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$26K

$54.6K

$93K

How much do intraoperative monitoring tech jobs pay per year?

As of Aug 21, 2026, the average yearly pay for intraoperative monitoring tech in the United States is $54,605.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $60,500.00 per year, depending on experience, location, and employer.

What is an intraoperative monitoring tech?

An Intraoperative Monitoring Tech, also known as an IOM technologist or neurophysiological intraoperative monitoring (NIOM) technologist, is a healthcare professional who monitors the nervous system during surgeries to help prevent neurological damage. They use specialized equipment to record and interpret electrical signals from the brain, spinal cord, and nerves in real-time while a patient is under anesthesia. Their work assists surgeons by providing critical information that helps protect a patient's neurological function during high-risk procedures.

What are the key skills and qualifications needed to thrive as an intraoperative monitoring tech?

To thrive as an Intraoperative Monitoring Tech, you need a solid background in neurophysiology or a related health science, often supported by a degree and CNIM certification. Familiarity with intraoperative neurophysiological monitoring (IONM) equipment, EEG, EMG, and specialized software is typically required. Attention to detail, effective communication, and the ability to remain calm under pressure are crucial soft skills in this role. These skills are vital for accurately monitoring patients' neurological status during surgery, ensuring patient safety, and supporting the surgical team’s decision-making.

What are some common challenges faced by intraoperative monitoring techs during surgical procedures?

Intraoperative Monitoring Techs often encounter the challenge of maintaining accurate and reliable readings in a dynamic surgical environment, where movement, equipment interference, and patient variability can affect data quality. They must remain focused and adapt quickly to changes in surgical plans or patient status, often communicating findings in real-time to surgeons and anesthesiologists. Building strong collaboration with the surgical team and staying current with technological advances are essential for success in this fast-paced role.

What is the difference between Intraoperative Monitoring Tech vs EEG Technician?

AspectIntraoperative Monitoring TechEEG Technician
CredentialsCertification in neurodiagnostic technology, often ABRET-certifiedEEG certification, such as R.EEG T or equivalent
Work EnvironmentOperating rooms during surgeries, hospitalsElectroencephalogram labs, hospitals, clinics
Employer & IndustryHospitals, surgical centers, neurology clinicsHospitals, outpatient clinics, neurology practices
Common Search/ComparisonIntraoperative Monitoring Tech vs EEG Technician

The main difference between an Intraoperative Monitoring Tech and an EEG Technician lies in their work focus. Intraoperative Monitoring Techs specialize in real-time neural monitoring during surgeries, requiring specific certifications and working primarily in operating rooms. EEG Technicians focus on recording and analyzing brain wave activity in outpatient or hospital settings. Both roles require neurodiagnostic credentials but serve different clinical purposes and environments.

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Intraoperative Monitoring Tech jobs near you
Infographic showing various Intraoperative Monitoring Tech job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 10% Part Time, and 5% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $54,605 per year, or $26.3 per hour.

Intraoperative Monitoring Tech (CNIM)

Advocate Aurora Health

Park Ridge, IL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Advocate Aurora Health rating

