Intraoperative Neuromonitoring (IONM) Technologist

Job Description

Job Description

Intraoperative Neuromonitoring (IONM) Technologist - Miami, FL (#R10234)

Location: Miami, FL
Employment Type: Full-Time
Hourly Rate: $31.40 per hour

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

The IONM Technologist provides hands-on intraoperative neuromonitoring for Veterans undergoing complex surgical procedures, including set-up, acquisition, and intraoperative troubleshooting of neurophysiologic data under the supervision of a remote Board-Certified Neurophysiologist. The role ensures real-time monitoring of spinal cord and nerve function to identify neural insult early and support timely surgical intervention in accordance with VA and national neuromonitoring standards.

Why Join Us?

• Competitive Compensation: $31.40 per hour
• Work Schedule:
  • Core OR hours: typically 6:30 a.m. - 4:30 p.m. EST, three scheduled IONM days per week (estimated) with approximately 5 hours per case.
  • 24/7/365 on-call coverage, including evenings, nights, weekends, and federal holidays; on-call technologist must be onsite within 60 minutes of call for emergent/unscheduled cases.
• Professional Growth: Advanced IONM practice in high-acuity VA surgical environment
• Impactful Work: Protect neurological function for veterans during complex surgeries

Qualifications

• Requirements:
  • Current CNIM (Certified Neurophysiologic Intraoperative Monitorist) certification from ABRET, with ongoing compliance with CEU requirements.
  • Current, unrestricted ability to work in a U.S. health care setting; must meet all citizenship/immigration and E-Verify requirements applicable to federal healthcare contracts.
  • Current BLS and ACLS certifications (or equivalent) prior to assignment.
  • Completion and maintenance of all VA-required training: Privacy and Information Security, HIPAA, radiation safety (fluoroscopy), active threat training, and other mandatory education specified by BWCVAMC.
  • Must successfully complete VA credentialing processes (e.g., VetPro) and maintain current licensing/certifications at all times, with documentation provided upon renewal.
  • Requires strict adherence to VA privacy, HIPAA, and infection prevention, and information security rules, with zero tolerance for breaches.
  • Position is part of a 24/7 coverage model with on-call and call-back responsibilities for emergent and after-hours cases.
• Experience:
  • At least 2 years of hands-on experience providing IONM during surgical procedures, including demonstrated proficiency in performing neuromonitoring under physician supervision.
  • Compliance with VA infection control and occupational health requirements, including negative TB testing or acceptable IGRA, immunity/records for MMR, Varicella, Tdap, annual influenza vaccine (or masking with medical exemption), and blood-borne pathogen training.
• Skills:
  • Advanced technical skill in IONM equipment setup, troubleshooting, and artifact recognition across multiple modalities (SSEP, MEP, EMG, EEG).
  • Strong clinical judgment to distinguish clinically relevant signal changes from artifacts and escalate appropriately.
  • Excellent communication skills with surgeons, anesthesiologists, nurses, and remote Neurophysiologists in a high-acuity OR environment.
  • Working knowledge of relevant neurosurgical, spinal, vascular, cardiac, orthopedic, and ENT procedures requiring IONM and associated neuroanatomy.
  • Proficiency with electronic documentation in an EHR and adherence to VA privacy, security, and data standards.
  • Ability to work independently, respond rapidly to on-call requests, and maintain professional conduct under stress in an OR setting.

Job Responsibilities:

• Set up, calibrate, and operate IONM equipment for modalities such as SSEP, MEP, EMG, and EEG during spinal, neurosurgical, vascular, cardiac, thoracic, orthopedic, ENT, and related procedures.
• Perform continuous intraoperative neurophysiologic monitoring from induction of anesthesia until case completion, documenting baseline and ongoing changes in signals.
• Communicate real-time neurophysiologic changes to the remote Neurophysiologist and surgical/anesthesia team, following established escalation and reporting protocols.
• Prepare, place, and remove electrodes, probes, and other common supplies (needle electrodes, gel electrodes, cortical screw electrodes, ground pads, probes/tubes) in accordance with sterile technique and device safety requirements.
• Document all IONM data, events, and communications in the VA Electronic Health Record (EHR) in accordance with VHA Handbook 1907.01 and local documentation policies.
• Adhere to AANS, ABRET, Joint Commission, and VA standards of care, as well as BWCVAMC OR policies and procedures.
• Participate in quality assurance activities, including timely incident reporting in the VA Patient Safety Reporting System and cooperation with QASP monitoring (direct observation, random sampling, credential reviews).
• Maintain equipment functionality, coordinate with VA Biomedical Engineering for inspections, and support vendor/biomed work as required before equipment is placed into service.
• Support billing documentation by maintaining accurate case records that align with contract line items and hours billed.

Physical Examination Responsibilities:

• Perform and document pre-procedure IONM-related assessments (e.g., electrode site assessment, skin integrity, positioning considerations) as directed by the supervising Neurophysiologist and surgical team.
• Continuously monitor the functional integrity of neural structures via neurophysiologic modalities, recognizing patterns indicative of potential injury and initiating escalation.
• Assist OR staff in safe positioning and protection of extremities and pressure points as it relates to optimal neuromonitoring signal acquisition.

Medical Oversight Responsibilities:

• Operate under the technical and clinical oversight of a remote Board-Certified Neurophysiologist and the VA Chief of Neurosurgery or delegate, following their intraoperative directives.
• Immediately communicate significant changes in monitored signals, technical limitations, and artifact concerns to the supervising physician and surgical team.
• Support the supervising physician in post-case documentation and case quality review as requested.

How to Apply: Submit your Resume/CV to hr@glhstaffing.com or call (800) 608-4025 to apply.

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