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Intraoperative Monitoring Jobs (NOW HIRING)

MUSC

IONM Specialist II PRN

Charleston, SC · On-site

Must have a Certification in Neurophysiologic Intraoperative Monitoring (CNIM) and a minimum of 1 year experience in Intraoperative monitoring and competency in performing multi-modality complex ...

MUSC

IONM Specialist II PRN

Charleston, SC · On-site

Must have a Certification in Neurophysiologic Intraoperative Monitoring (CNIM) and a minimum of 1 year experience in Intraoperative monitoring and competency in performing multi-modality complex ...

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Intraoperative Monitoring information

See salary details

$23.5K

$72.1K

$117K

How much do intraoperative monitoring jobs pay per year?

As of Sep 12, 2026, the average yearly pay for intraoperative monitoring in the United States is $72,104.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,000.00 and $87,000.00 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 the United States as of September 2026, with employment types broken down into 1% As Needed, 85% Full Time, 10% Part Time, and 4% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $72,104 per year, or $34.7 per hour.

Intraoperative Neuromonitorist Trainee

Rochester, NY

University of Rochester
Colleges, Universities, and Professional Schools • 10K+ employees
Learn more about University of Rochesterexternal

$31.82 - $42.96/hr

Full-time

Re-posted 6 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500165 SMH Epilepsy/EEG/EP

Work Shift:

UR - Day (United States of America)

Range:

UR URCC 212 H

Compensation Range:

$31.82 - $42.96

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

An IOM Technologist specializes in intraoperative monitoring, with occasional responsibilities in diagnostic evoked potentials (EP) studies. This role trains with an ABRET certified CNIM (certified intraoperative neuromonitorist) to meet eligibility of CNIM examination while monitoring patients during spine, vascular, and intracranial procedures. Once training and CNIM certification are complete, the Intraoperative Neuromonitorist Trainee will transition into the IOM Technologist 1 role.

Essential Functions:

  • Train in the setup and breakdown IOM cases, focusing on proper electrode placement and equipment functionality with minimal assistance from other IOM technologists.
  • Train to monitor and interpret neurophysiological data during surgeries.
  • Complete CME coursework and URMC didactic training to prepare for CNIM.
  • Train to maintain and troubleshoot monitoring equipment.
  • Other duties as assigned


Minimum Education & Experience:

  • Bachelor of Science required or equivalent combination of education and experience.


Knowledge, Skills & Abilities:

  • Prior IOM, EEG, EP or operating room experience preferred
  • Critical thinking skills preferred
  • Decisive judgment preferred
  • Ability to learn to work with minimal supervision preferred


Licenses and Certifications:

  • Certification by the American Board of Registration of Electroneurodiagnostic Technologists (ABRET) in CNIM within 1-2 years of hire required.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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