Cleveland Clinic Certified-Holter-Technician in Cleveland, Ohio

Job Summary:

Under the supervision of the Nurse Manager, performs the following functions for patients of all ages: Initiates the application of Holter monitors and loop recorders for Inpatients and Outpatients, providing the appropriate instructions and patient education. Receives transtelephonic transmissions from symptomatic and asymptomatic patients from cardiac arrhythmia transmitters and loop recorders. Completes transtelephonic pacemaker and ICD evaluations and identifies life threatening arrhythmia's. Independently notifies the appropriate Physician or Nursing personnel to provide patients with the appropriate medical intervention.


  • Initiates Outpatient and Inpatient ambulatory EKG recordings via Holter monitors or Loop Recorders.

  • Applies EKG electrodes in the appropriate anatomical and cardiographic positions.

  • Provides patient education and instruction related to the care and use of EKG recording devices.

  • Performs technical review and completes superimposition scanning of recorded electrocardiographic data from ambulatory monitors and Inpatient Telemetry recordings.

  • Analyzes and edits EKG recordings; generates reports including EKG strips representing significant arrhythmia's and symptomatic events.

  • Notifies physicians of abnormal heart rhythms and patients with significant clinical symptoms; assists patients with securing medical assistance.

  • Schedules and completes all transtelephonic pacemaker and ICD evaluations. Identifies appropriate pacemaker function, documents in the electronic report and notifies the Device Clinic staff or EP physicians of pacemaker battery depletion and/or device malfunction.

  • Assists with the scheduling of the device replacement procedure.

  • Assists the RN or physician with pacemaker and ICD patients in the Device Clinic with device testing and evaluations.

  • Maintains CCT Certification; acquires the required continuing education units.

  • Serves as Preceptor to orient new staff members and visitors.

  • Participates in quality process.

  • Assist in development of department procedures.

  • Maintains all recorders and scanning equipment; completes documentation for tracking monitors and recorders by serial number and patient demographics.

  • Completes the data collection and report processing for The Arrhythmia monitoring Core Lab.

  • Collaborates with CCF Fellows and physicians.

  • Provides arrhythmia monitoring data as needed for research projects.


  • Completed coursework from a recognized institution in Basic Sciences or completion of a EKG Course.


  • Certified Cardiographic Technician (CCT) or Certified Rhythm Analysis Technician (CRAT) provided by Cardiovascular Credentialing International.

  • Current Basic Life Support (BLS) (or will obtain within 90 days).

Complexity of Work :

  • Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

  • Must be able to work in a stressful environment.

Work Experience :

  • Minimum two years experience in the field of Cardiovascular technology.

  • Knowledge of biology, anatomy and electrocardiography normally attained through college-level coursework or courses completed through a clinical program offered by pacemaker and ICD manufacturers.

  • Knowledge of EKG techniques and principles to include EKG skin preparation and electrode placement.

Physical Requirements :

  • Requires frequent lifting patients, standing and walking.

  • Requires full range of motion, manual and finger dexterity with eye-hand coordination.

  • Physical capability to assist patients from wheel chairs and carts.

  • Good manual dexterity to program and operate recorders.

  • Visual acuity to utilize computers and Scanning units for long periods of time.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required.

The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.

Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities