Carilion Clinic logo
Carilion Clinic
Roanoke, Virginia

APP ( NP or PA) - Cardiothoracic Surgery

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 · Verified live

Job Description

Employment Status: Full time

Shift: Day/Evening/Night (United States of America)

Facility

  • 1906 Belleview Ave SE - Roanoke
  • R161451 APP ( NP or PA) - Cardiothoracic Surgery (Open)

How You’ll Help Transform Healthcare

How You’ll Help Transform Healthcare:

We are excited to offer an exceptional opportunity to join our Cardiothoracic Surgery Critical Care Team as a Physician Assistant / Associate (PA) or Acute Care Nurse Practitioner (ACNP / AGACNP / ACNP-AG). This role is ideal for an advanced practitioner seeking a highly autonomous, clinically challenging, and collaborative team environment.

Why Join Our Team?

Take your career to the next level as part of a dynamic Cardiothoracic Surgery Critical Care Service. Our APPs play an integral role in comprehensive perioperative care, managing patients across the full continuum—from initial consultation through postoperative recovery and discharge. You will work alongside experienced cardiothoracic surgeons, APPs, and multidisciplinary professionals in a high-acuity, cutting-edge environment.

Key Responsibilities

  • Critical Care Management
  • Manage patients recovering from complex cardiothoracic surgeries, including:
  • Aortic surgery
  • Coronary artery bypass grafting (CABG)
  • Thoracic surgery
  • Valve surgery

Mechanical Circulatory Support Collaboration

  • Partner closely with attending physicians and APP colleagues in the management of advanced mechanical circulatory support devices, including:
  • ECMO
  • Intra-Aortic Balloon Pumps (IABPs)
  • Left Ventricular Assist Devices (LVADs)
  • Impella
  • Right Ventricular Assist Devices (RVADs)
  • Procedural Skills Development

Perform and Refine Common ICU Procedures, Including

  • Bronchoscopy
  • Central venous catheter placement
  • Arterial line insertion
  • Chest tube management
  • Patient Experience & Quality of Care
  • Focus on optimizing patient experience, satisfaction, and clinical outcomes
  • Deliver high-quality, evidence-based perioperative care
  • Diagnostic & Clinical Decision-Making
  • Order and interpret relevant diagnostic studies
  • Apply clinical judgment to guide timely and appropriate interventions
  • Emergency Response
  • Respond to critical and emergent situations
  • Provide rapid assessment and stabilization until definitive treatment is implemented
  • Ideal Candidate
  • Physician Assistant or Acute Care Nurse Practitioner
  • Strong interest or background in cardiothoracic surgery and/or critical care
  • Comfortable practicing with a high level of autonomy in a fast-paced ICU setting
  • Committed to teamwork, clinical excellence, and continuous professional growth

What We Require

  • Education: Graduate of an Accredited Nurse Practitioner or Physician Assistant program.
  • Experience: 0

Licensure/Certification: Current state Licensed Nurse Practitioner (NP) and RN licensure required or Physician Assistant ( PA), DEA license. 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.

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: 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

Requirements

Candidates must be graduates of an accredited Nurse Practitioner or Physician Assistant program with current state licensure and DEA certification. The role requires BLS-HCP certification and the ability to work collaboratively in a fast-paced, high-acuity ICU environment.

Qualifications

Education
Professional certificate or licensure

Key Skills

IABPLVADPatient assessment

Critical Care Medicine — Nurse Practitioner Career Context

Carilion Clinic ranks #3 of 20 employers hiring Nurse Practitioner on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 72/100, 88 active listings.

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 38% are remote, 60% have no call, 82% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 2.3% 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

39 matches · ranked by pay

Salary Distribution39 jobs · 28 employers

18
<$140k
8
$140k-160k
8
$160k-180k
3
$180k-200k
2
$200k+

Annual compensation range

Benefits & Perks35 jobs · 28 employers

401k / retirement match
97% this job
CME allowance
60%
Sign-on bonus
29%
Loan repayment
9%
Relocation assistance
3%

Share of similar jobs offering each benefit

#1

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Reno, Nevada

$250k
#2

Triage Midwife - Clinical Associate

Oregon Health & Science University · Portland, Oregon

$172k-$229k
#3

Behavioral Health Medical Provider- NP Telehealth (PRN)

$163k-$191k
#4

Telehealth Nurse Practitioner

$156k-$187k
+ 37 more · ranked by pay

Work-life snapshot

median 2.1this job 3.9
Better work-life than 60% of Critical Care Medicine (NP) listings

Listing-based score, 0–10, across 115 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

Comprehensive Medical, Dental, & Vision Benefits
Employer Funded Pension Plan
Paid Time Off (accrued from day one)
Onsite fitness studios
Discounts to Carilion Wellness centers
Health and wellness app
Discounts on childcare
Continued education and training