🔥🔥Senior Intraoperative Neuromonitoring (IONM) Technologist - Full Time 🔥🔥
Full-Time | Days | In-House Program
Houston Methodist – Texas Medical Center
If you’re an experienced IOM technologist who’s ready to move beyond the vendor model, this is a rare opportunity to join a true in-house hospital neuromonitoring program at a world class facility.
Houston Methodist Hospital is hiring a Senior Intraoperative Neuromonitoring (IOM) Technologist to join our established, physician-integrated team in the Texas Medical Center, the largest medical center in the world. Houston Methodist is the #1 ranked hospital in the state of Texas, consistently ranked #1 in Neurosurgery and Neurology, and was one of the first hospitals to perform intraoperative neuromonitoring.
For 2026, Glassdoor has ranked Houston Methodist at #9 among the Top 100 Places to Work nationwide and is ranked #1 in Healthcare, which is a reflection of the culture, autonomy, and long-term career support we offer.
Why This Role Is Different
This is not a vendor position. It’s a mature, well-supported in-house IOM program where technologists are treated as professionals and valued members of the clinical team.
What that means in practice:
- Great pay with outstanding, hospital-based benefits
- Exceptionally flexible PTO
- Better accrual than most IOM roles
- 100% rollover every year
- 100% cash-out option
- No PTO blackouts or holiday restrictions
- Stable schedules and predictable workflows
- A professional, independent, and laid-back atmosphere with high clinical standards
A Better Day-to-Day Experience
Our workflow is intentionally designed to support good medicine, not burnout.
- No transporting equipment or supplies
- Your own dedicated cart and equipment
- Anything you need clinically, you get
- Documentation is minimal, appropriate, compliant, and clinically meaningful... not repetative, excessive or punitive
- Strong, collegial relationships with anesthesia and OR staff because we all work for the same institution
Clinical Exposure
You’ll work with over 20 surgeons at a single large hospital, covering a wide range of cases across:
- Neurosurgery
- Orthopedic spine and complex orthopedics
- Plastic surgery
- ENT
- Vascular surgery
Monitoring includes comprehensive intraoperative modalities such as SSEPs, TcMEPs, free-run and triggered EMG, ABRs, phase reversal, and mapping as indicated.
Research & Academic Opportunities
We are an active research program. Importantly, the entire IOM team participates in research and is included in publications — technologists are collaborators and credited contributors, not observers.
For those interested, there are also opportunities to expand your skill set into:
- EEG and Evoked Potentials
- Stereotactic EEG (sEEG), including OR cases
- Wada procedures
(These opportunities are available but not required.)
Qualifications
- CNIM (ABRET) required
- Minimum 2 years of intraoperative neuromonitoring experience
- Strong clinical judgment, communication skills, and professionalism
- BLS (American Heart Association)
Why Houston Methodist?
Houston Methodist Hospital combines the stability of a major academic medical center with a culture that genuinely respects its clinical staff. This is a place where IOM is integrated, supported, and taken seriously and where people tend to stay.
We don’t open senior positions often. When we do, it’s because we’re intentional about building a team people want to be part of long-term.
Apply Here
If you’re even curious what an in-house academic IOM role looks like when it’s done right, we encourage you to apply or reach out with questions.
