About Signature HealthCARE

Hospitals and Health Care
Louisville, KY
1,001-5,000 employees

Benefits & Perks

Medical, Dental & Vision Coverage
First Stop Health Virtual Healthcare
401(k) & Roth 401(k)
Company-Paid & Voluntary Life Insurance
Health Savings Account (HSA) & Flexible Spending Account (FSA)
Paid Time Off (PTO) & Holiday Incentive Pay
Tuition Reimbursement & Tuition Discounts
Uniform Allowance

Living in Kinston

Typical 3-bedroom home value
$169k
Typical market rent
$1,181/mo
Residents’ average commute
21 min
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.

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