NEWAI Interview PracticeLearn more
VitalHires

VitalHires offers free resume tools for healthcare professionals alongside clinical, allied health, and care team job listings.

Explore

StatesTop Hiring CitiesFor EmployersFor CandidatesApply to JobsSalary GuidesHiring CalendarBlog

Top Hiring Cities

View all

Los Angeles

California

3225 live openings

Chicago

Illinois

2441 live openings

Houston

Texas

2411 live openings

Philadelphia

Pennsylvania

2402 live openings

Phoenix

Arizona

2153 live openings

Indianapolis

Indiana

2052 live openings

Atlanta

Georgia

2045 live openings

Dallas

Texas

1985 live openings

Legal

AboutContactEditorial PolicyPrivacy PolicyTerms & Conditions

VitalHires surfaces verified openings from hospital systems, health networks, and clinical employers across the US. Always confirm compensation and credentialing requirements on the employer's official hiring page before applying.

© 2026 VitalHires. All rights reserved.Listings are aggregated from hospital systems, health networks, clinics, and clinical employer hiring pages.
  1. Home/
  2. Jobs/
  3. APP ( NP or PA) Surgery First Assist - Ortho Spine
CC

APP ( NP or PA) Surgery First Assist - Ortho Spine

Carilion Clinic·Christiansburg, Virginia

Full Time·On Site·Remote friendly·2-5 yrs
·
Posted 27 days ago
Practice for this role

About the role

The APP provides comprehensive care for spine patients, including outpatient clinic visits, inpatient rounding, and perioperative management. They serve as a first assist in spine surgical procedures and coordinate discharge planning with multidisciplinary teams.

Employment status: Full time

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

Facility

2900 Lamb Cir - Christiansburg

Requisition number

R158475 APP ( NP or PA) Surgery First Assist - Ortho Spine (Open)

How you’ll help transform healthcare

Orthopedic Spine Advanced Practice Provider (APP) Organization

  • Carilion
  • Clinic
  • Location: Roanoke,
  • Virginia
  • Orthopedic
  • Spine
  • Advanced
  • Practice
  • Provider (APP)
  • Organization:
  • Carilion
  • Clinic
  • Location: Roanoke, Virginia About Carilion Clinic Carilion Clinic is a nationally recognized, integrated healthcare system serving communities across western Virginia. As a physician-led organization affiliated with the Virginia Tech Carilion School of Medicine, Carilion is committed to clinical excellence, education, and research while delivering compassionate, patient-centered care. Position Overview Carilion Clinic is seeking a dedicated Orthopedic Spine Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Spine Surgery team. This role offers the opportunity to work collaboratively with fellowship-trained orthopedic spine surgeons in a dynamic, high-volume practice serving a diverse patient population. The APP will provide comprehensive care across the continuum, including outpatient clinic, inpatient rounding, perioperative management, and first assist in the operating room. Key Responsibilities
  • Perform comprehensive history and physical examinations for spine patients
  • Order and interpret diagnostic tests, imaging, and labs
  • Develop and implement evidence-based treatment plans
  • Provide pre-operative and post-operative care
  • First assist in spine surgical procedures
  • Conduct inpatient rounds and coordinate discharge planning
  • Educate patients and families regarding diagnosis, treatment options, and recovery
  • Collaborate with surgeons, nursing staff, therapy services, and care coordination teams
  • Document accurately and timely in the electronic medical record

Qualifications

  • Graduate of an accredited Nurse Practitioner or Physician Assistant program
  • Board certification as an NP or PA-C
  • Current Virginia licensure (or eligibility)
  • Previous orthopedic or spine experience preferred
  • Surgical first assist experience preferred
  • Strong clinical judgment and excellent communication skills
  • Commitment to high-quality, patient-centered care
  • Work Environment & Schedule
  • Combination of clinic, OR, and hospital rounding
  • Full-time position
  • Shared call responsibilities (if applicable)
  • Supportive, team-based practice model
  • Compensation & Benefits
  • Competitive salary and comprehensive benefits package
  • CME allowance and professional development support
  • Retirement savings plan with employer match
  • Paid malpractice coverage
  • Generous PTO

Why Roanoke? Located in the scenic Blue Ridge Mountains, Roanoke offers a vibrant community with outdoor recreation, cultural amenities, and a high quality of life. Enjoy hiking, biking, and water activities while living in a region known for its welcoming community and affordable cost of living. If you are a motivated APP seeking to grow your career in orthopedic spine surgery within a collaborative, academic health system, we encourage you to apply and join the team at Carilion Clinic.

What we require

Compensation Range

$118,788.80 - $190,070.40

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

Requirements

Candidates must be a graduate of an accredited NP or PA program with board certification and current Virginia licensure. Previous experience in orthopedic spine surgery and surgical first assisting is preferred.

  • professional certificate
  • postgraduate degree
  • Patient Assessment
  • Patient Education
  • Treatment Planning
  • Diagnostic Interpretation
  • Clinical Judgment
  • Electronic Medical Record Documentation
  • Surgical First Assist
  • Inpatient Rounding
  • Perioperative Management
  • Orthopedic Spine Care

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Christiansburg, Virginia
Posted
Jul 1, 2026
Closes
Aug 31, 2026
Application
Employer website
CC

Hiring organization

Carilion Clinic

Carilion Clinic is a non-profit health care organization serving nearly one million people in Virginia through hospitals, outpatient specialty centers and advanced primary care practices. Led by multi-specialty physician teams with a shared philosophy that puts the patient...

Salary listed on 171 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size10,001+ employees
Explore employer profile

Stay updated

Get alerts for similar jobs

Be the first to know when more Carilion Clinic roles in Christiansburg, Virginia get posted.

VitalHiresVitalHires
Use casesHighlightsExploreBlogAbout
Sign inSearch Jobs

Market context

Virginia ortho spine first-assist roles

Virginia employers hiring APPs for orthopedic spine first assist often look for candidates who can step into surgical workflows with current state licensure and board certification. These roles are competitive because prior ortho spine and first-assist experience can shorten onboarding and improve operating room readiness. Review the AI-summarized requirements and benefits here to save time, then confirm your Virginia license status and highlight any spine or first-assist cases in your application.

More openings at Carilion Clinic

Cardiothoracic Surgeon

20 hours ago

Medical Assistant - Certified, Family Medicine-Colonial Avenue

20 hours ago•$19 - $26/hr

RN 1 - PRACTICE, Family Medicine - Colonial Avenue

20 hours ago•$28 - $42/hr
View all employer openings