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Carilion Clinic
Lexington, Virginia

APP ( NP or PA) Specialty Practice Hospitalist - Lexington, VA

Hospital Medicine Above average in Hospital MedicineNo weekendsFull-Time

Listed compensation

Compensation Range: $107,993.60 - $172,785.60

Listing transparency3 of 6 stated

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

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
No weekends
Posted 1mo ago

Job Description

Employment Status

Full time

Shift

Night (United States of America)

Facility

1 Health Cir - Lexington

Requisition Number

R159745 APP ( NP or PA) Specialty Practice Hospitalist - Lexington, VA (Open)

How You’LL Help Transform Healthcare

Hospitalist APP opportunity in Lexington, Virginia

Full time APP ( NP or PA) opportunity with the Hospitalist group at Carilion Rockbridge Community Hospital.  CRBH is a critical access hospital with 3-5 admissions and discharges a day. Bed capacity is 25. Our practice is comprised of 2.5 FTE physicians and 3 FTE Advanced Care Practitioners.  Night shift- 7 on 7 off.  Additional nocturnist compensation in addition to base pay.

This role includes responsibility for identifying patient health status through histories, physical exams, and diagnostic procedures; managing both chronic and acute health problems; collaborating with general surgeons, orthopedic surgeons, and other surgical subspecialties; providing team-based pre- and post-operative care to adult patients and delivering confident, high-quality care in a rural setting supported by an expanding telemedicine service (including critical care and neurology).

The ideal candidate will have a strong background in Internal Medicine or Family Medicine with hospitalist training, and a broad knowledge base in common general medical conditions. This position offers a collaborative work environment with a strong support team to help you succeed, guiding you through a detailed orientation plan.

What We Require

Education: Graduate of an Accredited Nurse Practitioner program.

Experience: 0

Licensure/Certification: Current state Licensed Nurse Practitioner (LNP), DEA license and Registered Nurse (RN) licensure required.  AHA BLS-HCP certification required.  Advanced Life Support certification preferred. Eligible for prescriptive authority in accordance with State regulations and as authorized by the Virginia Boards of Nursing and Medicine.

Other: Able to work collaboratively with physicians and other health care providers, good written and oral communication skills. Computer literacy required for automated computer systems, including electronic medical records.

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 [https://url.us.m.mimecastprotect.com/s/yHozCW69Owt979DAi6lTYx?domain=carilionclinic.org]

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

The role involves managing acute and chronic health problems for adult patients through histories, physical exams, and diagnostic procedures. It requires collaborating with surgical subspecialties to provide team-based pre- and post-operative care in a rural hospital setting.

Requirements

Candidates must be a graduate of an accredited Nurse Practitioner program with current LNP, RN, and DEA licenses. AHA BLS-HCP certification is required, while Advanced Life Support certification is preferred.

Qualifications

Education
Professional certificate or licensure

Key Skills

Patient HistoryChronic Disease ManagementAcute CarePre-operative CareCollaboration

Hospital Medicine — Physician Career Context

In Virginia, the Hospital Medicine weighted monthly median benchmark on WeekdayDoc is ~$336k (30 salary observations; 127 listings), vs ~$304k nationally (364 salary observations; 2,694 listings). Monthly aggregates cover 2025-12-01 through 2026-09-01; these are not the modal's selected comparable-job medians.

Of the 40 active Hospital Medicine listings this role was benchmarked against, 5% are remote, 55% have no call, 35% require no weekends.

Hospital Medicine pay on WeekdayDoc is down 1.0% vs. the prior quarter (through Aug 2026).

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).

Top Hospital Medicine Jobs

23 matches · ranked by pay

Salary Distribution22 jobs · 11 employers

4
<$270k
12
$270k-315k
2
$315k-360k
4
$360k-405k

Annual compensation range

Benefits & Perks18 jobs · 11 employers

401k / retirement match
89% this job
CME allowance
28%
Sign-on bonus
11%
Loan repayment
11%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

Hospitalist

Cooper Norcross University Hospital · Camden, New Jersey

$118k-$400k
#2

Hospitalist

Cooper Norcross University Hospital · Vineland, New Jersey

$56.73-$192.31/hr
#3

Hospitalist PRN

$118k-$400k
#4

Physician - Hospitalist (Swing Shift)

$358k-$366k
+ 21 more · ranked by pay

Work-life snapshot

3.9/ 10
Listing-based score

Above average in Hospital Medicine

  • No weekends

Living in Rocky Mount

Typical 3-bedroom home value
$283k
Median resident rent
$890/mo
Residents’ average commute
26 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

Sources: Zillow home values (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

Comprehensive Medical, Dental, & Vision Benefits
Employer Funded Pension Plan
Paid Time Off
Onsite fitness studios
Wellness center discounts
Health and wellness app
Childcare discounts
Continued education and training