Employment Status: Full time | Shift: Day/Evening/Night (United States of America) | Facility: 1906 Belleview Ave SE - Roanoke | Requisition Number: R | APP (NP or PA) – Cardiothoracic Surgery (Open) Overview 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 Bronchoscopy Central venous catheter placement Arterial line insertion Chest tube management Patient Experience & Quality of Care Optimize patient experience, satisfaction, and clinical outcomes Deliver high-quality, evidence-based perioperative care Diagnostic & Clinical Decision-Making: Order and interpret relevant diagnostic studies and 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 with 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, and committed to teamwork, clinical excellence, and continuous professional growth. Requirements Education: Graduate of an Accredited Nurse Practitioner or Physician Assistant program Experience: 0 years Licensure/Certification: Current state Licensed Nurse Practitioner (NP) and RN licensure required or Physician Assistant (PA) with 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, possess good written and oral communication skills, and have computer literacy for automated computer systems, including electronic medical records. Benefits 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 wellness centers Access to our health and wellness app, Virgin Pulse Discounts on childcare Continued education and training Equal Opportunity & Workplace Policies 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 veteran status. Carilion is a Drug‑Free Workplace. #J-18808-Ljbffr