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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.

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

Be Seen First

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 ...

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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 Jul 19, 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 to thrive in the Intraoperative Neurophysiological Monitoring position, and why are they important?

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.

How much do intraoperative neuromonitors make?

Intraoperative neurophysiological monitoring specialists typically earn between $70,000 and $120,000 annually, depending on experience, certification, and location. Salaries can vary based on the complexity of cases, work setting, and whether they work full-time or per diem. Many professionals also receive benefits such as health insurance and continuing education opportunities.

What is an Intraoperative Neurophysiological Monitoring job?

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 are the typical daily responsibilities of someone working in Intraoperative Neurophysiological Monitoring?

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.

Is IONM in demand?

Intraoperative Neurophysiological Monitoring (IONM) professionals are in increasing demand due to the growing complexity of surgeries requiring real-time neural assessment. The field offers job stability, with opportunities in hospitals, surgical centers, and specialized clinics, often requiring certification and technical skills. As healthcare continues to expand, the need for qualified IONM specialists is expected to grow steadily.

How much do neuromonitoring reps make?

Intraoperative neurophysiological monitoring (IONM) reps typically earn between $70,000 and $120,000 annually, depending on experience, certifications, and geographic location. Salaries can vary based on the complexity of cases, work setting, and whether they work full-time or per diem schedules.

How to get a job in intraoperative neuromonitoring?

To work in intraoperative neurophysiological monitoring, candidates typically need a background in healthcare or neuroscience, such as a degree in neurodiagnostic technology, nursing, or related fields. Certification from organizations like the American Board of Neurophysiological Monitoring (ABNM) or the Board of Registered Polysomnographic Technologists (BRPT) is often required, along with hands-on training and experience in neurophysiological techniques and equipment. Strong attention to detail, communication skills, and the ability to work in surgical environments are also important.
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Infographic showing various Intraoperative Neurophysiological Monitoring job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 16% Internship, 2% As Needed, 60% Full Time, 16% Part Time, and 5% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $71,106 per year, or $34.2 per hour.
Staff Neurologist - Remote Intraoperative Neuromonitoring (IONM)

Staff Neurologist - Remote Intraoperative Neuromonitoring (IONM)

NW Monitoring

Gig Harbor, WA • On-site

Other

Posted 9 days ago


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.