Psychiatrist - Emergency Department in Roanoke, Virginia at Carilion Clinic

Emergency Psychiatrist

Carilion Clinic | Virginia Tech Carilion School of Medicine | Roanoke, Virginia

We accept J1 Visas

virtual or in-person positions available

Join a team led by one of the nation's most influential leaders in psychiatry. Dr. Robert Trestman, PhD, MD, Chair of Psychiatry and Behavioral Medicine at Carilion Clinic, is a nationally recognized psychiatrist whose impact spans clinical care, research, education, and healthcare policy. He has authored more than 180 publications, delivered over 250 invited talks, co-developed the internationally adopted START NOW psychotherapy program, and serves in prominent leadership roles with the American Psychiatric Association and the American Hospital Association. Joining Carilion means becoming part of a department guided by a thought leader helping shape the future of psychiatry.

If youre an experienced psychiatrist looking for a role that combines clinical impact, autonomy, long-term career growth, and a highly competitive compensation model, this opportunity is built for you. As an Emergency Psychiatrist, youll practice in a physician-led, patient-centered health system where your voice matters and your expertise directly shapes care delivery.

Why This Opportunity Stands Out

At Carilion Clinic, youre joining more than a health system, youre becoming part of a collaborative, physician-led organization that prioritizes clinical excellence and supports your professional judgment. In partnership with the Virginia Tech Carilion School of Medicine, youll also have access to an academic environment that encourages learning, teaching, and innovation.

This role offers the chance to:

Practice at the top of your license in a high-acuity, fast-paced emergency setting

Work within a physician-led culture that values collaboration, efficiency, and quality care

Engage with academic medicine, with opportunities to teach or mentor if desired

Newly Enhanced, ED-Aligned Compensation

Carilion Clinic is investing in emergency psychiatry with a compensation structure designed to recognize the pace, acuity, and specialized clinical judgment required in the emergency department.

ED physician-aligned base rate: Higher base hourly compensation commensurate with Emergency Department physicians

Substantial shift differentials: Additional compensation for weekend and weeknight coverage

Flexible practice model: Position may include virtual telepsychiatry coverage, with additional hourly incentive for in-person emergency department coverage

What This Role Offers You

Enhanced Compensation: Newly upgraded model with an ED physician-aligned hourly base rate and substantial weekend/weeknight shift differentials

Professional Growth: Deepen your expertise in emergency and acute psychiatry

Autonomy & Support: Practice independently within a strong, collaborative team

Academic Connection: Opportunities through the Virginia Tech Carilion School of Medicine

How You'll Make an Impact

Conduct psychiatric evaluations and risk assessments in the emergency department

Provide crisis intervention and stabilization

Collaborate with emergency medicine on treatment planning

Coordinate admissions, discharges, and referrals

Educate and support patients and families

Why Physicians Choose Roanoke

Roanoke offers a lifestyle thats hard to matchthe natural beauty of the Blue Ridge Mountains paired with the energy of a growing, vibrant community. Whether you enjoy hiking, biking, or simply unwinding outdoors, youll have easy access to some of the best recreation in the region.

At the same time, Roanoke provides:

A lower cost of living than many metro areas

A welcoming, family-friendly, community

A growing food, arts, and cultural scene

MD or DO from an accredited institution

Board certification or eligibility in Psychiatry

Experience in emergency psychiatry, crisis intervention, or similar settings