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  3. APP ( NP or PA) - Cardiothoracic Surgery
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APP ( NP or PA) - Cardiothoracic Surgery

Carilion Clinic·Roanoke, Virginia

$107,994 - $172,786/yr·Full Time·On Site·Remote friendly·
0-2 yrs
·Posted 27 days ago
Practice for this role

About the role

Manage patients recovering from complex cardiothoracic surgeries and provide comprehensive perioperative care. Collaborate with surgeons to manage advanced mechanical circulatory support devices and perform critical ICU procedures.

Employment status: Full time

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

Facility

1906 Belleview Ave SE - Roanoke

Requisition number

R159268 APP ( NP or PA) - Cardiothoracic Surgery (Open)

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.

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

Requirements

Must be a graduate of an accredited Nurse Practitioner or Physician Assistant program with current state licensure and DEA license. AHA BLS-HCP certification is required, and Advanced Life Support certification is preferred.

  • postgraduate degree
  • Diagnostic Interpretation
  • Emergency Response
  • Electronic Medical Records
  • Perioperative Care
  • Clinical Decision-Making
  • Patient Stabilization
  • Bronchoscopy
  • Chest Tube Management
  • ECMO Management
  • LVAD Management
  • Critical Care Management
  • Arterial Line Insertion
  • Impella Management
  • Central Venous Catheter Placement
  • IABP Management
  • RVAD Management

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
0-2 yrs
Salary
$107,994 - $172,786/yr
Location
Roanoke, Virginia
Posted
Jul 1, 2026
Closes
Aug 31, 2026
Application
Employer website
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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 167 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size10,001+ employees
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Market context

Virginia advanced practice roles stay competitive

In Virginia, advanced-practice roles like this are often competitive because employers look for clinicians who can work across outpatient primary care, urgent care, or emergency settings and see patients of all ages. This posting requires a master’s degree in a physician assistant program, active NCCPA certification, a DC license, and at least 2 years of experience. Review the AI-summarized requirements and benefits here to save research time, then confirm licensure and setting fit before applying.

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