Carilion Clinic logo
Carilion Clinic
Roanoke, Virginia

APP -PMHNP- Mental Health- ED

Nurse PractitionerNo weekendsFull-Time Physician-Supervised State

Listed compensation

$108k-$173k

The week · per this posting · Monday – Friday

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

Posted 1mo ago

Job Description

Employment Status: Full time

Shift: Day/Evening (United States of America)

Facility

  • 1906 Belleview Ave SE - Roanoke
  • R162213 APP -PMHNP- Mental Health- ED (Open)

How You’ll Help Transform Healthcare

  • Psychiatric Mental Health Nurse Practitioner (PMHNP) – Emergency Psychiatry
  • Make an Impact When Patients Need It Most

Carilion Clinic is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our Emergency Psychiatry team, providing psychiatric evaluation, treatment, and consultation for patients presenting to emergency departments across the Carilion system.

This is a unique opportunity for a PMHNP who thrives in a fast-paced, collaborative environment and wants to make a meaningful impact on both patient care and the way behavioral health services are delivered in the emergency setting.

About the Role

The Emergency Psychiatry APP provides psychiatric evaluation and management for patients with a wide range of behavioral health and medical needs. Patient populations may include individuals experiencing:

  • Suicidal ideation or self-harming behaviors
  • Mood and psychotic disorders
  • Intoxication and substance withdrawal
  • Delirium and dementia
  • Difficulty coping with acute or chronic illness
  • Behavioral crises and other complex psychiatric presentations
  • You will provide care within our Level I Trauma Center Emergency Department as well as support emergency departments throughout the Carilion system.

More Than a Traditional Clinical Role

This position combines direct patient care, psychiatric consultation, staff education, crisis intervention, and quality improvement.

The PMHNP will take a proactive and engaged approach to improving the care and safety of behavioral health patients in the emergency setting. Responsibilities include:

  • Conducting psychiatric evaluations and developing treatment recommendations.
  • Providing psychiatric medication management when appropriate.
  • Responding to behavioral health emergencies and assisting with crisis stabilization.
  • Supporting efforts to reduce the use of restraints through early intervention and de-escalation strategies.
  • Evaluating and supporting patients who screen positive for specific behavioral health concerns, including suicidal ideation and trauma-related symptoms.
  • Developing and implementing individualized behavioral plans.
  • Providing real-time, "just-in-time" education and training for emergency department staff.
  • Serving as a clinical resource for de-escalation, crisis mitigation, and early identification of behavioral health needs.
  • Participating in initiatives designed to improve quality, safety, and the patient experience.

A Highly Collaborative Environment

You won't do this work alone. You'll be part of a multidisciplinary team that includes psychiatrists, physicians, social workers, therapists, peer recovery specialists, nurses, and other healthcare professionals.

The position also works closely with Carilion's dedicated Emergency Psychiatry Program and Addiction Medicine team, providing an integrated approach for patients with complex psychiatric, medical, and substance-use needs.

Schedule: Primarily daytime hours

  • Weekends as needed
  • Holidays rotated equitably among team members

What We're Looking For

The ideal candidate is a Psychiatric Mental Health Nurse Practitioner who is comfortable working with complex patients and enjoys collaborating with both behavioral health and emergency medicine teams.

Candidates should demonstrate strong clinical judgment, excellent communication skills, flexibility, and an interest in education and improving systems of care.

Why Carilion Clinic?

Carilion Clinic is a physician-led, not-for-profit healthcare organization serving communities throughout Virginia. Our integrated system brings together clinical care, education, and research and provides APPs with the resources and collaboration of a comprehensive healthcare system.

  • Carilion offers a competitive compensation and benefits package, including:
  • Employer-funded pension plan
  • Comprehensive medical, dental, and vision benefits
  • Paid time off
  • CME and professional development support
  • Retirement savings opportunities

Live and Work in Virginia's Blue Ridge

Based in Roanoke, Virginia, you'll enjoy the professional opportunities of a major healthcare system with the quality of life of Virginia's Blue Ridge. The region offers an affordable cost of living, excellent schools, vibrant communities, and exceptional access to hiking, biking, kayaking, and the Blue Ridge Parkway.

Bring your expertise to a team transforming behavioral health care in the emergency setting. Join Carilion Clinic as an Emergency Psychiatry PMHNP.

  • Apply today at CarilionClinic.org/careers.
  • Carilion Clinic is an Equal Opportunity Employer.

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: 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 PMHNP will conduct psychiatric evaluations, provide medication management, and respond to behavioral health emergencies within the emergency department. They will also serve as a clinical resource for staff education, crisis mitigation, and quality improvement initiatives.

Requirements

Candidates must be a graduate of an accredited Nurse Practitioner or Physician Assistant program and hold a valid license in the Commonwealth of Virginia. A minimum of 3 years of clinical experience is preferred, along with current BLS certification.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Behavioral health assessmentPatient consultationMultidisciplinary collaborationTreatment planning

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates APP -PMHNP- Mental Health- ED at Carilion Clinic a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Nurse Practitioner roles — ranked against 14,090 active Nurse Practitioner roles listings on WeekdayDoc. Contributing factors include no weekend requirements.

Psychiatry — Nurse Practitioner Career Context

Carilion Clinic ranks #7 of 21 employers hiring Nurse Practitioner on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 74/100, 105 active listings.

Of the 50 active Psychiatry listings this role was benchmarked against, 24% are remote, 56% have no call, 70% require no weekends.

Psychiatry pay on WeekdayDoc is up 1.8% vs. the prior quarter (through Sep 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 Nurse Practitioner Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 32 employers

15
<$150k
15
$150k-180k
2
$180k-210k
2
$210k-240k
2
$240k+

Annual compensation range

Benefits & Perks34 jobs · 32 employers

401k / retirement match
88% this job
Sign-on bonus
50%
CME allowance
47% this job
Loan repayment
15%
Relocation assistance
12%

Share of similar jobs offering each benefit

#1

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$216k-$252k
#2

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$250k
#3

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+ 34 more · ranked by pay

Work-life snapshot

median 6.4this job 6.4
Better work-life than 50% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,179 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site

Living in Roanoke

Typical 3-bedroom home value
$265k≈ 2.5× annual pay
Typical market rent
$1,413/mo≈ 16% of gross pay
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.

Ratios use this listing’s gross annual pay. 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

Employer-funded pension plan
Comprehensive medical, dental, and vision benefits
Paid time off
CME and professional development support
Retirement savings opportunities