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Emergency Psychiatry Physician Nocturnist

Carilion Clinic · Roanoke, VA

Posted July 2, 2026

Carilion Roanoke Memorial Hospital · 1906 Belleview Avenue Southeast, Roanoke, VA, US, 24014

Job Description

Historical averages of Tier 1 and Tier 2 bonus earnings are included in the maximum salary. In addition, comprehensive benefits and pension offerings further enhance the overall rewards package.

Health/Vision with Wellness Incentives and Pharmacy

Retirement Savings Plans - 403(b) and Deferred Compensation

Emergency Psychiatry Physician – Nocturnist

Carilion Clinic and the Virginia Tech Carilion School of Medicine, Roanoke Virginia

3 12-hour shifts, plus 4 hours of administrative/research time

Salary Range is $301,875.00 - $450,000.00

Carilion Clinic and the Virginia Tech Carilion School of Medicine are seeking a full time Emergency Psychiatry Physician Nocturnist in the Carilion Roanoke Memorial Hospital Emergency Department. The Emergency Psychiatry Physician Nocturnist will be responsible for assessing patients of all ages who present to the ED with psychiatric illnesses. The physician will work closely with a multidisciplinary team including Advance Care Providers, learners such as residents and students and other clinicians to assess and care for patients in the ED. The physician may also provide consult liaison support to the general hospital in the event of a psychiatric emergency. The physician serves a vital role in providing psychiatric care in our fast-paced ED environment.

The position includes an academic appointment at the Virginia Tech Carilion School of Medicine.

Carilion Clinic is the largest not-for-profit integrated health system in western Virginia, the Shenandoah Valley, and surrounding regions, serving 1 million people. Carilion Clinic includes seven hospitals, 240+ practice locations, and 29 GME programs with 800+ physicians in over 78+ specialties. Carilion is a physician-led, collaborative, interdisciplinary Integrated Healthcare Delivery System with a common philosophy of patients first.

Roanoke is a multicultural metropolitan area of over 300,000 people, located at the southern tip of Virginia's spectacular Shenandoah Valley, surrounded by the beautiful Blue Ridge Mountains and the stunning 22,000-acre Smith Mountain Lake. The area offers exceptional outdoor activities but also extensive sports and cultural activities from fine dining to multiple musical venues and playhouses, to symphonies, opera, and ballets. Access to major air travel hubs is convenient through the Roanoke Blacksburg Regional Airport. The weather features mild winters, an abundance of sunshine, and extended spring and autumn seasons. The region features highly ranked schools and universities and has been coined “the best kept secret in the east.”

One of the largest hospitals in the state, Carilion Roanoke Memorial Hospital (CRMH) is a 703-bed hospital with an additional 60-bed Neonatal Intensive Care Unit. The facility recently completed a large expansion project, adding a new Emergency Department, Labor and Delivery unit and the Carilion Clinic Children's Hospital complete with a Pediatric Emergency Room. Now in it's second century of providing premiere healthcare services, CRMH also features a Level I trauma center. In addition to offering high-tech services, the hospital is home to 30 Graduate Medical Education Programs affiliated with Virginia Tech Carilion School of Medicine and Virginia College of Osteopathic Medicine. Patients have access to nearby specialty clinics, family medical centers, and a host of personalized treatment options, making this the region's most comprehensive group of healthcare providers.

Offer Details

Salary Range: $301,875.00 – $450,000.00

Incentive Pay: Two tier bonus plan

Signing Bonus: Yes

Student Loan Forgiveness: available

Relocation: Allowance

Vacation: Paid time off included

CME: Allowance included

Employer

Carilion Clinic

Carilion Clinic is a multi-specialty, physician-led healthcare organization based in Roanoke, Virginia. Carilion Clinic is committed to patient-centered care, education and research, supported by an ongoing commitment to quality and service. With nationally recognized specialists, primary care physicians, award-winning nurses and the latest technology and state-of-the-art facilities, Carilion Clinic is bringing tomorrow's healthcare into focus today.

Carilion Clinic offers the region's only Level 1 trauma center (with Life Guard emergency transport helicopters) and neonatal and pediatric intensive care units. As one of the largest hospitals in the state of Virginia, the 825-bed facility located in Roanoke recently completed a large expansion project, adding a new Emergency Department, Labor and Delivery unit, and the Carilion Clinic Children's Hospital, complete with a Pediatric Emergency Room.

Carilion Clinic is a physician-led healthcare organization with more than 500 physicians in a multi-specialty group practice and eight not-for-profit hospitals. With a focus on patients – from access, to diagnosis, to timely treatment – Carilion's physicians, facilities and technology are aligned with a common goal of improving the health of its community. Carilion Clinic’s Department of Graduate Medical Education currently supports residency training in family medicine, internal medicine, obstetrics and gynecology, psychiatry, general surgery, neurological surgery, and a transitional year. Carilion also sponsors fellowship training in child and adolescent psychiatry, geriatric medicine and geriatric psychiatry. In addition, Carilion Clinic is actively engaged in the planning and development of new residency programs in emergency medicine and pediatrics, as well as fellowship programs in pulmonary and critical care, infectious diseases, and cardiology.

Virginia Tech and Carilion Clinic are bringing together the power of research, innovation and medicine to create the Virginia Tech Carilion School of Medicine (VTC) and the Virginia Tech Carilion Research Institute. The school and research institute will capitalize on Virginia Tech's world-class strength in basic sciences, bioinformatics and engineering. They will also utilize Carilion's excellent physicians and rich history in medical education to train the next generation of physician leaders. The charter class is planned for August 2010.

Livability

214,019
Roanoke population
$238K
Avg 3-bedroom home
68° / 51°
Avg high / low
Nearby cities
Lynchburg
41.5 mi
Pop. 123,662
Blacksburg
28.3 mi
Pop. 71,014
Cave Spring
5.2 mi
Pop. 26,014
Source: US Census Bureau
Annual family budget — Roanoke County
—
Housing, food, transport, healthcare, childcare & taxes for a typical family
$238K
Avg 3-bedroom home
$1,310
Avg monthly rent
Source: EPI Family Budget Calculator
Source: Zillow
68° / 51°
Avg high / low
62.76 in
Yearly rainfall
169
Sunny days / yr
Source: WeatherAPI.com
Population — ZIP 24014
15,630
Total residents
7,319
Male residents
8,311
Female residents
Age distribution
total
15,630
0-9
1,420
10-19
1,294
20-29
1,766
30-39
1,913
40-49
1,734
50-59
2,767
60-69
2,142
70-79
1,835
80+
759
Ethnicity
White
13,527
Black Or African American
887
American Indian Or Alaskan Native
0
Asian
224
Native Hawaiian Or Other Pacific Islander
0
Other
80
Two Or More
912
Source: US Census Bureau
1
Walk Score — Car-Dependent
Source: WalkScore.com
Nearby airports
Raleigh Durham International Airport (RDU) 112.07 mi
Roanoke–Blacksburg Regional Airport (ROA) 7.80 mi
Lynchburg Regional Airport - Preston Glenn Field (LYH) 39.81 mi
Greenbrier Valley Airport (LWB) 51.29 mi
Raleigh County Memorial Airport (BKW) 76.96 mi
Piedmont Triad International Airport (GSO) 77.85 mi
Source: FAA database