MRI Technologist Job Description & Responsibilities

What MRI techs actually do, the skills employers look for, and the settings where you'll work.

Core Responsibilities

Patient Safety Screening

Screen all patients for MRI contraindications including metal implants, pacemakers, cochlear implants, and other devices. MRI's magnetic field can be lethal to patients with certain implants - this screening is non-negotiable.

Patient Preparation

Explain the MRI procedure to patients, address anxiety (especially claustrophobia), position patients on the table with appropriate coils, and ensure comfort throughout the scan.

Protocol Selection & Execution

Select the appropriate imaging protocol for the clinical indication ordered. Operate the MRI scanner to execute sequences, monitoring image quality in real time and adapting as needed.

Contrast Administration

Administer gadolinium-based contrast agents intravenously when ordered. Monitor patients for adverse reactions. Document contrast use accurately in the patient record.

Documentation & Reporting

Accurately document patient information, scan parameters, and any notable events. Transmit images to the PACS system for radiologist review.

Equipment Maintenance

Perform daily quality assurance (QA) tests, maintain cleanliness of the scan suite, report equipment malfunctions, and coordinate with service engineers as needed.

Required Skills

Technical Skills

  • MRI physics and instrumentation knowledge
  • Protocol selection and modification
  • Cross-sectional anatomy expertise
  • Image quality assessment and artifact recognition
  • MRI safety principles
  • PACS and electronic health record navigation
  • Contrast agent knowledge and IV skills

Soft Skills

  • Patient communication and empathy
  • Calm under pressure (emergency situations)
  • Attention to detail (safety screening, documentation)
  • Physical stamina (standing, lifting, transferring patients)
  • Collaboration with radiologists and clinical staff
  • Time management and prioritization
  • Confidentiality and HIPAA compliance

Work Settings

SettingVolumeSchedulePayNotes
Hospital (inpatient)High, variableRotating shifts, nights/weekendsGood + differentialsEmergency cases, complex protocols, ICU patients
Outpatient Imaging CenterHigh, scheduledBusiness hours mostlyOften higher baseElective scans, faster throughput, better work-life balance
Mobile MRIModerateVariesCompetitiveDrive the scanner to rural hospitals or clinics
Specialty / ResearchLower, specializedBusiness hoursVariableAcademic medical centers, cardiac MRI, neuro research
Travel MRIHigh13-week contractsHighest total compMove between assignments; requires 1–2 yrs experience

Physical Requirements

MRI tech is a physically demanding role. Expect to:

  • Stand and walk for the majority of a 12-hour shift
  • Lift and assist with patient transfers (up to 50+ lbs with assistance)
  • Maneuver patient positioning within the tight confines of the bore
  • Work in a noisy environment (hearing protection required during sequences)