Why This Role

$200/hour. That is the rate. No tiers, no qualification ladder, no waiting for a bump. CLFC pays $200/hour because this contract demands a CNIM who owns a Cadwell system, delivers independently in the OR, and is available on short notice across a multi-year federal engagement. Five ordering periods through April 2031 give you contracted VA case flow with full clinical autonomy and direct surgeon communication.

On top of the hourly rate, case minimums protect your time on short or cancelled cases, and standby pay compensates on-call days when no case materializes. The Atlanta VA surgical mix includes orthopedic, spinal, ENT, and neurosurgical procedures.

Compensation

Hourly Rate: $200/hour (1099 Independent Contractor)

One rate. No tiers. This rate covers your professional time, Cadwell equipment use, consumables, and all overhead.

Case Minimums (paid regardless of actual case duration):

• Weekday Case (Mon-Thu, regular OR hours): 3-hour minimum ($600)
• Call-In / Off-Hours Case (evenings, weekends, holidays): 4-hour minimum ($800)

Standby Pay: $125/day when designated as primary on-call and no case is worked

Cancellation Protection:

• Cancel after arrival on-site: full applicable case minimum
• Cancel after 5:00 PM prior business day: 2 hours ($400)
• Cancel earlier: no fee

Estimated Annual: 175 billable hours at $200/hr = $35,000 base, plus standby, case minimums, and cancellation protections

Critical Requirement: Contractor-Furnished Cadwell Equipment

This position requires the technician to provide their own Cadwell neuromonitoring system:

• Cadwell Base Unit (Sierra Summit, Cascade, or equivalent)
• Pro/Cascade Amplifier and Recording Extender Pods
• ES Unit and TcMEP Stimulator
• Auditory Electrode Kit and Insert Earphones
• Laptop with current Cadwell software and licenses

Other OEM platforms (Natus, Medtronic NIM, Nihon Kohden) do not meet the facility's requirements.

Position Summary

The IONM Technician provides real-time neural and physiological monitoring during surgical procedures at the Atlanta VA Medical Center. Monitoring modalities include SSEPs, MEPs, EMG, and other neuromonitoring modalities during spinal, orthopedic, ENT, and neurosurgical procedures. The technician operates independently in the OR, communicating directly with the surgical and anesthesia teams.

Required Qualifications

• Active CNIM credential through ABRET (current, not expired)
• Relevant otolaryngologic and/or orthopedic IONM experience within past 3 years
• Proficiency in SSEPs, MEPs, EMG, and multimodal monitoring
• Current AHA ACLS and BLS certifications
• Ownership of or lease access to Cadwell neuromonitoring system
• Ability to pass VA background investigation and VetPro credentialing
• U.S. citizen or lawful permanent resident

Preferred Qualifications

• ABRET Supervisor Certification or additional credentials (EEG, NCS)
• Experience in VA or DoD surgical settings
• Experience with complex spinal deformity or vascular neuromonitoring
• Prior performance on federal IONM contracts

Schedule and Availability

• Regular OR: Monday-Thursday, 8:00 AM - 4:30 PM
• On-Call: Evenings, weekends, and federal holidays as needed
• Response: 15 minutes by phone, 60 minutes on-site
• Volume: ~175 hours/year across 5 ordering periods (May 2026 - April 2031)

How to Apply

Submit: current resume, CNIM certification, ACLS/BLS certifications, Cadwell equipment description, and two professional references from surgeons or surgical team leads.

About CLF Consultants LLC

CLF Consultants LLC (CLFC) provides specialized clinical professionals to VA medical facilities and federal healthcare systems. CLFC maintains full compliance with VA credentialing, background investigation, and quality assurance requirements.