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Carilion Clinic
Roanoke, Virginia

APP ( NP or PA) Pulmonary Critical Care - Nocturnist

Nurse Practitioner Above average in Critical Care Medicine (NP)No weekendsFull-Time Physician-Supervised State

Listed compensation

$108k-$173k

Listing transparency3 of 6 stated

Ask the employer about the work setting, call expectations and nights and shift pattern.

Employment & setting
Full-Time · on_site
Call expectations
Not specified
Weekends
No weekends
Posted 2h ago · Verified live

Job Description

Employment Status

Full time

Shift

Day (United States of America)

Facility

1906 Belleview Ave SE - Roanoke

Requisition Number

R162346 APP ( NP or PA) Pulmonary Critical Care - Nocturnist (Open)

How You’ll Help Transform Healthcare

Nurse Practitioner or Physician Assistant – Pulmonary and Critical Care Nocturnist

Carilion Clinic | Roanoke, VirginiaFull-time | Rotating 7 p. m.–7 a. m. shifts

Make a difference when it matters most.

Carilion Clinic is seeking an experienced Nurse Practitioner or Physician Assistant to join our academic Pulmonary and Critical Care section in Roanoke, Virginia. This full-time night-shift opportunity is ideal for an APP who enjoys high-acuity medicine, values teamwork, and thrives in a dynamic hospital environment.

Our team provides care in two closed ICUs and pulmonary and critical care consultation to four additional ICUs. You will work alongside intensivists, residents, fellows, APPs, nurses, respiratory therapists, pharmacists, and other specialists to care for critically ill patients overnight.

What You’ll Do

Assess and manage critically ill patients in our two closed ICUs and provide consultation to four additional ICUs.

Participate in admissions, consultations, and ongoing ICU care.

Develop treatment plans, evaluate changes in patient condition, and initiate appropriate interventions in collaboration with the care team.

Order and interpret diagnostic testing, laboratory studies, and imaging.

Perform procedures within your scope of practice, privileges, and demonstrated competencies.

Collaborate with Pulmonary and Critical Care physicians, residents, fellows, and the multidisciplinary ICU team.

Communicate with patients and families during complex and often challenging situations.

Provide clear transitions of care and timely clinical documentation.

Why Join Carilion?

At Carilion Clinic, APPs are valued members of the clinical team. Our academic health system offers the resources and clinical complexity of a large medical center, with opportunities to work alongside residents and fellows and build meaningful relationships with colleagues and patients.

Our compensation and benefits package may include

  • Night-shift differential
  • Competitive compensation
  • Employer-funded pension plan
  • CME funds and dedicated CME time
  • Paid time off
  • Annual merit review opportunities
  • Relocation assistance, when applicable

What We’re Looking For

Qualified candidates will be licensed or eligible for licensure in Virginia as a Nurse Practitioner or Physician Assistant, hold appropriate national certification, and be eligible for medical staff credentialing and privileges.

Experience in critical care, pulmonary medicine, hospital medicine, emergency medicine, or another high-acuity setting is preferred. We’re looking for an APP with sound clinical judgment who communicates clearly, works well across disciplines, and is comfortable practicing in an academic overnight environment.

Build Your Career at Carilion Clinic

Carilion Clinic is a physician-led, integrated health system committed to clinical excellence, education, research, and improving the health of the communities we serve. Our Roanoke location offers the opportunity to practice complex medicine while enjoying life in Virginia’s Blue Ridge region.

What We Require

Education: Graduate of an accredited School of Nursing and Nurse Practitioner program or an accredited Physician Assistant program required.

Experience: Minimum of 3 years of clinical experience preferred. Additional experience may be required based on specialty.

Licensure, Certification, and/or Registration: Licensed or eligible for licensure as an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) in the Commonwealth of Virginia. Nurse Practitioners must also hold a current Registered Nurse (RN) license in Virginia. Must be eligible for prescriptive authority in accordance with state regulations and as authorized by the Virginia Boards of Nursing and Medicine.

Life Support: Current Basic Life Support (BLS) required. Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), or Neonatal Resuscitation Program (NRP) certifications required as appropriate to the position.

Other Minimum Qualifications: Must demonstrate and maintain all credentialing and licensing requirements of Carilion Clinic, the Virginia Board of Medicine or Nursing, and applicable certifying bodies. Must meet practice and managed care credentialing requirements and qualify for malpractice insurance coverage. Ability to work collaboratively with physicians and other healthcare providers. Strong written and verbal communication skills required. Proficiency with electronic medical records and standard computer systems required.

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Compensation Range

$107,993.60 - $172,785.60

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter

KARYN FARRELL

Recruiter Email

kbfarrell@carilionclinic.org

Recruiter Phone Number

+1 (540) 4004081

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a. m. to 4:30 p. m., Monday through Friday.

  • For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies
  • Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

  • Comprehensive Medical, Dental, & Vision Benefits
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Personify Health
  • Discounts on childcare
  • Continued education and training

Key Responsibilities

Assess and manage critically ill patients in closed ICUs while providing pulmonary and critical care consultations. Collaborate with a multidisciplinary team to develop treatment plans, perform procedures, and ensure clear clinical documentation.

Requirements

Must be a graduate of an accredited Nurse Practitioner or Physician Assistant program and hold a valid license in Virginia. Minimum of 3 years of clinical experience is preferred, along with current BLS and relevant advanced life support certifications.

Qualifications

Experience
2+ years of experience

Key Skills

Pulmonary carePatient assessmentTreatment planningMultidisciplinary collaborationIntensive care managementPatient consultation

Critical Care Medicine — Nurse Practitioner Career Context

Carilion Clinic ranks #5 of 16 employers hiring Nurse Practitioner on WeekdayDoc by average advertised pay.

Of the 48 active Nurse Practitioner listings this role was benchmarked against, 19% are remote, 58% have no call, 79% require no weekends.

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$140k midpoint carries the purchasing power of roughly $139k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Salary Distribution42 jobs · 21 employers

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Annual compensation range

Benefits & Perks40 jobs · 21 employers

401k / retirement match
98% this job
Sign-on bonus
48%
CME allowance
35% this job
Loan repayment
20%
Relocation assistance
3% this job

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Work-life snapshot

3.9/ 10
Listing-based score

Above average in Critical Care Medicine (NP)

  • No weekends
  • On-site

Living in Roanoke

Typical 3-bedroom home value
$265k
Typical market rent
$1,413/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

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

Carilion Clinic logo

About Carilion Clinic

Hospitals and Health Care
Roanoke, Virginia
5,001-10,000 employees

Benefits & Perks

Night-shift differential
Employer-funded pension plan
CME funds and dedicated CME time
Paid time off
Annual merit review opportunities
Relocation assistance
Comprehensive Medical, Dental, & Vision Benefits
Voluntary 403B