OR Tech Jobs in North Carolina
OR Tech jobs in North Carolina are concentrated in Charlotte, Raleigh-Durham, and Greensboro, where major health systems like Atrium Health, Duke Health, and Cone Health maintain busy surgical programs and hire at every level from entry-level technicians to experienced leads. Demand is particularly strong in orthopedic, cardiovascular, and general surgery service lines, which reflect the region's growing population and expanding hospital footprint. The Triangle's research hospitals and Charlotte's rapidly expanding medical corridor keep openings consistent across the state. Scan the live roles below and apply to whichever ones fit.
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Job Summary
A Substation Technician Learner will assist a higher-level technician in activities associated substation construction and maintenance. Incumbents are expected to develop intermediate skills and the ability to work with greater independence.
A Substation Technician I will assist a higher level technician and sometime safely lead a lower level technician in activities associated with substation construction and maintenance activities. Incumbents are expected to develop complex technical and leadership skills and the ability to work independently and lead small activities with low to moderate levels of complexity.
Responsibilities
- Demonstrate a complete understanding of company safety rules and work practices
- Demonstrate a complete understanding of Human Performance practices
- Exhibits the capacity to safely lead small jobs and work independent of direct leadership
- Complete understanding of the processes needed to organize construction and maintenance work and create over all implementation/maintenance plans
- Total understanding of reading prints and determine how to isolate protection circuits without jeopardizing critical equipment
- Total understanding of the processes needed to methodically/logically organize substation work activities
- Total understanding of the processes needed to operate bucket, digger derrick truck, and other areal devices
- Ability to respond to all call outs
- Total understanding limitations, never assumes, and will STOP to seek help
- Experience leading complex maintenance or construction projects
- Total understanding of the processes needed to power factor, winding resistance, circuit breaker timing, and leakage reactance testing also interpret results
- Total understanding of the processes needed for the installation of portable/mobile substations/transformers or other temporary equipment
- Total understanding of the processes needed to perform infrared scanning substation equipment
- Total understanding of AC and DC circuit principles
- Total understanding of regulatory compliance and the importance for accurate data and timely completion of assigned work
- Adheres to Duke policies and procedures to meet regulatory requirements (NERC and/or SERC), properly and accurately documents test results with a timely completion
- Total understanding of substation equipment isolation and clearances and grounding practices
- Has the experience to complete the requirements for Switching and Tagging on both the Transmission and Distribution systems
- Total understanding of the processes needed to complete maintenance/construction activities on all substation equipment including but not limited to switches, circuit breakers, transformers, regulators, PT's, CT's, CCVT's and grounding systems
- Superior understanding of pneumatics and hydraulics systems
- Demonstrates superior verbal and written communications skills
Basic/Required Qualifications
Transmission Substation Technician Learner
- High School diploma/GED
Transmission Substation Technician I
- High School Diploma/GED
- Minimum 1 year of Transmission or Distribution substation maintenance or construction experience or equivalent job-related and educational experience
Preferred Qualifications
- Associates Degree in Engineering Technology
- Commercial Drivers License (Class A CDL)
- Advanced technical and professional knowledge, skills and performance. frequently leads others
- Develops positive working relationships to effectively coordinate work activities with internal and external customers
- Supports the company's goals and represents the company positively and professionally
- Provides coaches and mentors other Technicians
- Provides high level of leadership and sets a positive example for others to follow
- Advanced written and oral communication skills
- Demonstrated ongoing leadership skills development
- Software skills including word process, email, spreadsheets etc.
Working Conditions
- Demonstrated availability for after- hour’s work and call out rotation
- Ability to work in a diverse environment with individuals from various socio-economic and cultural backgrounds
- Must be capable of working on elevated work surfaces
- This position is based out in North and South Carolina
- Onsite Mobility Classification – Work will be performed at a company facility.
Specific Requirements
- Must pass appropriate level of Duke aptitude test
- Must have a valid State Driver’s License
- Ability to obtain a valid Class A commercial driver’s license (CDL) in the state for which you are hire within one year of hire.
- DOT Physical
- DOT Certification
- Ability to pass any required back ground check for NERC/CIP/Nuclear compliance
- Demonstrated ability to pass panel review by meeting or exceeding requirements for step progression
- Ability to stand a minimum of 5-6 hours; may be on ground, in a bucket on a line truck, or at the top of a distribution pole
- Ability to sit for a minimum of 2-3 hours; may be driving a truck or sitting in a manhole or an underground vault
- Ability to move frequently to unload equipment and to install/maintain/repair equipment
- Ability to lift, push and pull up to 75 pounds
- Ability to frequently climb or use authorized equipment to reach various heights and breadths
- Ability to frequently and repetitively bend/stoop/squat
- Ability to differentiate between colors (color vision)
- Manual dexterity to operate small hand tools, turn small knobs, etc.
- This position contains a weight restriction of 275 pounds as an essential function of the job. The purpose of this restriction is to ensure that all weight-rated equipment is used in an appropriate and safe manner within maximum allowed weight loading.
Travel Requirements
15-25%Relocation Assistance Provided (as applicable)
NoRepresented/Union Position
NoVisa Sponsored Position
No. This is not a Visa Sponsored Position. This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.
Please note that in order to be considered for this position, you must possess all of the basic/required qualifications.
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See All 28 OR Tech Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find OR Tech JobsOR Tech Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
OR Tech Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Target17

