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Intraoperative Neurological Monitoring Jobs (NOW HIRING)

US Neuro LLC

Surgical Neurophysiologist

Paducah, KY

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 ...

Conquest Medical

Monitoring Technician

Los Angeles, CA · On-site

$28 - $45/hr

... intraoperative neuromonitoring (IONM) services. Our team works alongside surgeons, neurologists, anesthesiologists, and healthcare professionals to provide real-time monitoring during complex ...

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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:
What job categories do people searching Intraoperative Neurological Monitoring jobs look for? The top searched job categories for Intraoperative Neurological Monitoring jobs are:
Intraoperative Neurological Monitoring jobs near you
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.

Experienced Surgical Neurophysiologist (CNIM Required)

US Neuro

Saint Louis, MO • On-site

Full-time

Medical, Dental, Vision, Retirement

Re-posted 15 days ago

Job 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 (or eligible)
  • 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