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Intraoperative Neurological Monitoring Jobs (NOW HIRING)

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... reduce the risk of neurological injury. The technologist will perform and monitor ... Perform intraoperative neurophysiological monitoring during surgical procedures. * Set up ...

Be Seen First

... reduce the risk of neurological injury. The technologist will perform and monitor ... Perform intraoperative neurophysiological monitoring during surgical procedures. * Set up ...

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 ...

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Intraoperative Neurological Monitoring information

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$12

$39

$65

How much do intraoperative neurological monitoring jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for intraoperative neurological monitoring in the United States is $39.16, according to ZipRecruiter salary data. Most workers in this role earn between $36.30 and $38.46 per hour, depending on experience, location, and employer.

What is intraoperative neurological monitoring?

Intraoperative neurological monitoring (IONM) refers to a set of techniques used during surgeries to assess the functional integrity of the nervous system in real-time. This monitoring helps to reduce the risk of neurological damage by providing immediate feedback to surgeons about the electrical activity of the brain, spinal cord, and peripheral nerves. Common surgeries requiring IONM include spinal, brain, vascular, and certain orthopedic procedures. Specialized technologists and neurophysiologists use various methods, such as EEG, EMG, and evoked potentials, to ensure patient safety throughout the operation.

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

To thrive as an Intraoperative Neurological Monitoring (IONM) Specialist, you need a solid background in neurophysiology, anatomy, and electrophysiology, often supported by a degree in a health science field and certification such as CNIM. Familiarity with IONM equipment, EEG/EMG systems, and data analysis software is essential. Strong attention to detail, communication skills, and the ability to remain calm under pressure are critical soft skills for this role. These competencies are vital for ensuring patient safety and providing valuable real-time feedback to surgical teams during high-risk procedures.

What are some common challenges faced by professionals in intraoperative neurological monitoring during surgeries?

Professionals in Intraoperative Neurological Monitoring often encounter challenges such as maintaining clear communication with the surgical team, adapting to rapidly changing surgical environments, and ensuring accurate data interpretation under pressure. Since patient safety depends on real-time feedback, IONM specialists must stay highly focused and effectively balance monitoring multiple types of neurophysiological data. Collaboration with surgeons, anesthesiologists, and nurses is essential to anticipate potential complications and provide timely intervention recommendations.

What is the difference between Intraoperative Neurological Monitoring vs Neurodiagnostic Technologist?

AspectIntraoperative Neurological MonitoringNeurodiagnostic Technologist
CredentialsCertification in Intraoperative Monitoring (CIM), neurophysiology backgroundRegistered Neurodiagnostic Technologist (R. Neurotech), neurodiagnostic certifications
Work EnvironmentOperating rooms during surgeries, hospitalsLaboratories, hospitals, outpatient clinics
Industry UsagePrimarily in surgical settings for real-time monitoringDiagnostic testing, patient assessments

While both roles involve neurophysiological skills, Intraoperative Neurological Monitoring focuses on real-time assessment during surgeries, requiring specific certifications and working directly in operating rooms. Neurodiagnostic Technologists perform diagnostic tests outside the surgical environment, with different certification paths but overlapping neurophysiological expertise.

More about Intraoperative Neurological Monitoring jobs
What cities are hiring for Intraoperative Neurological Monitoring jobs? Cities with the most Intraoperative Neurological Monitoring job openings:
What states have the most Intraoperative Neurological Monitoring jobs? States with the most job openings for Intraoperative Neurological Monitoring jobs include:
Infographic showing various Intraoperative Neurological Monitoring job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 11% Part Time, and 5% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $81,445 per year, or $39.2 per hour.

Intraoperative Monitoring Tech (CNIM)

Advocate Health

Park Ridge, IL • On-site

Other

Re-posted 8 days ago


Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 775 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers


Job description

$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.


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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