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Legacy Health

Cardio Echo Sonographer

Company : Legacy Health

Location : Portland, OR, 97210-3025

Job Type : Full Time

Date Posted : 5 January 2026

Overview

Every image tells a story. Help us make it one of hope.

At Legacy Health, every ultrasound is more than just an image — it’s a moment of care that can bring answers, ease anxiety, and guide critical decisions. As a Echo Sonographer, your compassion and technical expertise will make a difference in patients’ lives, supporting our mission of making life better for others.

You’ll work in either pediatric or adult cardiac imaging, depending on your skills, experience and site needs. 

Responsibilities

What you’ll do

  • Perform high-quality cardiac imaging studies — from routine echocardiograms to advanced procedures like TEE, stress echo, bubble studies, and more.
  • Apply sound clinical judgment to tailor imaging for each patient, delivering accurate and meaningful results.
  • Collaborate closely with physicians, nurses, and care teams to support timely diagnosis and treatment.
  • Provide a calming, supportive experience for patients of all ages — neonate to geriatric.
  • Contribute to a culture of safety, respect, and continuous improvement.

What you bring

  • Registered Diagnostic Cardiac Sonographer (RDCS) or equivalent certification
  • Strong technical skills in 2D, 3D, Doppler, transesophageal, and stress echocardiography
  • Ability to place IVs and administer contrast
  • Excellent communication and patient care skills
  • Commitment to maintaining a safe, respectful, and inclusive environment

Qualifications

Education: 

  • Completion of accredited cardiac sonography or echocardiography certificate program that meets eligibility requirements for registry/certification.

Skills: 

  • Cardiac sonographers conduct transthoracic and transesophageal echocardiograms to evaluate heart function and structure in both outpatient and inpatient settings.  
  • Strong understanding of ultrasound technology and cardiac anatomy is essential. 
  • Maintain operation and maintenance of ultrasound equipment to obtain high quality images of the heart.  
  • Assessment of images for clarity and relevance, selecting the most appropriate ones for physician review.  
  • Documentation and preparation of preliminary reports highlighting key observations for cardiologists. 
  • Able to explain procedures clearly and interact effectively with patients and the healthcare team. 
  • May assist in clinical research and training new staff or students.  
  • Technical proficiency and ability to navigate electronic health systems applicable to job functions. 

Licensure

  • The current state license in Sonography is required for all employees who perform this job in the state(s) of practice. In the state of Oregon, the Oregon Board of Medical Imaging (OBMI) license, or temporary license to practice is mandatory. 
  • Registered Cardiac Sonographer (RCS) or Registered Diagnostic Cardiac Sonographer (RDCS) credentials are required at the time of hire or within 6 months of hire date.  
  • Current CPR/BLS certification required.

Pay Range

USD $50.13 - USD $71.69 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

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Frequently asked questions

Portland's healthcare sector actively seeks skilled Cardio Echo Sonographers, reflecting steady growth. Compared to nearby cities, Portland offers a balanced job market with moderate competition and expanding cardiac imaging services, making it an advantageous location for sonographers aiming to establish or advance their careers.

In Oregon, obtaining the Oregon Board of Medical Imaging (OBMI) license is essential for practicing as a Cardio Echo Sonographer. Additionally, credentials like the Registered Diagnostic Cardiac Sonographer (RDCS) or Registered Cardiac Sonographer (RCS) are highly valued, aligning with state regulations and enhancing employment opportunities.

Expertise in transthoracic and transesophageal echocardiograms, along with proficiency in Doppler and 3D ultrasound imaging, sets a strong Cardio Echo Sonographer apart. Mastery in IV placement, contrast administration, and precise interpretation of cardiac anatomy is crucial for delivering accurate diagnostic insights.

Advancing from staff sonographer roles, professionals can move into supervisory positions, clinical education, or specialized cardiac imaging techniques. Pursuing certifications and engaging in research can also open doors to higher-level diagnostics or administrative roles within cardiology departments.

Pediatric imaging requires adapting techniques to smaller, developing hearts, often demanding more delicate patient interactions. Adult cardiac imaging typically involves a broader range of procedures, including stress echos and transesophageal studies, with a focus on complex cardiac conditions prevalent in older populations.

Legacy Health emphasizes compassionate care combined with cutting-edge cardiac imaging technology, fostering a collaborative environment. Sonographers here benefit from access to diverse patient populations, including neonates and geriatrics, and are encouraged to contribute to clinical research and continuous professional development.

Legacy Health invests in ongoing training and certification support, promoting a culture of learning and safety. Sonographers can engage in mentorship programs, participate in interdisciplinary collaborations, and access resources that facilitate skill enhancement, aligning with the organization’s mission of improving patient care.

Cardio Echo Sonographers in Portland, particularly at Legacy Health, typically earn between $50.13 and $71.69 per hour. This competitive pay reflects the technical expertise required and the cost of living in the region, positioning the role as a financially rewarding healthcare career.

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