Lead Neurophysiologist

Winnipeg Regional Health Authority (WRHA); Winnipeg; On-site; CAD 110,000 - 160,000; Full time

Job summary

Shared Health is seeking an experienced intraoperative neurophysiological monitoring professional to provide real-time interpretation during surgical procedures and lead IONM operations. The role includes direct communication with surgeons, supervising technologists, and contributing to research and quality improvement initiatives.

The ideal candidate holds CNIM certification (ABRET) and has at least two years in IONM, with preference for independent practice experience.

Qualifications

• Minimum of two years of intraoperative neuromonitoring experience, preferably in a level 1 trauma centre.
• Preferably one year of independent intraoperative neuromonitoring experience without professional oversight.
• CNIM certification by ABRET is required.

Responsibilities

• Provide full interpretation of real time neurophysiological signals during surgical procedures and relay this information to the operating physician.
• Supervise and provide clinical oversight to IONM technologists and ensure data accuracy.
• Document formal intraoperative reports with interpretation, clinical correlation and recommendations.
• Determine monitoring strategies and modality selection for each case based on patient factors and procedure.
• Lead or contribute to educational initiatives and quality improvement activities.

Job description

Shared Health leads the planning and coordinates the integration of patient- centered clinical and preventive health services across Manitoba. The organization also delivers some province-wide health services and supports centralized administrative and business functions for Manitoba health organizations.

Position Overview

Note: This role is performed independently and does not require direct supervision during intraoperative monitoring. While assistance is available if needed, it is not typically required for effective performance in this role.

Main Function

• Demonstrate the ability to work independently and collaboratively within the neurophysiology service at HSC, with flexibility for deployment to affiliated hospitals as operationally required.
• Must be able to safely and accurately provide full interpretation of real time neurophysiological signals gathered during surgical procedures and relay this information to the operating physician. This includes but is not limited to MEPs, SSEPs, EMG, EEG, , BAERs, phase reversal, D-Wave, TSEPs, cortical mapping, subcortical mapping, BEPs, cbMEPs, etc.
• Provide intraoperative neurophysiological assessments to the clinical team to facilitate optimal neurosurgical outcome. Provide technical and scientific expertise to formulate, submit and conduct research initiatives arising from intraoperative results.
• Perform additional procedures (e.g., TCDs, CBF, Neuronavigation) as required. Operates, cleans, maintains and troubleshoots equipment.
• Serve as the primary point of contact for intraoperative neurological risk assessment, ensuring that neurophysiological data are accurately evaluated and communicated promptly.
• Determine appropriate monitoring strategies and modality selection for each case based on patient factors, surgical approach, and procedural risk.
• Supervise and provide clinical oversight to IONM technologists, ensuring accurate data acquisition, appropriate troubleshooting, and adherence to established protocols and quality benchmarks.
• Document formal intraoperative reports that include interpretation, clinical correlation, and recommendations, suitable for the medical record and post-operative review.
• Collaborate with surgeons pre-operatively to review imaging, discuss surgical approach, and determine optimal monitoring plans tailored to procedural neuroanatomy and risk level.
• Engage in continuous intraoperative communication, including verbal updates, risk notifications, and guidance during critical periods such as instrumentation, decompression, aneurysm clipping, tumor dissection, or deformity correction.
• Maintain independent accountability for patient neurological safety through evidence-based neurophysiological interpretation and proactive identification of high-risk events.
• Participate in postoperative case review, morbidity and mortality discussions, and outcome tracking to ensure ongoing quality improvement and refinement of monitoring standards.
• Develop, update, and enforce departmental protocols and practice standards related to neurophysiological monitoring.
• Lead or contribute to educational initiatives, including training technologists, new staff, and surgical trainees in neurophysiological principles and interpretation.
• Contribute to program development, including evaluating new technologies, supporting expansion of monitoring services, and ensuring compliance with regulatory and accreditation requirements.
• Engage in scholarly or quality-improvement activities, including audits, research, presentations, and protocol development as appropriate.
• Ability to participate in an on-call schedule as organized by the Chief Neurophysiologist in response to service demands.
• Ability to provide intraoperative neuromonitoring for high complexity procedures (intramedullary lesions, phase reversal, cortical mapping, etc) independently.
• Ability to participate in evening coverage for high indication spine procedures that require IONM.
• Ability to provide services at other hospitals organized by the Chief Neurophysiologist.

Experience

• Minimum of two years of intraoperative neuromonitoring experience, preferably in a level 1 trauma centre.
• Preferably one year of independent intraoperative neuromonitoring experience without professional oversight.

Education (Degree/Diploma/Certificate)

• BSc degree or equivalent degree from a recognized University is required.
• Bachelor of Science or Similar Life Sciences Degree preferred.
• An equivalent combination of education and experience as recognized by the Centre may be considered.
• Certified by the American Board of Registered Electrodiagnostic Technicians (ABRET) in Neuro Intraoperative Monitoring (CNIM), required.

Note: The ability and initiative to self-teach is essential. In addition, the incumbent must attend relevant continuing education programs in operative monitoring, as well as in other related neurodiagnostic areas, on an ongoing basis and as requested by the Chief Neurophysiologist.

Certification/Licensure/Registration

• CNIM certified by the ABRET required.

Qualifications And Skills

• Demonstrated ability to communicate effectively both verbally and in writing.
• Must have excellent interpersonal skills.
• Ability to function proficiently in the faced-paced environment of the OR.

Physical Requirements

• Ability to perform the essential physical requirements of the position including manual dexterity.
• Ability to stand/sit for prolonged hours.
• Pushing/pulling of equipment without issue.

This position requires a current satisfactory Criminal Records Check (including Vulnerable Sector Search), Child Abuse Registry Check and Adult Abuse Registry Check as conditions of employment. The successful candidate will be responsible for any service charges incurred. A security check is considered current if it was obtained no more than six (6) months prior to the start of employment.

Please note that an employee is not permitted to hold two or more positions in Shared Health that combine to equal more than 1.0 FTE.

Shared Health values and supports employment equity and workplace diversity and encourages all qualified individuals to apply. We thank all applicants but only those selected for an interview will be contacted.

We welcome applications from people with disabilities. Accommodations are available upon request during the assessment and selection process.

Manitoba healthcare employers, in partnership with the Indigenous community, are committed to increasing the representation of Indigenous People within all levels of our workforce. Indigenous applicants are encouraged to apply and to voluntarily self-identify as being of Indigenous descent in their cover letter/application.