APP ( NP or PA Surgery First Assist - Ortho Spine

Position Overview

Carilion Clinic seeks an Orthopedic Spine Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Spine Surgery team. The APP will collaborate with fellowship-trained orthopedic spine surgeons in a dynamic, high-volume practice serving a diverse patient population. Responsibilities include comprehensive care across outpatient clinic, inpatient rounding, perioperative management, and first assist in the operating room.

• 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

• 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

Combination of clinic, operating room, and hospital rounding. Full‑time position with shared call responsibilities (if applicable). Supportive, team‑based practice model.

Competitive salary and comprehensive benefits package.

• CME allowance and professional development support
• Retirement savings plan with employer match
• Paid malpractice coverage
• Generous paid time off (PTO)

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.