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Radiologic Technologist (C-Arm Operator)

Department: Interventional Pain Management
Location: Outpatient Pain Management Clinic
Employment Type: Full-Time
Reports To: Clinic Manager / Medical Director

Position Summary

We are seeking a skilled and dependable Radiologic Technologist to join our Interventional Pain Management team. The ideal candidate will be responsible for operating a C-arm fluoroscopy machine to assist physicians during minimally invasive pain management procedures.

This position requires strong knowledge of radiation safety, fluoroscopic imaging, patient positioning, and maintaining an efficient procedural workflow.

Essential Duties and Responsibilities

C-Arm Operation & Procedural Support

• Operate the C-arm fluoroscopy machine during interventional pain management procedures under physician direction.
• Assist with fluoroscopic imaging for epidural steroid injections, medial branch blocks, radiofrequency ablations, facet joint injections, sacroiliac joint injections, and other pain management procedures.
• Position and adjust the C-arm to obtain optimal images while minimizing radiation exposure.
• Prepare, inspect, and test fluoroscopy equipment before scheduled procedures.
• Assist physicians with patient positioning to ensure appropriate imaging and procedural access.
• Maintain an efficient workflow to support timely patient care and room turnover.

Radiation Safety & Compliance

• Follow all applicable Texas Department of State Health Services (DSHS) regulations and facility radiation safety policies.
• Apply ALARA (As Low As Reasonably Achievable) radiation protection principles.
• Ensure proper use of radiation protection equipment, including lead aprons, thyroid shields, and dosimeters.
• Monitor and document radiation exposure information as required.
• Report equipment malfunctions, safety concerns, and radiation-related incidents promptly.
• Maintain compliance with applicable OSHA, HIPAA, and infection prevention standards.

Patient Care & Clinical Support

• Verify patient identity and assist with pre-procedure safety checks.
• Explain the imaging portion of procedures to patients when appropriate.
• Assist clinical staff with safe patient positioning and transfers.
• Maintain patient privacy, comfort, and safety throughout procedures.
• Collaborate with physicians, medical assistants, nurses, and other clinical personnel to ensure efficient patient care.
• Assist with procedural room preparation and turnover within the scope of training and facility policy.

Equipment Maintenance & Documentation

• Maintain cleanliness and proper functionality of the C-arm and related equipment.
• Perform required equipment quality-control checks and maintain appropriate records.
• Coordinate equipment servicing and repairs with the appropriate personnel.
• Ensure fluoroscopic images are properly saved, labeled, and available in the designated imaging or medical record system.
• Maintain accurate documentation of imaging activities and radiation exposure as required.

Required Qualifications

• Current Texas Medical Radiologic Technologist (MRT) certification or other authorization specifically permitting the assigned fluoroscopic duties.
• Completion of an accredited radiologic technology program, or another qualifying educational pathway consistent with applicable authorization.
• Knowledge of fluoroscopic imaging techniques and radiation safety practices.
• Ability to operate C-arm fluoroscopy equipment safely and effectively.
• Current Basic Life Support (BLS) certification.
• Strong communication, organizational, and teamwork skills.
• Ability to work efficiently in a fast-paced outpatient procedural setting.

Preferred Qualifications

• ARRT certification in Radiography (R).
• Minimum of one year of experience operating a C-arm in pain management, orthopedics, surgery, or an outpatient procedural setting.
• Experience assisting with fluoroscopy-guided spinal injections and radiofrequency ablation procedures.
• Familiarity with electronic medical records (EMR) and digital imaging systems.
• Experience working in a high-volume procedural clinic.

Physical Requirements

• Ability to stand for extended periods during procedures.
• Ability to maneuver and position mobile C-arm equipment safely.
• Ability to assist with patient positioning and transfers within established safety guidelines.
• Ability to wear required radiation protection equipment throughout procedures.
• Ability to work in an environment involving controlled exposure to ionizing radiation.

Performance Expectations

• Ensure the C-arm is operational and ready before the first scheduled procedure.
• Provide timely and accurate fluoroscopic imaging support.
• Minimize delays between scheduled procedures.
• Maintain compliance with radiation safety and infection prevention requirements.
• Communicate equipment concerns and scheduling conflicts promptly.
• Work collaboratively with the clinical team to maintain an organized, safe, and efficient injection clinic.