Nuclear Technician

Blackhillscardiovascular; Rapid City (SD); On-site; USD 65,000 - 80,000; Full time

Job summary

Black Hills Heart & Vascular Institute is seeking a Nuclear Medicine Technologist to perform nuclear cardiology studies in a fast-paced outpatient cardiovascular practice in Rapid City, SD. You will support 2-4 stress tests per day, manage radiopharmaceuticals, and operate SPECT/SPECT-CT systems to acquire myocardial perfusion images.

Responsibilities include quality assurance, accurate documentation in the EMR, and collaboration with cardiologists to deliver high-quality diagnostic studies

Qualifications

• ARRT(N) or CNMT certification in good standing.
• Current state nuclear medicine technologist license (if applicable).
• NRC Authorized User (AU) or ability to work under AU supervision.
• BLS/CPR certification (ACLS preferred).
• Minimum 1 year of nuclear cardiology or nuclear medicine experience.
• Proficiency with SPECT or SPECT/CT gamma camera systems.

Responsibilities

• Prepare, handle, and administer radiopharmaceuticals in compliance with NRC and state regulations.
• Perform exercise and pharmacologic stress testing protocols.
• Operate SPECT and/or SPECT/CT gamma camera systems to acquire myocardial perfusion images.
• Complete 2-4 full stress test studies per day with efficiency and accuracy.
• Monitor patients throughout stress and imaging phases, responding promptly to adverse events.
• Process and reconstruct nuclear images using cardiac software.
• Perform quantitative analysis, including polar maps and ejection fraction calculations.
• Conduct daily and weekly QC procedures on gamma camera equipment.
• Maintain accurate procedure logs, dose records, and patient records in the EMR/nuclear medicine system.
• Adhere to ACR, ASNC, and SNMMI guidelines for nuclear cardiology.

Skills

Nuclear cardiology

SPECT/CT imaging

Radiopharmaceutical administration

Image processing

Patient monitoring

Quality assurance

Education

ARRT(N) or CNMT certification

Current state license

NRC Authorized User (AU)

Tools

SPECT/CT gamma cameras

Cardiac imaging software

EMR/nuclear medicine system

Job description

The Nuclear Medicine Technologist is responsible for performing nuclear cardiology studies in a fast-paced outpatient cardiovascular practice. This role supports the performance of 2-4 nuclear stress tests per day, 4 days per week, and requires expertise in radiopharmaceutical administration, SPECT/CT imaging, and image processing. The technologist works closely with cardiologists to ensure high-quality diagnostic studies and exceptional patient care.

Nuclear Stress Testing

• Prepare, handle, and administer radiopharmaceuticals (Tc-99m sestamibi, tetrofosmin, or thallium) in compliance with NRC and state regulations
• Perform exercise and pharmacologic (adenosine, regadenoson, dobutamine) stress testing protocols
• Operate SPECT and/or SPECT/CT gamma camera systems to acquire myocardial perfusion images
• Complete 2-4 full stress test studies per day with efficiency and accuracy
• Monitor patients throughout stress and imaging phases, responding promptly to adverse events

Image Processing & Quality Assurance

• Process and reconstruct nuclear images using cardiac software
• Perform quantitative analysis, including polar maps, gated SPECT, and ejection fraction calculations
• Conduct daily and weekly QC procedures on gamma camera equipment
• Ensure all images meet diagnostic quality standards prior to physician interpretation

Radiopharmaceutical Management

• Order, receive, and document radiopharmaceutical doses in compliance with regulatory standards
• Maintain accurate radiation exposure records, dose calibrator logs, and survey records
• Manage radioactive waste disposal per NRC, state, and institutional guidelines
• Ensure compliance with the practice’s Radiation Safety Program and ALARA principles
• Screen patients for contraindications, obtain informed consent, and provide pre/post-procedure education
• Place IV access, monitor vital signs, and perform 12-lead ECG during stress testing
• Communicate effectively with patients of varying health conditions and anxieties
• Coordinate patient scheduling to optimize daily workflow for 2-4 studies

Documentation & Compliance

• Maintain accurate procedure logs, dose records, and patient records in the EMR/nuclear medicine system
• Adhere to ACR, ASNC, and SNMMI guidelines for nuclear cardiology
• Participate in accreditation preparation (ACR or IAC) and quality improvement initiatives
• Assist with billing documentation by accurately coding procedures

  Qualifications

  Required

  • ARRT(N) or CNMT certification in good standing
  • Current state nuclear medicine technologist license (if applicable)
  • NRC Authorized User (AU) or ability to work under AU supervision
  • BLS/CPR certification (ACLS preferred)
  • Minimum 1 year of nuclear cardiology or nuclear medicine experience
  • Proficiency with SPECT or SPECT/CT gamma camera systems

  Preferred

  • Experience in a cardiology or cardiovascular imaging setting
  • Familiarity with cardiac stress testing protocols (exercise and pharmacologic)
  • Experience with nuclear cardiology reporting software

  At Black Hills Heart & Vascular Institute, we are dedicated to providing the highest quality, cost-effective heart and vascular care to our community. Our commitment extends beyond treatment - we provide patients and their families with the resources and support they need to live healthy, happy lives.

  Our fellowship-trained, board-certified physicians utilize state-of-the-art technology to offer non-surgical or minimally invasive treatment options. Through our strategic partnerships, we provide same-day procedures in a clean, comfortable, and convenient medical center.