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Intraoperative Monitoring Jobs in Texas (NOW HIRING)

Le CYR Consulting

EMT/Paramedics

Houston, TX · On-site

$17.25 - $23.75/hr

Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long Term Monitoring Technologists (CLTM); Autonomic Testing Professionals (CAP) Minimum Qualifications: * Degree: Certificate.

Le CYR Consulting

EMT/Paramedics

Houston, TX · On-site

$17.25 - $23.75/hr

Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long Term Monitoring Technologists (CLTM); Autonomic Testing Professionals (CAP) Minimum Qualifications: * Degree: Certificate.

UMC Health System

IOM Apprentice - FT

Lubbock, TX · On-site

$13.75 - $17.75/hr

Job Summary The IOM Apprentice is responsible for accompanying the performance of intraoperative monitoring activities in accordance with the policies set by UMC Health System and the Neuro-monitory ...

NCS

Neurophysiologist (Austin, TX)

Austin, TX · On-site

As a Neurophysiologist at NuVasive Clinical Services, you'll provide intraoperative neuromonitoring during surgery by monitoring the patient's nervous system. A high standard of patient care is ...

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Intraoperative Monitoring information

See Texas salary details

$20.7K

$63.4K

$102.9K

How much do intraoperative monitoring jobs pay per year?

As of Aug 23, 2026, the average yearly pay for intraoperative monitoring in Texas is $63,411.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,609.00 and $76,510.00 per year, depending on experience, location, and employer.

What is intraoperative monitoring?

Intraoperative monitoring (IOM), also known as intraoperative neurophysiological monitoring, is a technique used during surgery to continuously assess the functional integrity of the nervous system. This process helps detect potential neurological injuries in real-time, allowing surgeons to prevent or minimize damage to the brain, spinal cord, or peripheral nerves. Specialists use various technologies, such as EEG, EMG, and evoked potentials, to monitor neural pathways. IOM is commonly used in spinal, brain, and certain vascular surgeries to enhance patient safety and improve surgical outcomes.

What are intraoperative monitoring jobs?

Intraoperative monitoring (IOM) jobs focus on using equipment to monitor various aspects of a patient during a surgical procedure. This frequently includes things like using a blood pressure cuff to measure their heart rate and using neuromonitoring equipment to ensure they remain sedated. Intraoperative monitors may alert surgeons to any change in a recording of evoked potentials, help determine the best monitoring techniques during each procedure, and coordinate with specialty care staff like anesthesiologists. Intraoperative monitors may work any shifts, day or night, and employers may ask you to work weekends or holidays as necessary. Companies often release new types of monitoring systems, so you may need to attend classes or seminars to learn how to use new equipment.

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

To thrive as an Intraoperative Monitoring Specialist, you need a solid background in neurophysiology, anatomy, and physiology, typically supported by a relevant bachelor's degree and, often, CNIM certification. Familiarity with specialized IOM equipment, EEG/EMG recording systems, and patient monitoring software is essential. Attention to detail, critical thinking, and effective communication with surgical teams are crucial soft skills in this role. These competencies are vital to ensure patient safety, provide real-time feedback during surgery, and support optimal surgical outcomes.

What are some common challenges faced by professionals in intraoperative monitoring, and how can they be managed?

Professionals in Intraoperative Monitoring (IOM) often face challenges such as maintaining clear communication with the surgical team, adapting quickly to unexpected changes during procedures, and ensuring accurate data interpretation under time pressure. Managing these challenges involves staying up-to-date with the latest neurophysiological techniques, participating in regular team briefings, and developing strong relationships with surgeons and anesthesiologists. Additionally, continuous professional development and certification can enhance confidence and expertise in handling complex cases.

What is the difference between Intraoperative Monitoring vs Neurodiagnostic Technologist?

AspectIntraoperative MonitoringNeurodiagnostic Technologist
CredentialsCertification in Intraoperative Monitoring (e.g., CIMA)Registered Neurodiagnostic Technologist (R. EEG T., R. EP T.)
Work EnvironmentOperating rooms during surgeries, hospitalsNeurology labs, hospitals, clinics
Industry UsagePrimarily in surgical settings for real-time neural monitoringDiagnostic testing and recording of neural activity

Intraoperative Monitoring and Neurodiagnostic Technologists both work with neural data, but Intraoperative Monitoring focuses on real-time neural monitoring during surgeries, requiring specific certifications and working mainly in operating rooms. Neurodiagnostic Technologists perform diagnostic tests in labs and clinics, with different certifications. While related, their roles differ in environment and purpose.

Is intraoperative monitoring a good career?

Intraoperative monitoring is a specialized healthcare role that involves observing patients' neurological functions during surgery to ensure safety. It requires certification, attention to detail, and the ability to work in a high-pressure environment, with job prospects generally stable due to ongoing demand in surgical settings.
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Intraoperative Monitoring jobs near you
Infographic showing various Intraoperative Monitoring job openings in Texas as of August 2026, with employment types broken down into 6% Internship, 14% As Needed, and 80% Full Time. Highlights an 100% In-person job distribution, with an average salary of $63,411 per year, or $30.5 per hour.

Certified IONM Surgical Neurophysiologist

US Neuro LLC

Austin, TX

Full-time

Medical, Dental, Vision, Retirement

Re-posted 12 days ago

Job description

Description

About US Neuro

US Neuro is a nationwide provider of intraoperative neurophysiologic monitoring (IONM) and EEG services. We work closely with leading hospitals and surgical teams to enhance patient safety during complex procedures. Our commitment to clinical quality, responsiveness, and collaboration has made us a trusted partner in neuromonitoring since 2005. 


Position Summary

We are seeking an experienced Surgical Neurophysiologist to join our growing clinical team. This role requires independent intraoperative monitoring across a variety of surgical procedures, including spine, craniotomy, ENT, and vascular cases. Candidates must be confident in managing complex cases and collaborating directly with surgeons, anesthesiologists, and supervising neurologists. 


Key Responsibilities

  • Independently perform multimodality IONM (SSEP, TcMEP, EMG, BAEP, cranial nerve monitoring, etc.) 
  • Operate, calibrate, and troubleshoot monitoring equipment in real time 
  • Identify and communicate significant waveform changes to surgical and anesthesia teams 
  • Document case findings accurately and in compliance with protocols 
  • Collaborate with remote or on-site neurologists for case oversight 
  • Mentor junior technologists as needed and support clinical education initiatives 

What We Offer

  • Competitive compensation and comprehensive benefits package (medical, dental, vision, 401k, etc.) 
  • Exposure to advanced neurosurgical procedures and complex case types 
  • Opportunities for professional growth, leadership, and clinical advancement 
  • Supportive, team-oriented environment focused on surgical outcomes and patient care 
  • Flexible scheduling with regional travel opportunities 

Requirements

  • CNIM certification preferred  
  • Minimum 2 years of independent IONM experience preferred 
  • Proficiency across multiple modalities including SSEPs, EMG, and MEPs 
  • Strong intraoperative communication and decision-making skills 
  • Ability to adapt quickly to different hospital systems, teams, and workflows 
  • Willingness to work early-morning and occasional after-hours case

Apply