Operating Room Technician Jobs in North Carolina
Operating Room Technician jobs in North Carolina are concentrated in the state's large academic medical centers, regional hospital systems, and ambulatory surgical centers, with demand at every experience level from new CST graduates to senior surgical techs. Charlotte, Raleigh-Durham, and Greensboro-Winston-Salem are the most active hiring metros, anchored by employers such as Atrium Health, Duke University Health System, and Novant Health. The most consistent openings are in orthopedic, cardiovascular, and general surgery teams where turnover and expansion keep positions open year-round. See the openings below and apply to the ones that match your experience.
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Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
UNC Johnston has an innovative and efficient surgical program. We perform both inpatient and outpatient procedures on adult and pediatric populations. The Nurses and Surgical Technologists provide intraoperative care for a variety of service lines including Orthopedics, Ortho Spine, General, GYN, Robotics, Neuro, ENT, Vascular, Ophthalmology, and Endoscopy.
Summary:
The Surgical Technologist I works under the supervision of a surgeon and registered nurse to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the
operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. Has baseline knowledge and ability to perform duties of surgical scrub at entity they serve.
Responsibilities:
1.Performs technical skill duties in all operating room specialty service areas, ensuring that proper technical practices are employed according to accepted standards of process.
2.Provides proper maintenance, assembly, handling, and sterilization techniques of specialty instrumentation.
3.Follows aseptic technique. Proactively identifies contamination and/or breaks in aseptic technique and implements corrective actions.
4.Performs surgical counts. Follows policies and procedures for incorrect counts and reports discrepancies appropriately.
5.Labels drugs and solutions; monitors quantities used.
6.Assists in the proper identification, preparation, handling, and labeling of surgical specimens.
7.Actively participates in the planning and set up of instruments, supplies, and surgical drapes in an organized manner to provide optimal accessibility during the procedure.
8.Assists the surgeon, demonstrating an understanding of the patient’s anatomy and abnormalities which affect the surgical procedure.
9.Assists in picking cases and planning of instrument needs.
10.Recognizes and modifies scrubbing procedures based on pertinent information to develop modifications to standard approaches to care and communicates with the surgical team. Responds to surgical emergencies and follows hospitalwide emergency management plans.
11.Inventories, receives, and stores supplies under the direction of Surgical Services leadership.
12.Identifies and reports defective instruments, supplies, and equipment. Assists with restocking operating/procedure rooms and sub-sterile areas.
13.Assists the registered nurse during the intraoperative implementation phase of nursing practice.
14.Operates complex equipment and other resources in the operating room, troubleshooting as necessary
15.Serves as a mentor for Surgical Technician Trainees and will serve as a preceptor as needed.
Other Information
Education Requirements:
- None required as long as other position qualifications are met.
- Basic Life Support (BLS) for Healthcare Provider certification Graduate of an accredited Surgical Technology or Nursing Program; or Graduate of a Military Training Program in Surgical Technology; or Formal education/training may be substituted for individuals with 3+ years of prior experience as a surgical tech
- 0-3 years
- Successful completion of service specific portion of the UNC Health Surgical Technologist competencies
- Strong communication skills/customer service relations
- Excellent organizational/priority setting skill
Job Details
Legal Employer: NCHEALTH
Entity: Johnston Health
Organization Unit: Operating Room - CL
Work Type: Per Diem
Standard Hours Per Week: 4.00
Salary Range: $23.24 - $33.41 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Variable
Location of Job: US:NC:Clayton
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
See All 142+ Operating Room Technician Jobs in North Carolina
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Find JobsOperating Room Technician Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Operating Room Technician Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Advocate Aurora Health38

- Atrium Health31

- UNC Health14

- Novant Health10

- SCA Health7

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in operating room technician jobs across North Carolina.
- CST certification through the NBSTSA or NCCT required or strongly preferred
- Graduate of an accredited surgical technology program recognized in North Carolina
- Demonstrated experience scrubbing in orthopedic, general, or cardiovascular procedures
- Current BLS certification from the American Heart Association
- Ability to stand for extended periods and lift surgical equipment in an OR environment
- Familiarity with sterile field protocols and instrument decontamination standards
Operating Room Technician Jobs in North Carolina: Frequently Asked Questions
How do you become a operating room technician in North Carolina?
You become an operating room technician in North Carolina by completing an accredited surgical technology program, typically offered as an associate degree or diploma at community colleges such as Forsyth Tech, Stanly Community College, or Alamance Community College. North Carolina does not issue a state license for surgical technologists, but most employers require or strongly prefer the Certified Surgical Technologist credential earned through the NBSTSA national exam. Passing that exam before applying significantly improves your chances with major health systems.
Which companies hire operating room technicians in North Carolina?
North Carolina operating room technician roles are posted by Advocate Aurora Health, Atrium Health, and UNC Health and others right now, based on current listings on Migrate Mate as of August 2026. The state's large integrated health systems, including those anchored in Charlotte and the Research Triangle, are the most consistent sources of full-time and per-diem openings.
Which North Carolina cities have the most operating room technician jobs?
Charlotte, Concord, and Winston-Salem have the most operating room technician openings in North Carolina. Charlotte leads because of the scale of Atrium Health and Novant Health, while the Raleigh-Durham area is driven by Duke Health and UNC Health, and Greensboro and Winston-Salem carry steady volume from Cone Health and Wake Forest Baptist Medical Center.
Are there remote operating room technician jobs in North Carolina?
Yes, but they're rare. Operating room technician work is hands-on and requires physical presence in a sterile surgical environment, so fully remote positions essentially do not exist for this role. About 0% of operating room technician openings tied to North Carolina are remote or hybrid as of August 2026, and those listings typically involve adjacent tasks such as surgical instrument coordination or supply chain roles rather than direct patient care.
How can I get hired as a operating room technician in North Carolina with little or no experience?
The most realistic entry path is applying to surgical technology extern or new-graduate programs directly through large North Carolina health systems such as Atrium Health, Novant Health, and Duke Health, all of which periodically hire candidates who have completed an accredited program but have limited post-graduation experience. Sterile processing technician roles at those same systems are a common lateral entry point, since that work builds familiarity with instrumentation and OR workflow. Completing the CST exam before applying gives you a measurable edge even without years of experience on your record.
Where can I find and apply to operating room technician jobs in North Carolina?
You can find and apply to operating room technician jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the roles that fit your credentials and experience level and apply directly to the ones that match. No profile creation is required to view or apply to listings.
See All 142+ Operating Room Technician Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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