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Intraoperative Monitoring Jobs in Raleigh, NC (NOW HIRING)

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Intraoperative Monitoring information

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$22.7K

$69.7K

$113.1K

How much do intraoperative monitoring jobs pay per year?

As of Aug 16, 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, offering steady employment and opportunities for advancement in medical 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 August 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.

MRI Supervisor-4/10 hr shifts-Sat/Sun/Mon/Wed-10:30am-9pm

Duke University

Durham, NC • On-site

Full-time

Re-posted 9 days ago


Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

486th of 618 rated colleges and universities


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.

MRI Supervisor - 4/10 Hour shifts-Sat/Sun/Mon/Wed -10:30am-9pmPosition Summary
  • The MRI Supervisor provides front-line operational, clinical, and people leadership for MRI services at Duke University Hospital, including the Duke Medicine Pavilion, Duke Cancer Center, Duke North, intraoperative MRI, and Southpoint Imaging Services.
  • This role serves as a real-time operational leader, ensuring safe, efficient, and patient-centered MRI operations across multiple sites.
  • Key responsibilities include daily throughput oversight for the weekend MRI operation, staff supervision, MRI safety leadership, clinical protocol support, and escalation management in a high-acuity environment.
  • The position includes approximately 50% direct patient care, participation in an on-call rotation, and periodic off-hours, weekend, and urgent operational support.
  • This role reports to the Chief Technologist.
Essential Duties and ResponsibilitiesOperational Leadership & Throughput
  • Lead daily operational (Tier I) huddles to assess readiness, staffing, access, and risk.
  • Monitor MRI workflow in real time and address disruptions related to staffing, equipment, scheduling, or patient acuity.
  • Coordinate add-ons, reschedules, and access adjustments to optimize scanner utilization while maintaining safety.
  • Serve as the escalation point for time-sensitive operational issues across MRI locations and shifts.
  • Ensure MRI environments are operationally ready, including supplies, access control, and environmental safety.
  • Provide visible, front-line leadership during peak hours, trauma activations, inpatient surges, and off-hours coverage.
  • Model professional practice standards, accountability, and Duke Health values in daily operations.
Staff Supervision & Workforce Management
  • Provide direct supervision of MRI technologists, MRI gatekeepers, MR Safety Officers/device coordinators, apprentices, and support staff.
  • Manage daily staffing coverage, call-outs, shift coordination and step in for resource coverage as needed.
  • Oversee onboarding, competency validation, performance evaluations, and professional development.
  • Support hiring, interviews, and onboarding of new staff.
  • Partner with the Chief Technologist on performance improvement, corrective action, and succession planning.
  • Conduct staff rounding, feedback, and check-ins to support engagement, retention, and psychological safety.
  • Lead and support Duke culture pulse survey initiatives to improve engagement and outcomes.
Clinical Operations & Protocol Support
  • Serve as a clinical resource for MRI protocols, contrast administration, and complex patient considerations for the Health System.
  • Collaborate with radiologists, physicists, anesthesia, nursing, and referring providers to resolve protocol and workflow issues.
  • Support imaging of complex and high-risk populations, including sedation, anesthesia, pediatric, implant, intraoperative, research, and specialty MRI procedures such as MRI Guided Focused Ultrasound treatments and biopsies.
  • Ensure clinical decisions align with approved protocols, MRI safety standards, and institutional policy.
MRI Safety, Quality & Compliance
  • Serve as MRI Safety Officer (or designee), performing MRI risk assessment, ensuring compliance with MRI safety zones, access control, and training.
  • Act as first-line owner for MRI-related safety events, near misses, and patient complaints, including initial review and follow-up coordination.
  • Participate in safety huddles, audits, and quality improvement initiatives.
  • Support MRI Safety Council activities and policy review in collaboration with Chief Technologist and Radiology leadership.
Accreditation, Regulatory & Equipment Oversight
  • Work closely with MR Physicist to ensure compliance with ACR accreditation standards and Joint Commission imaging safety requirements.
  • Maintain readiness for regulatory surveys through consistent adherence to policies, competencies, and safety practices.
  • Ensure annual MRI safety education, emergency preparedness, and documentation are completed.
  • Coordinate MRI equipment maintenance, service, upgrades, and downtime with vendors and biomedical engineering.
  • Support implementation of new technologies, software, and workflow enhancements.
  • Maintain accurate and uptodate employee records in compliance with HR requirements, including licensure, certification, and mandatory training.

Minimum Qualifications

Education

Work requires required registry/certification in applicable imaging modality - American Registry of Radiologic Technologist (ARRT) registry or American Registry of Diagnostic Medical Sonographers (ARDMS) or Nuclear Medicine Technologist Certification Board (NMTCB).

Experience

Four years of experience in an imaging modality (Radiologic Tech, MR, CT, Mammography, Nuclear Medicine, Sonography, Interventional Radiology) is required. Two years of team leader or applicable supervisory experience is preferred.

Degrees, Licensures, Certifications

Certification as prescribed by ARRT, ARDMS/CCI, and/or NMTCB. BLS certification


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.



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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US