- Chapel Hill Tire2

- Resa Power1

- Duke Energy1

- Atrium Health1

What North Carolina Employers Look For
The qualifications that appear most often in OR tech jobs across North Carolina.
- Surgical Technologist certification (CST) from NBSTSA recognized by North Carolina employers
- Graduate of an accredited surgical technology or OR Tech program
- Hands-on experience in a sterile scrub role within an operating room setting
- Proficiency in surgical instrumentation, sterile technique, and case setup for multiple specialties
- Current BLS certification required at time of hire
- Ability to meet physical demands including prolonged standing and lifting surgical equipment
OR Tech Jobs in North Carolina: Frequently Asked Questions
How do you become a or tech in North Carolina?
To become an or tech in North Carolina, you typically complete an accredited surgical technology program at a community college or vocational school, such as those offered through the North Carolina Community College System, then earn the Certified Surgical Technologist credential through the National Board of Surgical Technology and Surgical Assisting. North Carolina does not mandate a separate state license for surgical technologists, but most employers require the CST certification before hire.
Which companies hire or techs in North Carolina?
Companies currently hiring or techs in North Carolina include Target, Chapel Hill Tire, and Resa Power, per current listings on Migrate Mate as of August 2026. North Carolina's large health systems, including those anchored in Charlotte and the Research Triangle, are among the most consistent sources of full-time or tech openings in the state.
Which North Carolina cities have the most or tech jobs?
The cities with the most or tech openings in North Carolina are Durham, Raleigh, and Charlotte. Charlotte leads because of Atrium Health's extensive hospital network, while Raleigh and Durham benefit from Duke Health, UNC Health, and WakeMed driving steady surgical volume, and Greensboro anchors hiring in the Triad through Cone Health and regional medical centers.
Are there remote or tech jobs in North Carolina?
Yes, but they're rare. OR tech work is inherently hands-on and performed inside a sterile surgical environment, so the large majority of positions require on-site presence. About 0% of or tech openings tied to North Carolina are remote or hybrid as of August 2026, and those roles tend to be in surgical scheduling, sterile processing coordination, or clinical education rather than direct scrub duties.
How can I get hired as a or tech in North Carolina with little or no experience?
The most realistic entry path is completing a surgical technology program through the North Carolina Community College System, which provides the clinical rotations that large employers require before hire. Atrium Health and WakeMed both offer new-graduate and externship pipelines designed for candidates who recently completed accredited programs. Lateral moves from roles such as central sterile processing technician or surgical technician aide are also common ways to build operating room experience before stepping into a full or tech position.
Where can I find and apply to or tech jobs in North Carolina?
You can find and apply to or tech jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the available roles, find the ones that match your experience and specialty, and apply directly to the positions that fit.
See All 28 OR Tech Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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