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Neurosonographer Supervisor - Main Hospital - Days

Virginia Commonwealth University Health Systems
United States, Virginia, Richmond
Aug 09, 2025
The Neurosonographer Supervisor is responsible for day-to-day clinical supervision and operational leadership of the neurovascular ultrasound team, including Neurosonographer I and II roles. This position serves as the lab technical director and oversees high-quality, timely diagnostic imaging services specializing in Transcranial Doppler (TCD), carotid duplex ultrasound, emboli detection, and vasospasm monitoring.

The supervisor ensures that staff maintain technical competency, adhere to institutional protocols, and support stroke and neurocritical care operations across inpatient, ICU, and outpatient settings. This role includes clinical operations oversight, staff education, compliance with regulatory and safety standards, and coordination of interdepartmental collaboration with neurology, ICU, and emergency services.

The supervisor reports to the Ultrasound Modality Manager and serves as a subject matter expert in neurovascular imaging practices. The role combines hands-on clinical expertise with supervisory responsibilities to maintain service line excellence and foster a collaborative team culture.

Essential Job Statements

Independently perform all neurovascular ultrasound procedures including: Advanced TCD (imaging and non-imaging) Complex carotid duplex exams
Invasive neurovascular monitoring, emboli detection, and vasospasm surveillance

Supervise all neurosonography operations including: Daily workflow coordination, Coverage planning and shift scheduling, Onboarding, mentoring, and evaluating sonographers

Lead process improvement in alignment with: Stroke alert workflows, Neurocritical care needs, Departmental safety and regulatory compliance

Ensure quality standards are met through: Ongoing image quality audits, Staff competencies and continuing education, Participation in ACR/IAC accreditation readiness

Collaborate with: Neuroscience physicians, Radiology faculty and management, Interdisciplinary departments

Participate in capital equipment planning, accreditation readiness, and research support.

Serve as a liaison to resolve clinical and operational concerns

Monitor and respond to clinical incidents, image quality issues, or schedule disruptions

Seeks managerial input for escalated operational, legal, or fiscal impacts

Assigns, evaluates, mentors, and disciplines staff in consultation with manager

Responsible for competency validation, schedule development, and performance evaluations

May provide emergency coverage when needed

Patient Population Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit.Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Adults (18-64 years), Geriatrics (65 years and older)

Employment Qualifications

Required Education:Graduation from a CAAHEP or CMA-accredited program in medical, cardiac, or vascular sonography OR a 2-year JRC-accredited program in Radiologic Technology or Sonography

Preferred Education:Bachelor's degree in Radiologic Sciences, Neurosciences, or Sonography, Master's degree in Health or Business Administration

Licensing/ Certification

Licensure/Certification Required:One or more of the following: ARRT(S), RDMS, CCI, or RVT

Licensure/Certification Preferred:NVS certification - or willingness to obtain within 12 months (institutional support may be provided)Basic Life Support (BLS for Healthcare Providers)

Minimum Qualifications

Years and Type of Required Experience: Minimum of five (5) years of progressively responsible ultrasound experience.

Other Knowledge, Skills and Abilities Required:N/A

Cultural Responsiveness: N/A

Other Knowledge, Skills and Abilities Preferred:Leadership experience preferred. Experience in a stroke, ICU, or academic medical center setting.Experience in policy development, teaching, or research.

Working Conditions: Periods of high stress and fluctuating workloads may occur.General office environment.May be exposed to high noise levels and bright lights.May be exposed to limited hazardous substances or body fluids. *May be exposed to human blood and other potentially infectious materials. *May have periods of constant interruptions.Prolonged periods of working alone.

* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Physical Requirements

Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.), Stoop, Kneel, Squat

Work Position: Sitting, Walking, Standing

Additional Physical Requirements/ Hazards

Physical Requirements: Manual dexterity (eye/hand coordination), Perform shift work, Maneuver weight of patients, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity

Hazards: N/A

Mental/Sensory -Emotional

Mental/Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking, Other

Emotional: Fast pace environment, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

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