65 nursing jobs in Salem, VA
Salem sits in Virginia's scenic Roanoke Valley, framed by the Blue Ridge Mountains. This small city blends college-town energy with quiet residential streets, offering nurses a relaxed pace of life plus easy access to outdoor recreation along the nearby Appalachian Trail.
Also hiring: Salem, OR (48) · Salem, NH (6)
Find a nursing job in Salem
Hiring here: Veterans Health Administration (29) · LewisGale Medical Center (17) · HealthTrust Workforce Solutions (4) · Mount Regis Center (4) · American Traveler (2) · Genie Healthcare (2)

LewisGale Medical Center
14 open roles · per diem & day shifts · Hospital
LewisGale Medical Center
14 open roles · per diem & day shifts · Hospital
- RN
- Per diem
- Compact license OK
- RN
- Per diem
- ADN accepted
- RN
- ADN accepted
- Tuition reimbursement
- RN
- Compact license OK
- ADN accepted
- RN
- ADN accepted
- Tuition reimbursement
- New grads welcomed
- RN
- ADN accepted
- RN
- Cardiac Catheterization Lab
- ADN accepted
- RN
- Per diem
- Compact license OK
- New grads welcomed
- RN
- Day shift
- New grads welcomed
- RN
- Per diem
- RN
- Per diem
- ADN accepted
- RN
- Per diem
- ADN accepted
- New grads welcomed
- RN
- ADN accepted
- RN
- Compact license OK
- ADN accepted
Nurse Practitioner or Physician Assistant
$100,000–$140,000/year
- NP
Pulmonary Renal Med Surg LPN
$23–$32/hr
- Sign-on bonus
- LPN/LVN
- Day shift
- Tuition reimbursement
Practice RN - Salem VelocityCare - FT
Posted last week
- RN
- Day shift
RN Inpatient Rehab Unit
$32–$48/hr
- Sign-on bonus
- RN
- Ratio 1:6
- 12-hour days
Advanced Practice Nurse (Certified Nurse Anesthetist) Intermittent
Posted last week
$202,000–$292,000/year
- New grads welcomed
- CRNA/APRN
- Day shift
- RN
- Night shift
- Travel contract
- RN
- 12-hour nights
- Travel contract
- RN
- 12-hour days
- Travel contract
Travel RN Mother Baby
$1,976–$2,080/week
- RN
- 12-hour nights
- Travel contract
- RN
- RN
- Day shift
- Travel contract
- RN
- 12-hour nights
- Agency contract
Travel RN - Rehab - In Patient
$1,930/week
- RN
- 12-hour days
- Travel contract
Advanced Practice Nurse (Nurse Practitioner) - Psychiatric Mental Health NP
$128,000–$191,000/year
- New grads welcomed
- NP
- RN
- Night shift
- Travel contract
- Sign-on bonus
- RN
- Night shift
Advanced Practice Nurse (Nurse Practitioner) - Urology
$128,000–$182,000/year
- New grads welcomed
- NP
- Day shift
- Travel contract
- RN
- Night shift
- Travel contract
Veterans Health Administration
9 open roles · day & rotating shifts
Veterans Health Administration
9 open roles · day & rotating shifts
- New grads welcomed
- CRNA
- Day shift
- Travel contract
- RN
- RN
- RN
Associate Director for Patient Care Service/ Nurse Executive
Salem, VA · Closes Mon
$183,000–$228,000/year
- RN
- LPN/LVN
- Day shift
- Tuition reimbursement
- New grads welcomed
- LPN/LVN
- 8-hour days
- New grads welcomed
- LPN/LVN
- 8-hour days
- New grads welcomed
- RN
- 7:00am-7:00pm alternating shifts, weekends, and holidays
Working and living in Salem
· 65 open roles
Living costs
- Median gross rent
- $1,133/mo
- Rent and tenant-paid utilities
- Median household income
- $66,725/yr
- All local households, not nurse pay
New to our board this week
4 current postings first appeared here in the past seven days.
Credentials accepted
- CRNA2
- NP3
- APRN1
- RN52
- LPN8
- LVN7
One posting may accept more than one credential.
Shifts listed
- Days24
- Nights9
- per-diem6
- Rotating4
- Evenings1
Postings may list several shifts or leave the shift unspecified.
Living in Salem
Salem is a small independent city on the west edge of the Roanoke Valley, between the Blue Ridge and Allegheny Mountains and less than five miles from Roanoke.
More about life hereShow less
CreditDonkey named it Virginia's best city to live in on crime, commute, income, education, and restaurants per capita; locals say homelessness that bothers Roanoke fades west of Lakeside Kroger on Main Street (U.S. 460 Business). Life clusters there: Mac and Bob's (calzones since 1980), Olde Salem Brewing downtown, Parkway Brewing on Kessler Mill Road, Longwood Park playgrounds and concerts, and the free Salem Museum in the Williams-Brown House.
Weekends default to McAfee Knob, Dixie Caverns, Smith Mountain Lake, and valley greenways. Tradeoffs: housing often costs more than Roanoke, Main Street congests from about 7 a.m. to 8 p.m., empty storefronts persist, and nights are restaurants, breweries, bowling, and high-school football in a conservative Championship City.
