Carilion Clinic
Health system in Roanoke, VA
- $45k–$115k/yr posted pay across 12 roles
- Sign-on bonus up to $30,000 on 4 roles
- Hiring days and nights
- New grads welcome on 10 roles
From 16 postings and nurse reviews · Employer research Sep 17, 2026Sources
The short version
Posted nursing pay here spans a wide band — $21.61 an hour for an outpatient LPN role up to $55.31 for EP Lab and lactation consultant work — so where you land depends heavily on unit and specialty.
Employer research, Sep 17, 2026
Experienced RNs joining the Medical Care unit at the Christiansburg hospital have a posted sign-on bonus of $15,000.
For experienced nursesSources
As of 2026-09-17Source: indeed.comNew grad RNs on the same Medical Care unit have a posted $10,000 sign-on bonus, so you are not starting from zero.
For new gradsSources
As of 2026-09-17Source: indeed.comPosted RN I, Trauma PCU, Cardiac PCU and OR base rates run from $33.52 to $50.28 an hour, so the range widens with experience and specialty.
For experienced nursesSources
As of 2026-09-17Source: indeed.com
Who it fits
Best fit
- New grads: 10 of 16 roles welcome new grads
Nursing here
Benefits
An employer-funded pension plan, plus posted sign-on bonuses that reach $30,000 for EP Lab and CVT roles in Roanoke.
Published pay and benefits
- Hourly pay
Registered Nurse (RN - Medical Care) at CNRVMC Christiansburg
As of 2026-09-17
Sources
- Hourly pay
RN - EP Lab Tech / Lactation Consultant range min
As of 2026-09-17
Sources
- Hourly pay
RN - EP Lab Tech / Lactation Consultant range max
As of 2026-09-17
Sources
- Hourly pay
RN I / Trauma PCU / Cardiac PCU / OR range min
As of 2026-09-17
Sources
- Hourly pay
RN I / Trauma PCU / Cardiac PCU / OR range max
As of 2026-09-17
Sources
- Hourly pay
RN Team Lead - Practice - Cardiology range min
As of 2026-09-17
Sources
- Hourly pay
RN Team Lead - Practice - Cardiology range max
As of 2026-09-17
Sources
- Hourly pay
LPN Outpatient Christiansburg range min
As of 2026-09-17
Sources
- Hourly pay
LPN Outpatient Christiansburg range max
As of 2026-09-17
Sources
- Sign-on bonus
$30,000.00
RN - EP Lab Tech / CVT in Roanoke
As of 2026-09-15
- Sign-on bonus
$15,000.00
Experienced RNs on Medical Care unit at CNRVMC Christiansburg
As of 2026-09-17
Sources
- Sign-on bonus
$10,000.00
New grad RNs on Medical Care unit at CNRVMC Christiansburg
As of 2026-09-17
Sources
- Relocation
$5,000.00
Dietary and entry healthcare relocation benefits
As of 2026-09-17
Sources
Units hiring now
Workplace photos
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Compensation and Wage Compression
- Staff frequently report pay is low compared to other regional systems, with experienced RNs noting compression where their pay is close to new grad offers.
Sources
- PTO Usage on Holidays
- Staff note that clinics require employees to use personal PTO to receive pay when closed on major holidays.
Sources
As of 2026-08-12Source: glassdoor.com- Team Camaraderie and Pension
- Employees praise coworker collaboration and appreciate having an employer-funded pension plan.
Sources
As of 2026-09-03Source: glassdoor.com
The hard parts
Staff reviews repeatedly say pay trails other regional systems, and experienced RNs describe their rate sitting uncomfortably close to what new grads are offered.
Sources
What to ask
- How is base pay set for the role, and which differentials apply?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What is the usual patient load, and how often do nurses float?
- Which hospital or site, and which unit, would I work on?
Living in Roanoke, VA
Nestled in the Blue Ridge Mountains beneath the iconic Mill Mountain Star, Roanoke pairs clinical career growth with immediate access to the Roanoke River Greenway. Shifts give way to mountain trailheads, while a cost of living about 6% below the national average ensures your nursing paycheck delivers real breathing room.
Browse roles in Roanoke- Metro price level · Roanoke area
- 6% below the national average
- BEA index 93.6 (100 = national)
- Median gross rent
- $996/mo
- rent and tenant-paid utilities
- Median household income
- $55,378/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Common questions
Does Carilion Clinic hire new grads?
10 of 16 roles welcome new grads.
Is there a sign-on bonus?
Yes, on 4 of 16 roles, up to $30,000.
Which shifts are open?
Of the 16 roles with a stated shift, 6 are day shifts, 6 are night shifts, 3 are rotating shifts and 1 is an evening shift.
Which units are hiring?
OR (2), rehab (2), bariatric surgery (1), EP lab (1) and more.
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Carilion Clinic, and we tell you what happens next.
Roles from Carilion Clinic
- RN
- Day shift
- RN
- Rotating shift
- RN
- Night shift
- Travel contract
- RN
- Day shift
- New grads welcomed
- RN
- Working nights 7pm-7am with every other weekend and rotating holidays.
- New grads welcomed
- RN
- Any Day, Any Shift
- Sign-on bonus
- RN
- Night shift
- New grads welcomed
- Sign-on bonus
- RN
- 12-hour nights
- New grads welcomed
- Sign-on bonus
- RN
- Evening/Night with rotating weekends and holidays.
- New grads welcomed
- New grads welcomed
- RN
- Monday-Friday 8a-5p
- New grads welcomed
- RN
- Night shift
RN - Ortho and Trauma
$34–$50
- RN
- Day/Evening/Night (United States of America)
- New grads welcomed
- RN
- Day/Evening (United States of America)
RN - EP Lab Tech
$37–$55/hr
- Sign-on bonus
- RN
- Day shift
RN - Trauma PCU
$34–$50
- New grads welcomed
- RN
- Rotating shift
LPN Outpatient
$22–$30/hr
- New grads welcomed
- LPN
- Day shift
Sources
- facebook.com/groups/1115795212736192/posts/1595178144797894
Nursing here · as of 2026-09-17
- glassdoor.com/Reviews/Carilion-Clinic-Reviews-E4669.htm
What nurses say, The hard parts · as of 2026
- glassdoor.com/Reviews/Carilion-Clinic-Registered-Nurse-Reviews-EI_IE4669.0,15_KO16,32.htm
What nurses say, The hard parts · as of 2026
- indeed.com/cmp/Carilion-Clinic/spotlight/Nursing-sp-ecf476c0d2072feb
The short version, Nursing here · as of 2026-09-17
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