APP ( NP or PA) Pulmonary Critical Care - Nocturnist
Listed on 2026-09-27
-
Nursing
Nurse Practitioner, Advanced Practice Nurse/APRN
Employment Status:
Full time
Shift: Day (United States of America) Facility: 1906 Belleview Ave SE
- Roanoke
Requisition Number: R162346 APP ( NP or PA) Pulmonary Critical Care
- Nocturnist (Open)
How You’ll Help Transform Healthcare:
Nurse Practitioner or Physician Assistant – Pulmonary and Critical Care Nocturnist Carilion Clinic | Roanoke, Virginia Full-time | Rotating 7 p.m.–7 a.m. shifts Make a difference when it matters most. Carilion Clinic is seeking an experienced Nurse Practitioner or Physician Assistant to join our academic Pulmonary and Critical Care section in Roanoke, Virginia. This full-time night-shift opportunity is ideal for an APP who enjoys high-acuity medicine, values teamwork, and thrives in a dynamic hospital environment.
Our team provides care in two closed ICUs and pulmonary and critical care consultation to four additional ICUs. You will work alongside intensivists, residents, fellows, APPs, nurses, respiratory therapists, pharmacists, and other specialists to care for critically ill patients overnight.
- Assess and manage critically ill patients in our two closed ICUs and provide consultation to four additional ICUs.
- Participate in admissions, consultations, and ongoing ICU care.
- Develop treatment plans, evaluate changes in patient condition, and initiate appropriate interventions in collaboration with the care team.
- Order and interpret diagnostic testing, laboratory studies, and imaging.
- Perform procedures within your scope of practice, privileges, and demonstrated competencies.
- Collaborate with Pulmonary and Critical Care physicians, residents, fellows, and the multidisciplinary ICU team.
- Communicate with patients and families during complex and often challenging situations.
- Provide clear transitions of care and timely clinical documentation.
At Carilion Clinic, APPs are valued members of the clinical team. Our academic health system offers the resources and clinical complexity of a large medical center, with opportunities to work alongside residents and fellows and build meaningful relationships with colleagues and patients. Our compensation and benefits package may include:
Night-shift differential Competitive compensation Employer-funded pension plan CME funds and dedicated CME time Paid time off Annual merit review opportunities Relocation assistance, when applicable.
Qualified candidates will be licensed or eligible for licensure in Virginia as a Nurse Practitioner or Physician Assistant, hold appropriate national certification, and be eligible for medical staff credentialing and privileges. Experience in critical care, pulmonary medicine, hospital medicine, emergency medicine, or another high-acuity setting is preferred. We’re looking for an APP with sound clinical judgment who communicates clearly, works well across disciplines, and is comfortable practicing in an academic overnight environment.
BuildYour Career at Carilion Clinic
Carilion Clinic is a physician-led, integrated health system committed to clinical excellence, education, research, and improving the health of the communities we serve. Our Roanoke location offers the opportunity to practice complex medicine while enjoying life in Virginia’s Blue Ridge region.
What We RequireEducation: Graduate of an accredited School of Nursing and Nurse Practitioner program or an accredited Physician Assistant program required.
Experience: Minimum of 3 years of clinical experience preferred. Additional experience may be required based on specialty.
Licensure, Certification, and/or Registration: Licensed or eligible for licensure as an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) in the Commonwealth of Virginia. Nurse Practitioners must also…
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