Neuromonitoring Specialist 4

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 is performed in accordance with the department’s guidelines and under the supervision of a department manager and/or senior neurophysiologists. Key Responsibilities 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, 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 provide an immediate and clear report of them to the supervising neurophysiologists, surgeons & anesthesiologists. Identify and rectify technical problems that may contaminate the real data and/or give false indications, such as signal artifacts, software and hardware anomalies, stimulation and setup errors. Have knowledge of the effect of anesthesia on IONM signals 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 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. 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 (e.g., CNIM). Participate in departmental meetings, hospital in‑service programs, professional meetings/seminars, through online 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. Required Qualifications Bachelor’s degree in science, medical, or related area and/or equivalent experience and training. Certification in Neurophysiologic Intraoperative Monitoring (CNIM). At least six months’ experience with IONM (i.e., human neurophysiological signals – EEG, EP, EMG). Demonstrated 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 processes. Preferred Qualifications Advanced degree (Master’s Degree or Doctorate 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. 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. #J-18808-Ljbffr University of California - San Francisco