APP ( NP or PA Surgery First Assist - Ortho Spine

Job Title

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

Full Time – Day/Evening/Night shift – United States of America – 2900 Lamb Cir, Christiansburg CP01 Carilion Medical Center – Requisition No. R158475

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.

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.

• 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, OR, and hospital rounding
• Full‑time position
• 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 PTO

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.

Recruiter: KARYN FARRELL

Recruiter Email: kbfarrell

Recruiter Phone:

For more information, contact the HR Service Center at

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://(Use the "Apply for this Job" box below).-policies

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.

• Comprehensive Medical, Dental, & Vision Benefits
• Employer‑Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• On‑site fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training

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