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A Intraoperative Neurophysiological Monitoring (IONM) Specialist at the University of California San Francisco Medical Center will provide real-time multi-modality IONM in a wide variety of operating room procedures (including neurosurgery, otolaryngology, vascular and orthopedic surgeries) in which neural structures are at risk, such as aneurysms, brain and spine tumors, AVMs, spinal fusions, middle ear surgeries, TAAAs, and miscellaneous procedures involving peripheral and cranial nerves. All work will be performed in accordance with the established department guidelines/policies/procedures under the supervision of a department manager and/or senior neurophysiologists. All patient care team members are responsible to meet patient needs, demonstrate willingness to learn new skills, and foster a harmonious work environment in which high quality patient care and customer service is consistently provided. Team members promote a cooperative working relationship with each other, physicians, other disciplines and the public by facilitating and enhancing communication, displaying honesty and respect, displaying sensitivity to cultural differences, and expressing and accepting feedback in a professional manner. Please include a cover letter that outlines your interest in UCSF and your experience in neuromonitoring. Key Responsibilities
% of time |
Essential Function (Yes/No) |
Key Responsibilities (To be completed by Supervisor) |
95% |
Y |
- Perform preoperative consultation with surgeons, anesthesiologists, and supervisors.
- Exhibit familiarity of relevant anatomy, medical conditions, and surgical procedures and their bearing on IONM signals.
- Setup, calibrate, maintain and operate IONM software and hardware (e.g. Cadwell, Medtronic, & other companies) to record IONM electroencephalography (EEG), evoked potentials (EP), and/or electromyography (EMG).
- Establish baselines, to optimize IONM signals and monitor using methods such as auditory brainstem response (ABR), EEG, free-run and triggered EMG, transcranial and direct cortical motor evoked potentials (MEP), somatosensory evoked potentials (SEP) and other methods (once trained by supervising neurophysiologist).
- Display, label, analyze and review IONM waveforms with colleagues and fellows (e.g. "handoffs" & collaboration) and for expert consultation with supervising neurophysiologists.
- Recognize real-time IONM changes and to provide an immediate and clear report of them to the supervising neurophysiologists, surgeons &/or anesthesiologists.
- Identify and rectify technical problems, which may contaminate the real data and/or give false indications, such as signal artifacts, software and hardware anomalies, stimulation and setup errors.
- Knowledge of the effect of anesthesia on IONM signals in order to collaborate with anesthesia personnel to achieve anesthetic conditions that promote optimal IONM recordings.
- Escalate as appropriate, for consultation or help in addressing IONM or OR issues affecting patient care.
- Promptly report to supervisors, in-person or remote, for troubleshooting assistance, professional assessment and/or other issues.
- Document, clearly and expediently, the results of IONM activities, protected patient information, anesthesia and surgical events and communications for medical records and billing purposes in a manner consistent with departmental policies.
- Ability to communicate in English, clearly and effectively, sometimes in stressful circumstances.
- Adapt to changes in the work environment, such as, but not limited to, changes in procedures, modalities, providers, patients and work location.
- Take call and monitor cases during daytime, evening, weekends and holidays, in accordance with departmental policies at all UCSF locations.
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5% |
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- Maintain knowledge of current techniques, technologies, advances, and regulatory standards in IONM from reading books, journals, online materials and participating in education programs.
- Maintain IONM certification (i.e. CNIM).
- Participate in departmental meetings, hospital in-service programs, professional meetings/seminars, through on-line and in-person formats.
- Ability and willingness to learn and employ new methods, procedures and policies from supervisors.
- Conform to hospital medical stipulations and policies.
- Assist in non-IONM duties such as research, administrative, hardware/software and workstation maintenance.
- Meet with manager or delegate for periodic review of performance.
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100% |
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Required qualifications
Bachelor's degree in science, medical, or related area and / or equivalent experience / training. Certification in Neurophysiologic Intraoperative Monitoring (CNIM). - At least six months' experience with IONM (i.e. human neurophysiological signals-EEG, EP, EMG).
- Demonstrates subject matter knowledge of intraoperative neurophysiological monitoring practices.
- Ability to provide real-time multi-modality IONM in a wide variety of operating room procedures.
- Strong verbal and written communication skills; clear, concise written documentation and interpersonal communication skills.
- Advanced user of neuromonitoring information technology applications.
- Solid skills to quickly evaluate complex issues and identify resolutions within defined procedures and policies.
- Demonstrated ability to solve problems and suggest solutions through critical thinking process.
Preferred qualifications:
- Advanced Degree (Master's Degree or Doctorate degree in physical science, life science or clinical allied health profession).
- Experience using Cadwell IONM hardware and software (Classic and Surgical Studio) strongly preferred.
- Experience with research methodology.
- Scientific or clinical research publications.
- Diplomats of American Board of Neurophysiologic Monitoring (DABNM) or meet prerequisites for DABNM.
- Language mapping or neuropsychological testing experience.
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Required qualifications
Bachelor's degree in science, medical, or related area and / or equivalent experience / training. Certification in Neurophysiologic Intraoperative Monitoring (CNIM). - At least six months' experience with IONM (i.e. human neurophysiological signals-EEG, EP, EMG).
- Demonstrates subject matter knowledge of intraoperative neurophysiological monitoring practices.
- Ability to provide real-time multi-modality IONM in a wide variety of operating room procedures.
- Strong verbal and written communication skills; clear, concise written documentation and interpersonal communication skills.
- Advanced user of neuromonitoring information technology applications.
- Solid skills to quickly evaluate complex issues and identify resolutions within defined procedures and policies.
- Demonstrated ability to solve problems and suggest solutions through critical thinking process.
Preferred qualifications:
- Advanced Degree (Master's Degree or Doctorate degree in physical science, life science or clinical allied health profession).
- Experience using Cadwell IONM hardware and software (Classic and Surgical Studio) strongly preferred.
- Experience with research methodology.
- Scientific or clinical research publications.
- Diplomats of American Board of Neurophysiologic Monitoring (DABNM) or meet prerequisites for DABNM.
- Language mapping or neuropsychological testing experience.
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University of California - San Francisco
113800 to 165000
Jun 12, 2026