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Intraoperative Neurophysiological Monitoring Jobs

$394K/yr

As an IONM physician, you will provide expert intraoperative neurophysiological monitoring onsite at Abbott Northwestern Hospital, ensuring optimal surgical outcomes and advancing clinical practices.

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Perform intraoperative neurophysiological monitoring during surgical procedures. * Set up ... troubleshoot, and maintain monitoring equipment before, during, and after surgery. * Apply EEG, EMG ...

Perform intraoperative neurophysiological monitoring (IOM) in accordance with established protocols and physician direction to support surgical teams and optimize patient outcomes while ensuring ...

Perform intraoperative neurophysiological monitoring (IOM) in accordance with established protocols and physician direction to support surgical teams and optimize patient outcomes while ensuring ...

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Intraoperative Neurophysiological Monitoring information

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$10

$34

$66

How much do intraoperative neurophysiological monitoring jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for intraoperative neurophysiological monitoring in the United States is $34.19, according to ZipRecruiter salary data. Most workers in this role earn between $21.63 and $41.11 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed for intraoperative neurophysiological monitoring?

To excel in Intraoperative Neurophysiological Monitoring (IONM), a solid background in neurophysiology, biology, or a related allied health field—often with a bachelor's degree and specialized training—is essential. Familiarity with intraoperative monitoring equipment, signal analysis software, and certification such as CNIM (Certified in Neurophysiological Intraoperative Monitoring) is typically required. Exceptional attention to detail, problem-solving abilities, and effective communication with surgical teams are vital soft skills. These competencies ensure patient safety and optimal surgical outcomes by providing critical real-time neural function monitoring during operations.

What is intraoperative neurophysiological monitoring?

An Intraoperative Neurophysiological Monitoring (IONM) job involves monitoring a patient's nervous system during surgery to help prevent neurological damage. IONM professionals use specialized equipment to assess electrical activity in the brain, spinal cord, and peripheral nerves. They work closely with surgeons, anesthesiologists, and other medical staff to provide real-time feedback on nerve function. This role requires expertise in neurophysiology, anatomy, and electrophysiology, often necessitating certification and specialized training. IONM is most commonly used in spine, brain, vascular, and orthopedic surgeries to enhance patient safety and surgical outcomes.

What does someone working in intraoperative neurophysiological monitoring do?

Professionals in Intraoperative Neurophysiological Monitoring are responsible for setting up and operating specialized equipment before and during surgical procedures to monitor nerve and brain activity. They work directly in operating rooms, collaborating closely with surgeons, anesthesiologists, and other OR staff to interpret real-time data and alert the team to any changes that may pose risks to the patient. Their day may also include preparing reports, calibrating equipment, maintaining patient records, and occasionally participating in preoperative consultations. The fast-paced and focused environment requires quick decision-making and consistent communication to help ensure the best possible surgical outcomes.

How to get a job in intraoperative neurophysiological monitoring?

To work as an intraoperative neurophysiological monitoring (IONM) technologist, candidates typically need a background in neurophysiology, neuroscience, or a related healthcare field, along with specialized training or certification such as the American Board of Neurophysiological Monitoring (ABNM) certification. Gaining experience through internships or entry-level positions and developing skills in neuroanatomy, electrophysiology, and monitoring equipment are essential steps. Certification and ongoing education improve job prospects in this specialized field.

How long does it take to become an intraoperative neurophysiological monitoring specialist?

Becoming an intraoperative neurophysiological monitoring (IONM) specialist typically requires completing a relevant educational program, such as a neurodiagnostic technology or neurophysiology degree, which can take 1-4 years. Additionally, obtaining certification through organizations like the American Board of Neurophysiological Monitoring (ABNM) or the Board of Registered Polysomnographic Technologists (BRPT) often requires supervised clinical experience and passing an exam, adding several months to a year to the process.

Is intraoperative neurophysiological monitoring a good career?