7.7

Company rating: 7.7 out of 10

Based on 779 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

Department:
37104 Advocate Lutheran General Hospital - Neurology: EEG
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
40 hours, Typically 1st shift with various shifts possible, on-call coverage required
Pay Range:
$35.50 - $53.25
$5,000 SIGN-ON BONUS!(Half paid at 90 days and half at 1 year in the position).
$2,500 EMPLOYEE REFERRAL BONUS!
Major Responsibilities:
Direct Patient Care - Intraoperative Monitoring
  • Performs intraoperative neurophysiologic monitoring which may include: Electromyography (EMG) and Triggered Electromyography; Brainstem Auditory Evoked Potentials (BAEP); Direct Cortical Stimulation (DCS) ; Electroencephalography (EEG); Somatosensory Evoked Potentials (SSEP); Transcranial Motor Evoked Potentials (TcMEP); Facial Nerve Monitoring; Electrocorticography (ECoG); Topographic Brain Mapping based on site specific needs
  • Provides real-time waveform descriptions and alerts over-site physicians, surgeons and anesthesiologists to changes in waveform data.
  • Delivers technical interpretation and documentation for each procedure with minimal supervision.
  • Maintains accurate records and reviews patient history to optimize monitoring procedures.
  • Ensures personalized, patient-centered service in all interactions.
Training and Education
  • Participation in training and education programs for departmental staff
  • Provides one-on-one teaching, supervision, and on-the-job demonstrations for trainee-level staff.
  • Educates patients and families on procedures, ensuring age-appropriate and developmentally suitable communication.
Departmental Quality Activities
  • Assists in billing for IOM services and reporting case studies to support program growth.
  • Assists in developing clinical guidelines, outcome measures, credentialing, and organizational policies and procedures.
  • Contributes to Continuous Quality Improvement (CQI) initiatives, including data gathering and process enhancement.
Technical Resource Activities
  • Serves as a technical resource for clinicians and staff regarding electro-neurophysiologic procedures.
  • Completes special projects efficiently as assigned.
Communication and Teamwork
  • Works and collaborates with a multidisciplinary team, including neurophysiologists and remote neurologists, for real-time oversight.
  • Assesses technical skills of teammates during training and assists in determining their readiness for IOM procedures.
  • Fosters strong relationships with OR staff, surgeons, anesthesiologists, and other team members.
  • Contributes to program proposals and evaluations of new test procedures and equipment.
  • Engages in co-worker feedback programs, providing and accepting constructive feedback.
  • Resolves patient care issues proactively, escalating unresolved matters to appropriate sources.
Scheduling
  • Assists in coordinating IOM procedure scheduling across departments, physician offices, and operating rooms, ensuring availability of equipment and supplies.
Licensure, Registration, and/or Certification Required:
  • ABRET Certification in Neurophysiologic Intraoperative Monitoring (CNIM) must be held or obtained within 18 months from date of hire.
Education Required:
  • High School Graduate.
Experience Required:
  • A minimum of one year experience performing intraoperative monitoring procedures in an OR environment and a minimum of 3 years' experience in routine END procedures preferred. Relevant experience within neurodiagnostic field can be substituted for OR environment experience and can be evaluated on an individual basis at the discretion of department director and physician leader.
Knowledge, Skills & Abilities Required:
  • Excellent interpersonal and patient service skills.
  • Intermediate computer skills.
  • Expertise in performing intraoperative monitoring in high-risk, fast-paced operating room environments using advanced systems like Cadwell studio
  • Knowledgeable of sterile field technique and operating room infection prevention standards
  • Proficient in computer skills related to neurophysiologic monitoring and documentation.
  • Ability to provide technical interpretation and clinical correlation of procedure results.
  • Strong interpersonal and communication skills to collaborate with multidisciplinary teams.
  • Demonstrated ability to contribute to CQI processes and program development.
  • Commitment to teamwork and patient-centered care.
Physical Requirements and Working Conditions:
  • Ability to operate all equipment necessary to perform the job.
  • Must sit, stand, lift, twist, and walk throughout the workday across hospital units, including Operating Rooms (OR), Interventional Radiology (IR), and Ambulatory Surgical Environments (ASE).
Must be able to:
  • Lift up to 35 pounds without assistance; use patient handling equipment for lifts over 35 pounds or when patients cannot assist, with support from another associate.
  • Unique patient lifting/movement situations assessed case-by-case.
  • Perform a sliding transfer of 150 lbs. with a second person present.
  • Work environment may contain potential for exposure to blood and body fluids or other unpleasant fumes or hazards and, therefore, must have ability to work in that type of environment and wear protective clothing as necessary.
  • Potential exposure to life-threatening diseases and hazardous materials.
  • Exposure to sharp instruments (EMG needles).
  • Operates all equipment necessary to perform the job.
  • Exposed to normal office environment.
  • Ability to work with diverse patient populations, including all age groups and those with disabilities.
  • Flexible schedule with extended hours, including 24-hour on-call rotation and occasional weekend shifts
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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About Advocate Health

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Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

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