Intraoperative Neuromonitoring (IONM) Technologist
3 days ago
Miami
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, • 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., • 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., • 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., • 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. 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