Cardiac Technician II - Noninvasive

Children's Nebraska•Omaha, NE

13h

About The Position

The Cardiac Technician II performs advanced pediatric cardiac diagnostic testing, including ECGs, specialty ECGs, and ambulatory cardiac monitoring. The role places, scans, analyzes, and supports interpretation of Holter monitors, event recorders, and ambulatory blood pressure monitors, while identifying and escalating critical findings. The technician applies specialized knowledge of pediatric cardiac physiology, congenital heart disease, and complex arrhythmias to ensure accurate, high-quality diagnostic data for patient care. The position collaborates with multidisciplinary healthcare teams, provides patient and family education, and serves as a clinical resource and mentor. It also supports staff onboarding and training, quality improvement, workflow coordination, equipment and supply readiness, and adherence to quality standards and regulatory requirements. The role may assist with Cardiac Technician I duties, including processing outside studies, coordinating device distribution and return, maintaining logs and documentation, and preparing devices for use or shipment. The schedule is Monday through Friday between 7:00 a.m. and 4:30 p.m., with call rotation on weekends and holidays. Regular attendance and the ability to perform the position’s physical requirements are essential.

Requirements

High school diploma or GED.
At least 1 year of experience performing ECGs.
At least 1 year of experience applying, scanning, and analyzing 24- or 48-hour Holter monitors.
At least 1 year of experience in an outpatient cardiology or cardiac diagnostics setting, or in acute care.
Advanced knowledge and high proficiency in ECG and Holter monitor scanning and analysis.
High proficiency in identifying and recognizing critical arrhythmias on ECGs and Holter monitor recordings.
Medium proficiency with systems used for Holter monitors and event recorders.
High proficiency in medical terminology.
Medium proficiency in basic computer skills.
Ability to work on call as needed.
Basic Life Support certification from the American Heart Association.
Certified Rhythm Analysis Technician (CRAT) certification or Certified Cardiographic Technician (CCT) certification.
Ability to meet the physical requirements of the position.

Nice To Haves

Experience working with event recorders.
Experience working with children.

Responsibilities

Perform advanced pediatric cardiac diagnostic testing, including ECGs, specialty ECGs, and ambulatory cardiac monitoring.
Apply specialized knowledge of pediatric cardiac anatomy, physiology, congenital heart disease, implanted cardiac devices, post-surgical anatomy, and age-related rhythm variations to optimize ECG acquisition.
Place Holter monitors, event recorders, and ambulatory blood pressure monitors.
Educate patients and their families, guardians, or caregivers at an understandable level and in a timely manner.
Analyze cardiac rhythms, identify complex arrhythmias, distinguish artifact from clinically significant findings, and support validation of ambulatory monitoring data.
Identify critical arrhythmias and urgent findings and promptly escalate concerns according to established protocols.
Perform 15-lead ECGs and specialized tests, including atrial electrograms, signal-averaged ECGs, Brugada ECGs, multi-lead rhythm strips, and other tests requested by providers.
Perform the ECG portion of cardiac exercise stress tests as needed.
Collaborate with cardiologists, electrophysiologists, advanced practice providers, nurses, and other healthcare professionals to support coordinated patient care.
Coordinate testing across teams and prioritize testing according to patient acuity, clinical needs, provider requests, and clinic workflow.
Document patient encounters in Epic and on required patient and inventory logs for ECGs, Holter monitors, event recorders, and 24-hour blood pressure monitors on the same day.
Assist with onboarding, training, and competency validation for new staff, nurses, SPC flex team members, and care partners.
Serve as a clinical resource and mentor for Cardiac Technician I staff and other team members.
Participate in quality improvement initiatives and contribute to process and workflow improvements.
Maintain continuing education on current research, evolving technology, best practices, and evidence-based standards.
Promote adherence to departmental quality standards, best practices, and regulatory requirements, and maintain professionalism, accuracy, communication, and patient-centered care.
Assist with Cardiac Technician I duties as needed, including processing outside ECG and Holter studies, documenting and following up on missing information, and monitoring and updating the cardiac device wait list.
Coordinate device placement and shipment by reviewing the wait list and communicating with care teams and patients or caregivers about device needs and timing.
Obtain and file Patient Financial Responsibility forms before device placement or shipment.
Contact patients and families about device shipment, answer questions, and request overdue device returns.
Monitor device logs to support timely returns, scanning, and accurate documentation.
Clean Holter monitors and 24-hour blood pressure monitors after patient use.
Assemble Holter monitor kits for mailing to patients or clinic sites.
Deliver and pick up Holter monitors to and from the Children’s Nebraska mailroom daily as required.
Help maintain adequate, organized supplies for testing.
Contact the Lead Technician or Supervisor about equipment troubleshooting or repairs.
Assist with training hospital staff to perform ECGs and use ECG equipment as needed.
Perform other duties as needed to support department and organizational goals.