Compare Salem with Cave Spring or Hidden Valley/Keagy Road for a short-drive, tight-knit fit rather than urban variety.
Sources
Neighborhoods
Historic Downtown Salem along Main Street (U.S. 460 Business) is the walkable, tight-knit core where daily life clusters. Relocators routinely compare Salem with Cave Spring in Roanoke County; Reddit commenters pointed to streets near Keagy Road and Hidden Valley Country Club as a blend of both preferences.
Facebook locals grouped Salem west of Lakeside Kroger heading west on Main Street 460 Business with Hunting Hills, Bent Mountain, and Botetourt as calmer family pockets with little visible homelessness versus Roanoke City. A 2020 house-hunting tour walks five unnamed Salem subdivisions as the usual targets for community, downtown access, and outdoor amenities.
Sources
Housing
Reviewers split on price: one current resident called Salem housing astronomically more expensive than Roanoke less than five miles away, while a former resident listed affordable housing as a plus. Empty commercial buildings in prime locations are a repeated complaint.
House hunters are pointed to Salem subdivisions and downtown-adjacent streets; Cave Spring and the Keagy Road/Hidden Valley Country Club area are the Roanoke County alternatives people weigh for a similar family feel. No source quotes actual rents or sale prices.
Sources
Getting around
CreditDonkey ranked Salem among Virginia cities with the shortest average commute times. Niche residents say that in practice everything funnels onto Main Street, which they call congested from about 7 a.m. through 8 p.m. because it is the main thoroughfare across town.
Salem sits less than five miles from Roanoke, so many workers treat the valley as one short-drive labor market rather than a long highway commute. Sources do not name hospital-specific routes, transit lines, or parking conditions.
Sources
Food and dining
Mac and Bob's on East Main Street, open since 1980, is the Salem institution for large calzones, pub-style comfort food, and beers on tap. Macado's on Apperson Drive is the casual sandwich, wrap, and burger stop with quirky décor.
Downtown, Olde Salem Brewing Company occupies a historic Main Street building and is known for Hazy IPA, Kolsch, seasonal stouts, trivia, and live music; Parkway Brewing Company on Kessler Mill Road pours Get Bent IPA and Raven's Roost Baltic Porter with food trucks, live music, and an outdoor patio. The city describes a mix of casual eateries, destination dining, and breweries, while residents still want more shops filling empty Main Street buildings.
A short hop into downtown Roanoke adds locally driven rooms such as Fortunato, Lucky, and Sidecar.
Sources
Outdoors
Salem sits between the Allegheny and Blue Ridge Mountains, and residents treat hiking and park time as default recreation. Longwood Park on West Main Street has shaded trails, playgrounds, picnic areas, community concerts, and seasonal festivals.
Named nearby draws include McAfee Knob, Dixie Caverns, Natural Bridge, Smith Mountain Lake, Roaring Run Falls, and the Roanoke Star. The Roanoke River Greenway ties many valley neighborhoods together as a shared outdoor corridor.
Arts and culture
Salem brands itself Virginia's Championship City, with the Salem Civic Center and the Salem Fair as civic anchors and a high-school-football-centric social calendar. The Salem Museum and Historical Society in the downtown Williams-Brown House covers Civil War and Roanoke Valley history and is free to the public.
Olde Salem Brewing and Parkway Brewing host trivia, live music, and community nights. Historic Downtown Salem's Main Street is a regular stroll; nearby Roanoke adds the Taubman Museum of Art, Historic City Market, Elmwood Park events such as Festival in the Park, and the Virginia Museum of Transportation.
Seasons and weather
Sources say little season by season. A current Niche resident described the weather as usually mild and recommended the area on that basis.
Outdoor life at Longwood Park, on mountain trails, and at Smith Mountain Lake is presented as a year-round reason people stay, with Blue Ridge and Allegheny views as the backdrop. Newcomers will not find sourced detail here on summer humidity, winter snow totals, or fall foliage timing.
Sources
For families
Facebook threads asking for the best family areas in the Roanoke Valley often put Salem—especially west of Lakeside Kroger on Main Street 460 Business—alongside Hunting Hills, Bent Mountain, and Botetourt as quieter choices versus Roanoke City. Niche reviewers give Salem high marks for education but note a football-centric school culture.
Residents describe feeling safe and a small-town family texture; Longwood Park's playgrounds, picnic areas, and community concerts are the named kid-friendly hangouts.
Sources
What locals say
Niche rates Salem 3.94 out of 5 from 106 reviews: people cite mountain views, outdoor access, a small-town feel, friendly neighbors, and feeling safe with a low threat. The same reviews complain that housing costs more than nearby Roanoke, Main Street traffic is heavy, empty buildings sit in prime spots, and evenings amount to restaurants, outdoors, bowling, and high-school football.
Some former residents call the culture conservative and unwelcoming if you fall outside a traditional mold. Roanoke-area Facebook and Reddit posts praise the people but flag homelessness, drugs, and crime in the city; one commenter said those issues are not visible in Salem west of Lakeside Kroger.