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Intraoperative Monitoring Jobs in Raleigh, NC (NOW HIRING)

... intraoperative monitoring. They would participate in the academic missions of education, research, quality improvement, and progress to leadership positions. Competitive candidates will have a track ...

Audiologist

Selma, NC

$35.87 - $51.57/hr

Performs electrophysiologic testing (ABR, ASSR, intraoperative monitoring). Performs newborn and pediatric hearing screenings, behavioral assessments (VRA, CPA), and age-approriate testing methods.

Performs electrophysiologic testing (ABR, ASSR, intraoperative monitoring). Performs newborn and pediatric hearing screenings, behavioral assessments (VRA, CPA), and age-appropriate testing methods.

Audiologist

Micro, NC

$35.87 - $51.57/hr

Performs electrophysiologic testing (ABR, ASSR, intraoperative monitoring). Performs newborn and pediatric hearing screenings, behavioral assessments (VRA, CPA), and age-approriate testing methods.

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Intraoperative Monitoring information

See Raleigh, NC salary details

$22.7K

$69.7K

$113.1K

How much do intraoperative monitoring jobs pay per year?

As of Sep 9, 2026, the average yearly pay for intraoperative monitoring in Raleigh, NC is $69,695.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,228.00 and $84,092.00 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.

What are popular job titles related to Intraoperative Monitoring jobs in Raleigh, NC?

For Intraoperative Monitoring jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Intraoperative Monitoring jobs in Raleigh, NC look for?

The top searched job categories for Intraoperative Monitoring jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Intraoperative Monitoring jobs?

Cities near Raleigh, NC with the most Intraoperative Monitoring job openings:

Infographic showing various Intraoperative Monitoring job openings in Raleigh, NC as of September 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $69,695 per year, or $33.5 per hour.

Intraoperative Neuromonitoring Technician

Durham, NC • On-site

Full-time

Re-posted 22 days ago


Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 256 frontline employees who took The Breakroom Quiz

344th of 898 rated healthcare providers


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.


Relocation Assistance is Provided!Location

Duke Hospital, 2301 Erwin Road, Durham, NC 27707

Work Hours
  • The work week for this position will be Monday - Friday, with 8 hour shifts, primarily 11am-7pm with various start times.
  • This position also requires rotational on call coverage after 3p.m. until 6a.m., Monday through Friday as well as 24-hour weekend coverage. You must understand that you may be required to work beyond your scheduled shift. This position is eligible for overtime and/or shift premiums according to Duke Policy.
  • This position may require travel to all three of the hospitals in the health system to monitor various surgical cases. Travel (mileage) will not be reimbursed. You may be compensated for you time if you are asked to transfer hospitals after reporting to your pre-assigned hospital for any given day. Your schedule will be predetermined in advance and may be adjusted as needed by clinical demand.
General Summary

Perform specialized and complex procedures involved in Intraoperative Neuromonitoring to obtain data for use in the diagnosis of clinical disorders of the nervous system.


Work Performed (Responsibilities)Level I
  • Assist in the collection and analysis of multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous system.

  • Apply extensive knowledge in anatomy and neurophysiology relative to the monitoring being performed.

  • Know and practice electrical safety relevant to equipment and type of monitoring performed.

  • Archive data.

Level II
  • Apply extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

  • Know and apply current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

  • Maintain continuing education requirements by ABRET to retain credentials.

  • Assess intraoperative procedures relative to orders for monitoring, taking action to address deviation from established practice protocols.

  • Perform duties according to established lab protocols for preoperative, intraoperative, and postoperative procedures.

  • Know and practice electrical safety relevant to equipment and type of monitoring performed.

  • Archive data.

  • Mentor IOM Trainee.

Level III
  • Apply extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

  • Know and apply current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

  • Perform all duties and responsibilities required for multi-modality monitoring.

  • Maintain continuing education requirements by ABRET to retain the CNIM credential.

  • Know and practice electrical safety relevant to equipment and type of monitoring performed.

  • Assess intraoperative procedures relative to orders for monitoring, taking action to address deviation from established practice protocols.

  • Archive data.

  • Develop lab protocols for preoperative, intraoperative, and postoperative procedures.


Level Characteristics
  • Level I (Trainee):Develops competency in and performs the basics of Intraoperative Neuromonitoring (IONM) testing and interventions under direct supervision. Requires 10 hours of CE and selects 2 choices for professional growth (e.g., member of national organization, committee work).

  • Level II (Non-Certified Technologist):Collects and analyzes (or oversees the collection/analysis of) multiple types of recordings and measurements. Can supervise an IONM Trainee. Requires 12 hours of CE and selects 3 choices for professional growth.

  • Level III (Certified Technologist):Collects and analyzes (or oversees the collection/analysis of) multiple types of recordings and measurements. Can supervise an IONM Trainee or Non-Certified Technologist. Requires 16 hours of CE and selects 4 choices for professional growth.


Minimum QualificationsEducation (All Levels)
  • Bachelor's degree in a biological science preferredOR

  • An Associate Degree in a biological science with an equivalent number of years of experience as a technician in a health care diagnostic procedure setting.

Experience
  • Level I:

    • With a Bachelor's Degree: No experience required.

    • With an Associate's Degree: 4 years of experience as a technician in a health care diagnostic procedure setting.

  • Level II:

    • 1 year of experience specifically in intraoperative neuromonitoring.

    • Proof of competency in modalities including: somatosensory evoked potentials, spontaneous and evoked electromyography, electroencephalography, and motor evoked potentials.

  • Level III:

    • 3 years of experience specifically in intraoperative neuromonitoring (with a minimum of two years as a non-certified IONM technologist and 6 months of IONM experience at Duke).

    • Proof of competency in all performed modalities, which may include: brainstem evoked potentials, monitoring deep brain stimulating electrode placement, brain function mapping, intracranial grid implantation, trans-cranial Doppler, trans-cranial motor evoked potentials, and direct stimulation of neural structures.

Degrees, Licensures, Certifications
  • Level I:None.

  • Level II:Registry in EEG or Registry in EP by ABRET, or RNCST, or RET (Canadian EEG registry) required.

  • Level III:Certification in neurophysiological intraoperative monitoring (CNIM) by ABRET required.


Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Employment Type: FULL_TIME

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