APP ( NP or PA) - Cardiothoracic Surgery

Carilion Clinic; Roanoke, Northern (VA, KY); On-site; USD 108,000 - 173,000; Full time

Benefits offered by this job

Medical benefits

Pension plan

Paid time off

Onsite fitness

Wellness app

Childcare discounts

Education & training

Job summary

Carilion Clinic in Roanoke, VA, is seeking an APP (PA/NP) to join the Cardiothoracic Surgery Critical Care Team in a highly autonomous role. The position offers collaboration with cardiothoracic surgeons, APPs, and a multidisciplinary team in a high-acuity environment.

The ideal candidate will have NP or PA training, licensure, and a strong interest in cardiothoracic surgery or critical care, with a commitment to teamwork and ongoing professional growth.

Qualifications

• Graduate NP/PA program required.
• State NP license and RN licensure or PA license with prescriptive authority.
• Strong interest in cardiothoracic surgery or critical care.

Responsibilities

• Critical Care Management – manage patients recovering from complex cardiothoracic surgeries.
• Collaboration – work with attending physicians and APP colleagues in advanced support devices.
• Procedural Skills – perform ICU procedures (bronchoscopy, IV lines, chest tubes).
• Patient Experience & Quality – optimize patient experience and clinical outcomes.
• Diagnostic & Clinical Decision‑Making – order/interpret studies and guide interventions.
• Emergency Response – respond to critical situations and stabilize patients.

Skills

Autonomy

Critical care

Cardiothoracic surgery

Team collaboration

Education

Graduate of Accredited Nurse Practitioner program

Graduate of Accredited Physician Assistant program

Job description

Employment Status and Location

Employment Status: Full time Shift: Day/Evening/Night (United States of America) Facility: 1906 Belleview Ave SE - Roanoke

Requisition Number: R161451

Role Overview

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

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.

Benefits, Pay and Well‑being at Carilion Clinic

• 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

Other Information

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

Headquartered in Roanoke, Va., you will find a robust system of award‑winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, and multi‑specialty physician practices spanning southwestern Virginia.

Join our workplace where innovation happens, collaboration is expected and ideas are valued. A courageous team that is always learning, fully dedicated, and forever curious. A not‑for‑profit, mission‑driven health system built on progress and partnerships.