Intraoperative neurophysiological monitoring is a growing field with strong demand, offering opportunities in hospitals and surgical centers. It requires specialized training, certification, and knowledge of neuroanatomy and monitoring equipment. The career provides a stable job outlook and the chance to work closely with surgical teams to improve patient outcomes.
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Infographic showing various Intraoperative Neurophysiological 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 $71,106 per year, or $34.2 per hour.

Staff Neurologist - Remote Intraoperative Neuromonitoring (IONM)

NW Monitoring

Gig Harbor, WA • On-site

Other

Re-posted just now


Job description

Staff Neurologist Position

The Staff Neurologist provides real-time physician oversight and interpretation of intraoperative neurophysiological monitoring (IONM) services through a secure telemedicine platform for patients undergoing surgical procedures at facilities contracted with Northwest Monitoring.

Working collaboratively with IONM technologists, surgeons, anesthesiologists, and other members of the surgical team, the Staff Neurologist is responsible for reviewing monitoring plans, interpreting neurophysiologic data throughout surgical procedures, identifying significant changes, recommending appropriate interventions, and documenting clinical findings in accordance with applicable professional standards and regulatory requirements.

The Staff Neurologist also contributes to clinical quality initiatives, physician and staff education, protocol development, and continuous improvement efforts while practicing under the direction of the Chief Medical Officer.

Essential Duties and Responsibilities
  • Provide real-time remote physician oversight and interpretation of intraoperative neurophysiologic monitoring during surgical procedures.
  • Review the patient's history, diagnosis, planned procedure, and proposed monitoring protocol with the IONM technologist prior to surgery to determine the appropriate monitoring strategy.
  • Recommend appropriate monitoring modalities based on the surgical procedure, patient history, and clinical circumstances.
  • Interpret neurophysiologic data throughout surgical procedures and promptly communicate significant changes and clinical recommendations to the surgical and anesthesia teams.
  • Collaborate with IONM technologists to ensure appropriate data acquisition, interpretation, troubleshooting, and patient care throughout the procedure.
  • Document physician oversight, clinical interpretations, recommendations, and case summaries within the electronic medical record or designated documentation system.
  • Participate in clinical quality assurance and quality improvement initiatives, including peer review and case review activities as requested.
  • Assist with the development and refinement of clinical protocols, policies, and best practices.
  • Provide educational support to IONM technologists, surgeons, anesthesia providers, and other clinical staff regarding intraoperative neurophysiological monitoring.
  • Maintain compliance with applicable federal and state regulations, hospital policies, accreditation standards, and professional practice guidelines.
  • Maintain active medical licensure and credentialing necessary to provide services at contracted facilities.
  • Participate in evening, weekend, holiday, and on-call coverage as assigned based on surgical schedules.
  • Perform other related duties as assigned.
Qualifications

To perform this position successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

The successful candidate will demonstrate:

  • Strong clinical judgment and decision-making skills.
  • Excellent knowledge of intraoperative neurophysiology and neuromonitoring techniques.
  • Ability to work collaboratively within multidisciplinary surgical teams.
  • Excellent written, verbal, and interpersonal communication skills.
  • Strong analytical, organizational, and problem-solving abilities.
  • Exceptional attention to detail.
  • Ability to prioritize effectively in a fast-paced clinical environment.
  • Adaptability and willingness to learn evolving technologies and clinical practices.
  • Self-motivation and ability to work independently in a remote environment.
Education and Experience
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school.
  • Successful completion of an ACGME- or AOA-accredited neurology residency program.
  • Board certification in Neurology by the American Board of Psychiatry and Neurology (ABPN) or the American Osteopathic Board of Neurology and Psychiatry (AOBNP).
  • Fellowship training in Clinical Neurophysiology, Neurophysiology, Epilepsy, or equivalent experience in intraoperative neurophysiological monitoring preferred.
  • Prior experience providing physician oversight for intraoperative neurophysiological monitoring strongly preferred.