JobsAdvocate Health

Echo sonographer- Per Diem

Advocate Health · Libertyville, IL

Posted Sep 3, 2026 · We last checked this listing on Sep 20, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

Behavioral

Tell me about a time you spotted a cardiac abnormality that wasn't what the referring physician expected to find. What did you do next?

clinical judgment and whether they know when and how to escalate unexpected findings

Describe a time you had to get a full clinical history from a patient who was anxious or in pain before starting a study. How did that change your approach?

patient communication skill and whether history-taking is treated as more than a formality

Since this is a per diem role with varying shifts, tell me about a time you had to get fully up to speed quickly in a department you weren't scanning in every day.

adaptability and ability to function with less continuity than a staff sonographer

Technical

Walk me through how you'd approach a study where the standard views just aren't giving you a clear picture of the mitral valve. What do you do differently?

whether the candidate can adapt technique rather than accepting a poor-quality image, which matters for diagnostic accuracy

How do you calculate ejection fraction and chamber volumes, and what do you do when two measurement methods give you conflicting numbers?

depth of hands-on quantification skill versus rote familiarity with the software

You're assisting a cardiologist during a transesophageal echo and the probe needs to be reprocessed between patients. Walk me through how you handle that.

knowledge of TEE probe sterilization protocol and infection control discipline

What's your experience with ICAEL accreditation standards, and have you been involved in quality reviews or protocol audits before?

whether they can step into quality assurance responsibilities beyond just scanning patients

How do you approach scanning a pediatric or congenital heart patient differently than an adult, given your ARDMS or CCI training?

breadth of experience across age groups and congenital cases, called out in the age-specific care requirement

Situational

If a patient's anatomy or body habitus makes standard windows impossible, what's your process for extending the exam scope on your own judgment?

comfort with independent clinical decision-making within a per diem, less-supervised role

Tell me about a time the echo machine or equipment malfunctioned mid-study. What did you do, and how did you document it?

practical troubleshooting and adherence to equipment reporting protocols

How do you communicate an urgent or concerning finding to the ordering physician when you're not the one who reads the final report?

understanding of scope of practice boundaries and effective clinical handoff

A student or newer tech asks you why you chose a particular imaging technique over the standard one. How would you explain your reasoning to them?

ability to mentor and articulate clinical rationale, since the role explicitly acts as a resource to others

Practice this interview out loud.

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The full job description

As published by Advocate Health.

Department: 36905 Advocate Condell Medical Center - Cardiovascular Diagnostics Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: Varying shifts Pay Range: $38.20 - $57.30 Major Responsibilities: • Performs advanced cardiac ultrasound procedures such as M-mode, 2-D, Doppler and Color Flow Doppler utilizing a variety of equipment and techniques and makes the necessary measurements required for the interpretation to obtain accurate, high quality results (for example, muscle wall thickness, diameter of chambers, volume of chambers, valve areas, blood flow velocity and direction). May assist physicians in the Catheterization and Electrophysiology Labs by performing echocardiograph studies to aid them in proceeding with complex procedures to decrease risk factors. • Identifies and defines cardiac abnormalities and extends the scope of the examination appropriately, deviating from standard techniques when necessary and correlating invasive and noninvasive cardiac diagnostic test results with cardiac anatomy and function. • Prepares patients for procedures and obtains clinical history from the patient including cardiac related physical findings and pertinent laboratory data in order to adapt the imaging techniques to obtain comprehensive and diagnostic echocardiograms to alleviate the probability of erroneous clinical interpretation of the echocardiogram. • Assists in performing transesophageal studies with cardiologist, calculating appropriate measurements and sterilizes probe. • Communicates clinical findings to the appropriate staff. • Records statistics and performs daily maintenance of the Echocardiography Lab and its equipment, reporting all malfunctions as appropriate. • Acts as a resource to other staff, physicians and students regarding equipment, techniques, procedures and studies to optimize patient care. • In conjunction with supervisor, implements protocols as new technology evolves, and ensures system echocardiography standards are implemented and adhered to. • Works closely with medical director to develop and ensure quality processes and protocols are adhered to; works with physicians to perform quarterly reviews, and assists with ICAEL accreditation ensuring all policies, quality processes, reporting, etc. meet standards. • Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: • Cardiac Sonographer (RDCS-AE) registration with Adult Echo issued by the ARDMS, or • Cardiac Sonographer (RCS) registration issued by the Cardiovascular Credentialing International (CCI), and • Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required. Education Required: • Advanced training beyond High School that includes the completion of an accredited or approved program in Sonography. Experience Required: • Typically requires 2 years of experience in cardiovascular sonography which includes experience in digital quantification. Knowledge, Skills & Abilities Required: • Advanced knowledge and ability to learn and apply complex sonographic principles, instrumentation and techniques, and new computer techniques for the capture, display and analysis of echocardiograph data. • Advanced knowledge and proficiency in cardiovascular sonography procedures such as transesophageal and congenital. • Advanced knowledge of cardiac anatomy and physiology. • Excellent interpersonal and patient service skills. • Intermediate computer skills. Physical Requirements and Working Conditions: • Operates all equipment necessary to perform the job. • Must be able to sit 50% and stand and walk 20% of the workday. • Must be able to: • Lift up to 50 lbs. from floor to waist. • Lift up to 20 lbs. over the head. • Carry up to 40 lbs. a reasonable distance. • Must be able to: • push/pull with 30 lbs. of force. • Perform a sliding transfer of 150 lbs. with a second person present. • Must be able to frequently push or pull over 100 lbs. • Able to use hands and feet to operate equipment. • Functional speech, vision and hearing. • Will be required to wear protective clothing (i.e., lead aprons, isolation gowns, protective eyewear, etc.) as needed. • Will be exposed to mechanical, electrical and chemical hazards. • *Any exceptions to the above requirements must be documented through Employee Health. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training • Premium pay such as shift, on call, and more based on a teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance Benefits and more • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health  Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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