Intraoperative Neuromonitoring Technician

Duke Careers; Durham (NC); On-site; USD 75,000 - 110,000; Full time

Job summary

Duke University Hospital in Durham, NC seeks an Intraoperative Neuromonitoring Technologist to provide specialized IONM data for surgical procedures. You will assist in real-time data collection, interpretation, and safety protocols across levels I–III, with ongoing education to maintain CNIM credentials.

The role requires familiarity with neurophysiology, anesthesia interactions, and adherence to Duke Health policies.

Qualifications

• Bachelor's degree in a biological science preferred or an Associate Degree with equivalent experience.
• Level II requires 1 year of intraoperative neuromonitoring experience; Level III requires 3 years.
• CNIM certification by ABRET is required for Level III; ABRET credentials are expected for advancement.

Responsibilities

• Perform specialized intraoperative neuromonitoring to assist diagnosis.
• Assist in collection and analysis of recordings and electrical activity data.
• Develop and follow lab protocols for preoperative, intraoperative, and postoperative procedures.
• Maintain continuing education and certifications as required (ABRET CNIM).

Education

Bachelor's degree in biological sciences

Associate degree with equivalent experience in health care diagnostics

CNIM certification (ABRET)

ABRET credential/registries

Tools

ABRET CNIM credentials

Electrophysiology monitoring equipment

Job description

Select how often (in days) to receive an alert:

Work Arrangement:

Requisition Number: 271347

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Sep 3, 2026

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Relocation Assistance is Provided!

Location

Work Hours

• The work week for this position will be Monday – Friday, with 8 hour shifts, primarily 11am-7pm with various start times.
• This position also requires rotational on call coverage after 3p.m. until 6a.m., Monday through Friday as well as 24-hour weekend coverage. You must understand that you may be required to work beyond your scheduled shift. This position is eligible for overtime and/or shift premiums according to Duke Policy.
• This position may require travel to all three of the hospitals in the health system to monitor various surgical cases. Travel (mileage) will not be reimbursed. You may be compensated for you time if you are asked to transfer hospitals after reporting to your pre-assigned hospital for any given day. Your schedule will be predetermined in advance and may be adjusted as needed by clinical demand.

General Summary

Perform specialized and complex procedures involved in Intraoperative Neuromonitoring to obtain data for use in the diagnosis of clinical disorders of the nervous system.

Level I

Assist in the collection and analysis of multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous system.

Apply extensive knowledge in anatomy and neurophysiology relative to the monitoring being performed.

Know and practice electrical safety relevant to equipment and type of monitoring performed.

Level II

Apply extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

Know and apply current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

Maintain continuing education requirements by ABRET to retain credentials.

Assess intraoperative procedures relative to orders for monitoring, taking action to address deviation from established practice protocols.

Perform duties according to established lab protocols for preoperative, intraoperative, and postoperative procedures.

Know and practice electrical safety relevant to equipment and type of monitoring performed.

Level III

Apply extensive knowledge in neuroanesthesia and its effect on neuromonitoring.

Know and apply current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

Perform all duties and responsibilities required for multi-modality monitoring.

Maintain continuing education requirements by ABRET to retain the CNIM credential.

Know and practice electrical safety relevant to equipment and type of monitoring performed.

Assess intraoperative procedures relative to orders for monitoring, taking action to address deviation from established practice protocols.

Develop lab protocols for preoperative, intraoperative, and postoperative procedures.

Level Characteristics

Level I (Trainee):Develops competency in and performs the basics of Intraoperative Neuromonitoring (IONM) testing and interventions under direct supervision. Requires 10 hours of CE and selects 2 choices for professional growth (e.g., member of national organization, committee work).

Level II (Non-Certified Technologist):Collects and analyzes (or oversees the collection/analysis of) multiple types of recordings and measurements. Can supervise an IONM Trainee. Requires 12 hours of CE and selects 3 choices for professional growth.

Level III (Certified Technologist):Collects and analyzes (or oversees the collection/analysis of) multiple types of recordings and measurements. Can supervise an IONM Trainee or Non-Certified Technologist. Requires 16 hours of CE and selects 4 choices for professional growth.

Minimum Qualifications

Education (All Levels)

Bachelor's degree in a biological science preferredOR

An Associate Degree in a biological science with an equivalent number of years of experience as a technician in a health care diagnostic procedure setting.

Experience

Level I:

With a Bachelor's Degree: No experience required.

With an Associate's Degree: 4 years of experience as a technician in a health care diagnostic procedure setting.

Level II:

1 year of experience specifically in intraoperative neuromonitoring.

Proof of competency in modalities including: somatosensory evoked potentials, spontaneous and evoked electromyography, electroencephalography, and motor evoked potentials.

Level III:

3 years of experience specifically in intraoperative neuromonitoring (with a minimum of two years as a non-certified IONM technologist and 6 months of IONM experience at Duke).

Proof of competency in all performed modalities, which may include: brainstem evoked potentials, monitoring deep brain stimulating electrode placement, brain function mapping, intracranial grid implantation, trans-cranial Doppler, trans-cranial motor evoked potentials, and direct stimulation of neural structures.

Degrees, Licensures, Certifications

Level I:None.

Level II:Registry in EEG or Registry in EP by ABRET, or RNCST, or RET (Canadian EEG registry) required.

Level III:Certification in neurophysiological intraoperative monitoring (CNIM) by ABRET required.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.