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

Orthopedic Spine Advanced Practice Provider (APP)

Organization: Carilion Clinic

Location: Roanoke, Virginia

About Carilion Clinic: 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.

Position Overview: 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.

Key Responsibilities:

• 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

Qualifications:

• 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

Work Environment & Schedule:

• Combination of clinic, OR, and hospital rounding
• Full-time position
• Shared call responsibilities (if applicable)
• Supportive, team-based practice model

Compensation & Benefits:

• Competitive salary and comprehensive benefits package
• CME allowance and professional development support
• Retirement savings plan with employer match
• Paid malpractice coverage
• Generous PTO

Why Roanoke? 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.

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